Imperial College London
Alternate

Professor the Lord Darzi of Denham PC KBE FRS FMedSci HonFREng

Faculty of Medicine, Department of Surgery & Cancer

Co-Director of the IGHI, Professor of Surgery
 
 
 
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Contact

 

+44 (0)20 3312 1310a.darzi

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Beyer-Berjot:2019:10.1007/s00268-019-05242-1,
author = {Beyer-Berjot, L and Patel, V and Sirimanna, P and Hashimoto, DA and Berdah, S and Darzi, A and Aggarwal, R},
doi = {10.1007/s00268-019-05242-1},
journal = {World Journal of Surgery},
pages = {696--703},
title = {Implementation of a surgical simulation care pathway approach to training in emergency abdominal surgery},
url = {http://dx.doi.org/10.1007/s00268-019-05242-1},
volume = {44},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundSimulation-based care pathway approach (CPA) training is a novel approach in surgical education. The objective of the present study was to determine whether CPA was feasible for training surgical residents and could improve efficiency in patients’ management. A common disease was chosen: acute appendicitis.MethodsAll five junior residents of our department were trained in CPA: preoperative CPA consisted in virtual patients (VPs) presenting with acute right iliac fossa pain; intraoperative CPA involved a virtual competency-based curriculum for laparoscopic appendectomy (LAPP); finally, post-operative VP were reviewed after LAPP. Thirty-eight patients undergoing appendectomy were prospectively included before (n = 21) and after (n = 17) the training. All demographic and perioperative data were prospectively collected from their medical records, and time taken from admission to management was measured.ResultsAll residents had performed less than 10 LAPP as primary operator. Pre- and intraoperative data were comparable between pretraining and post-training patients. Times to liquid and solid diet were significantly reduced after training [7 h (2–20) vs. 4 (4–6); P = 0.004, and 17 h (4–48) vs. 6 (4–24); P = 0.005] without changing post-operative morbidity [4 (19%) vs. 0 (0); P = 0.11] and length of stay [48 h (30–264) vs. 44 (21–145); P = 0.22].ConclusionsCPA training is feasible in abdominal surgery. In the current study, it improved patients’ management in terms of earlier oral intake.
AU  - Beyer-Berjot,L
AU  - Patel,V
AU  - Sirimanna,P
AU  - Hashimoto,DA
AU  - Berdah,S
AU  - Darzi,A
AU  - Aggarwal,R
DO  - 10.1007/s00268-019-05242-1
EP  - 703
PY  - 2019///
SN  - 0364-2313
SP  - 696
TI  - Implementation of a surgical simulation care pathway approach to training in emergency abdominal surgery
T2  - World Journal of Surgery
UR  - http://dx.doi.org/10.1007/s00268-019-05242-1
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000492916000002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://link.springer.com/article/10.1007%2Fs00268-019-05242-1#Abs1
UR  - http://hdl.handle.net/10044/1/85864
VL  - 44
ER  -
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