Live trauma surgery demonstration with a porcine model is valuable training for physicians and nurses

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  • Izawa Yoshimitsu
    Department of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi, Japan Center for Development of Advanced Medical Technology, Jichi Medical University, Tochigi
  • Mizobata Yasumitsu
    Department of Trauma and Critical Care Medicine, Graduate School of Medicine, Osaka City University, Osaka
  • Fujita Takashi
    School of Medicine, Department of Emergency Medicine, Trauma and Resuscitation Center, Teikyo University, Tokyo
  • Matsumoto Hisashi
    Shock and Trauma Center, Nippon Medical School Chiba Hokusoh Hospital, Chiba
  • Hata Michiaki
    Acute Care Surgery Unit, Department of Emergency Medicine, Yonemori Hospital, Kagoshima
  • Yonekawa Chikara
    Department of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi, Japan
  • Nagata Takashi
    Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Kyushu University, Fukuoka
  • Hishikawa Shuji
    Department of Surgery, Jichi Medical University, ochigi Center for Development of Advanced Medical Technology, Jichi Medical University, Tochigi
  • Makimura Yukitoshi
    Center for Development of Advanced Medical Technology, Jichi Medical University, Tochigi
  • Kunita Satoshi
    Center for Development of Advanced Medical Technology, Jichi Medical University, Tochigi
  • Yamashita Keisuke
    Department of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi, Japan
  • Suzukawa Masayuki
    Department of Emergency and Critical Care Medicine, Jichi Medical University, Tochigi, Japan
  • K. Lefor Alan
    Department of Surgery, Jichi Medical University, ochigi Center for Development of Advanced Medical Technology, Jichi Medical University, Tochigi

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Sources of research funding: We gratefully acknowledge the support of the 17th Congress of the Japanese Society for Emergency Medicine support of this program. <br>Ethical considerations: The program was conducted after receiving approval from the Institutional Animal Experiment Committee of the Jichi Medical University, and in accordance with the Institutional Regulation for Animal Experiments and Fundamental Guideline for Proper Conduction of Animal Experiment and Related Activities in Academic Research Institutions under the jurisdiction of the Ministry of Education, Culture, Sports, Science and Technology of Japan. It was approved on April 9th, 2014. The approval number is 14-225. <br>Disclosure of conflicts of interests: We gratefully acknowledge the contributions of personnel from Panasonic Corp. who enabled the interactive communication system. <br>Abstract <br>Introduction: Live surgery demonstrations have been widely used in surgical education. However, they cannot be used to demonstrate trauma surgery due to the emergency situation and lack of informed consent. The aim of this study was to conduct a live demonstration of trauma surgery with a porcine model to increase educational opportunities in trauma surgery. <br>Methods: Live demonstration was conducted at the Center for Development of Advanced Medical Technology (CDAMtec) , Jichi Medical University, Japan. An experienced trauma surgeon instructed three trainees during a live demonstration using pre-planned injuries in a porcine model. A six-point Likert Scale was used on a written survey to determine the value of the program to the viewers. Free-form written comments were also obtained from the participants. Live images of the surgical field were transmitted to a lecture room by a closed wireless LAN with interactive bidirectional audio capability. <br>Results: Eighty-three participants viewed this live demonstration and completed the questionnaire. Participants were highly satisfied with the live demonstration (mean survey scores: 4.6-5.1/6) , and gave very positive feedback concerning the educational value of this program. Nine free-form comments were submitted, which revealed that the participants felt they could acquire concrete skills for trauma surgery. <br>Discussion: Live demonstrations for trauma surgery using a porcine model are a feasible and effective educational tool to demonstrate technical procedures and non-technical skills, with possible added advantages regarding the ethical considerations of performing a live surgery demonstration.

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  • 医学教育

    医学教育 46 (6), 497-502, 2015

    日本医学教育学会

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