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RACS ASC 2024

Essential Basic Neurosurgical Skills Workshop

Poster

Presentation Description

Institution: Royal Prince Alfred Institute of Academic Surgery, Sydney - New South Wales , Australia

Purpose: The increase in specialist-led delivery of care, competition for entry into specialist training and the reduction in training opportunities during the pandemic have increased interest in simulated training. The aims of this study were to evaluate a workshop tailored to the acquisition of basic neurosurgical skills by junior trainees, and to develop cost-effective and realistic synthetic models of the scalp, skull, and brain. Methodology: Two groups of 7 and 8 junior trainees 1-3 years post-graduation were trained to perform 4 basic neurosurgical skills: (1) suture of scalp and drains, (2) burr-hole, (3) neuro-navigation, and (4) external ventricular drain (EVD) insertion and its drainage system. The skills were trained on cadaveric brains and/or the synthetic models: a multi-layered silicon scalp, a 3-D printed skull, and a brain with water-filled ventricular system. Formal evaluations of the workshop and models were obtained from the trainees. Results: All trainees reported improvement in preoperative preparedness and confidence in performing insertion of an EVD, and overall understanding of the anatomy of the ventricular system and physiology of intracranial pressure. All trainees evaluated the synthetic models as realistic, appropriate, and helpful in learning. Conclusion: Neurosurgical workshops appear to impact the acquisition of neurosurgical skills in junior trainees. Formal evaluation suggests that aspiring surgeons find these to be a useful adjunct to their learning and can apply it in practice.

Speakers

Authors

Authors

Dr Rachel Park - , Dr Kai Cheng - , Dr Rosa Fung - , Dr Sarah Whereat - , Dr David Storey - , A/Prof Brindha Shivalingam -