Use of Telemedicine in Surgical Education: A Seven-Year Experience
| Autor: | Carl I. Schulman, Mariana F. Jucá Moscardi, Antonio Marttos, Enrique Ginzburg, Rossano Kepler Alvim Fiorelli, Nicholas Namias, Gerd D. Pust, April Grant |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Thorax
Telemedicine medicine.medical_specialty 020205 medical informatics business.industry General surgery Retrospective cohort study 02 engineering and technology General Medicine 030230 surgery medicine.disease Blast injury 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Blunt trauma 0202 electrical engineering electronic engineering information engineering medicine Abdomen business Pelvis Penetrating trauma |
| Zdroj: | The American Surgeon. 84:1252-1260 |
| ISSN: | 1555-9823 0003-1348 |
| Popis: | Uniformity in surgical education is challenging because surgical experience is based on rotation assignments. With work hour restrictions, the likelihood of residents being exposed to rare or unusual cases is diminished. Telemedicine may create a new learning paradigm for surgical education and supplement exposure for rare or unusual cases. A retrospective review (2010–2016) of teleconferences involving trauma centers worldwide was conducted. Participating hospitals included centers from underdeveloped countries to first world nations. Trauma cases were discussed among surgeons with different levels of experience and resource availability. Data collected included types of cases, anatomic injury patterns, hospital location, and the number of telemedicine centers and viewers participating. Seventy-three hospitals in 64 cities, spanning 27 countries, participated in 276 telemedicine grand round conferences. Cases discussed included penetrating trauma (47%), blunt trauma (42%), and blast injury (4%). The anatomic regions included were the thorax (28%), abdomen (26%), thoracoabdominal region (13%), neck (7%), and pelvis (6%). The most common injury discussed was vascular in nature (18%), followed by the lung, liver, diaphragm, and heart. The most common vascular lesion was in the aorta (18%), followed by the iliac vessels (8%) and the vena cava (7%). Telemedicine is a valuable tool, allowing the dissemination of diverse experiences. Most cases presented evaluated rare injuries or complex surgical approaches, which are not commonly seen on trauma sites. Learning different approaches in the management of complex trauma will make surgeons more prepared to deal with challenging cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|