| ORIGINAL ARTICLE
|Year : 2022 | Volume
| Issue : 2 | Page : 612--617
Setting up a Neurosurgical Skills Laboratory and Designing Simulation Courses to Augment Resident Training Program
Sushanta K Sahoo1, Sunil Kumar Gupta1, Pravin Salunke1, Sivashanmugam Dhandapani1, Ashish Aggarwal1, Navneet Singla1, Madhivanan Karthigeyan1, Apinderpreet Singh1, Manjul Tripathi1, Chandrashekhar Gendle1, Raghav Singla1, Rajesh Chhabra1, Sandeep Mohindra1, Manoj Kumar Tewari1, Raja Sekhar Rekhapalli2, Praneeth Kokkula3, Tulika Gupta4
1 Department of Neurosurgery, PGIMER, Chandigarh, India
2 Department of Neurosurgery, AIIMS, Rishikesh, Uttarakhand, India
3 Department of Neurosurgery, AIIMS, New Delhi, India
4 Department of Anatomy, PGIMER, Chandigarh, India
Background: The surgical skill practice in neurosurgery is being compromised in the recent past owing to the duty time constraint, patient safety concerns, and medico-legal issues. Surgical practice outside the operating room is essential to enhance a resident's operative skills and to gain confidence.
Objective: To discuss the experience of establishing an 'in-house neurosurgery skills laboratory' and various training sessions conducted with cadaveric and non-cadaveric simulation modules.
Methods: A skills laboratory was set up in the existing resident teaching hall with nine workstations. Each station has been equipped with an operating table, surgeon's chair, basic microscope, endoscope, high-speed drill system, and a suction machine. Vascular anastomosis, high-speed drilling, and basic neuroendoscopy were planned on low-cost non-cadaveric modules. Craniotomy and various surgical approaches were designed on cadaveric modules obtained from the anatomy department.
Result: A total of 18 residents in divided groups during their initial three semesters had participated in the non-cadaveric simulation courses. Twenty-six residents had participated and 12 sessions were conducted on the cadaveric modules. Three workshops were conducted and 20 residents and faculty members from five other institutions had participated in the cadaveric hands-on training session.
Conclusion: A well-equipped skills laboratory provides an opportunity for the residents to acquire operative expertise in a similar atmosphere to that of the operating theater. A structured program comprising various operative practice sessions should be incorporated into the resident training program.
Dr. Sunil Kumar Gupta
Professor & Head, Department of Neurosurgery, Postgraduate Institute of Medical Education & Research (PGIMER), Sector 12, Chandigarh - 160 012
Source of Support: None, Conflict of Interest: None
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