The simulator replicates the full anatomy of a recto vestibular and ectal malformation, including a fistula, the sphincter complex, vagina, and rectum, with realistic haptics
Validation of an anorectal malformation trainer - Can a high-fidelity model simulate real life?
▶Ep 80 · 0:00
quoteHow do you maintain your skills in a procedure you might only do a handful of times a year?↗
▶Ep 80 · 0:09
epidemiologicalThe average American pediatric surgery fellow performs just 15 posterior sagittal anorectoplasties during their entire training↗
▶Ep 80 · 0:09
quoteThe average American pediatric surgery fellow performs just 15 posterior sagittal anorectoplasties during their entire training.↗
▶Ep 80 · 0:16
epidemiologicalRecertifying surgeons are averaging only 2 PSARPs per year↗
▶Ep 80 · 0:16
quoteOnce in practice, recertifying surgeons are averaging only 2 per year, and nearly 30% are doing none at all.↗
▶Ep 80 · 0:16
epidemiologicalNearly 30% of recertifying surgeons are doing no PSARPs at all↗
▶Ep 80 · 0:23
quoteFor a procedure where technical precision directly impacts continence outcomes, that presents a real problem for both trainees and practicing surgeons alike.↗
▶Ep 80 · 0:23
clinicalTechnical precision in PSARP directly impacts continence outcomes↗
▶Ep 80 · 0:30
clinicalThe PSARP simulator was developed by a team of researchers at Boston Children's, Cincinnati Children's, and Nationwide Children's Hospitals↗
▶Ep 80 · 0:30
clinicalThe simulator validation study was published in the Journal of Pediatric Surgery↗
▶Ep 80 · 0:42
clinicalThe simulator replicates the full anatomy of a recto vestibular and ectal malformation, including a fistula, the sphincter complex, vagina, and rectum, with realistic haptics↗
▶Ep 80 · 0:51
clinical27 surgeons (11 experts and 16 novices) performed a complete PSARP on the model at an international surgery meeting↗
▶Ep 80 · 0:51
clinicalSessions were independently scored by 3 blinded colorectal surgeons↗
▶Ep 80 · 1:03
clinicalThe model demonstrated face, content and discriminate construct validity↗
▶Ep 80 · 1:07
clinicalParticipants rated the anatomy and haptics as highly realistic↗
▶Ep 80 · 1:11
opinionExperienced colorectal surgeons confirmed the simulator's value as a teaching tool↗
▶Ep 80 · 1:11
clinicalThe simulator reliably differentiated experts from novices on every single step of the procedure↗
▶Ep 80 · 1:20
quoteThe bottom line, this is a validated high fidelity training tool for a procedure most trainees and practicing surgeons just don't do enough of.↗
▶Ep 80 · 1:27
clinicalBoston Children's Hospital has integrated the simulator into their fellowship curriculum↗
▶Ep 80 · 1:31
clinicalA male rectal urethral fistula version of the simulator is in development↗
▶Ep 80 · 1:34
quoteHow is stimulation being used at your institution?↗
Paul's statements about Colorectal / ARM & Hirschsprung21 statements
Validation of an anorectal malformation trainer - Can a high-fidelity model simulate real life?
▶Ep 206 · 0:00
quoteHow do you maintain your skills in a procedure you might only do a handful of times a year?↗
▶Ep 206 · 0:09
epidemiologicalThe average American pediatric surgery fellow performs just 15 posterior sagittal anorectoplasties during their entire training↗
▶Ep 206 · 0:09
quoteThe average American pediatric surgery fellow performs just 15 posterior sagittal anorectoplasties during their entire training.↗
▶Ep 206 · 0:16
epidemiologicalRecertifying surgeons are averaging only 2 PSARPs per year↗
▶Ep 206 · 0:16
quoteOnce in practice, recertifying surgeons are averaging only 2 per year, and nearly 30% are doing none at all.↗
▶Ep 206 · 0:16
epidemiologicalNearly 30% of recertifying surgeons are doing no PSARPs at all↗
▶Ep 206 · 0:23
quoteFor a procedure where technical precision directly impacts continence outcomes, that presents a real problem for both trainees and practicing surgeons alike.↗
▶Ep 206 · 0:23
clinicalTechnical precision in PSARP directly impacts continence outcomes↗
▶Ep 206 · 0:30
clinicalThe simulator validation study was published in the Journal of Pediatric Surgery↗
▶Ep 206 · 0:30
clinicalThe PSARP simulator was developed by a team of researchers at Boston Children's, Cincinnati Children's, and Nationwide Children's Hospitals↗
▶Ep 206 · 0:42
clinicalThe simulator replicates the full anatomy of a recto vestibular and ectal malformation, including a fistula, the sphincter complex, vagina, and rectum, with realistic haptics↗
▶Ep 206 · 0:51
clinicalSessions were independently scored by 3 blinded colorectal surgeons↗
▶Ep 206 · 0:51
clinical27 surgeons (11 experts and 16 novices) performed a complete PSARP on the model at an international surgery meeting↗
▶Ep 206 · 1:03
clinicalThe model demonstrated face, content and discriminate construct validity↗
▶Ep 206 · 1:07
clinicalParticipants rated the anatomy and haptics as highly realistic↗
▶Ep 206 · 1:11
clinicalThe simulator reliably differentiated experts from novices on every single step of the procedure↗
▶Ep 206 · 1:11
opinionExperienced colorectal surgeons confirmed the simulator's value as a teaching tool↗
▶Ep 206 · 1:20
quoteThe bottom line, this is a validated high fidelity training tool for a procedure most trainees and practicing surgeons just don't do enough of.↗
▶Ep 206 · 1:27
clinicalBoston Children's Hospital has integrated the simulator into their fellowship curriculum↗
▶Ep 206 · 1:31
clinicalA male rectal urethral fistula version of the simulator is in development↗
▶Ep 206 · 1:34
quoteHow is stimulation being used at your institution?↗
