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Special article
DOI: 10.1016/j.neucie.2019.09.001
Available online 8 January 2020
Mobile application to analyse surgical experience
Aplicación móvil para el análisis de la experiencia quirúrgica
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Everardo Garcia-Estrada, Jesús A. Morales-Gómez
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jesus.moralesg@uanl.mx

Corresponding author.
, Miriam Delgado-Brito, Ari A. Martínez-López, Luis E. Flores-Huerta, Ángel R. Martínez-Ponce de León
Servicio de Neurocirugía y Terapia Endovascular Neurológica, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
Received 25 September 2018. Accepted 09 September 2019
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Table 1. Surgeries per resident according to the learning role.
Abstract
Objective

To quantify the surgical experience acquired by residents in the neurosurgery specialisation programme over a 6-month period.

Materials and methods

A total of 13 residents enrolled in the neurosurgery specialisation programme from February 2018 to July 2018. Over this period, the procedures residents were involved in and the role they played were documented in the Electronic Neurosurgical Register. Residents who withdrew from the specialisation programme were excluded.

Results

A total of 530 procedures were performed during the study period. Observational learning and supervised practice are conducted primarily in the first and fifth years of residence, during which residents begin their training in emergency and elective surgeries, respectively. Residents are then able to independently perform emergency surgeries during the second and third years, and elective surgeries in the sixth year. Residents are able to instruct less experienced surgeons in the fourth year.

Conclusions

The Electronic Neurosurgical Register is an innovative technological tool that supports the fields of care, teaching and research. It records the exact number of patients who have undergone surgery at a particular time, providing valuable information for the proper management of resources. The data obtained can be used to identify areas of opportunity in the training of residents, facilitating the development of continuous improvement strategies in the training of competent neurosurgeons.

Keywords:
Surgical register
Neurosurgery
Supervision
Surgical teaching
Resident
Electronic register
Resumen
Objetivo

Cuantificar la experiencia quirúrgica obtenida por los residentes del programa de especialización en neurocirugía durante un periodo de 6 meses.

Material y método

Un total de 13 residentes se registraron en el programa de especialización en neurocirugía en el periodo de febrero a julio de 2018. Durante este periodo se documentaron en el Registro Neuroquirúrgico Electrónico los procedimientos en los que cada residente participó y el rol que desempeñó. Los residentes que se retiraron del programa fueron excluidos.

Resultados

Se realizaron 530 procedimientos en el periodo de estudio. El aprendizaje por observación y la práctica tutelada se realizan principalmente en el primer y quinto año de residencia, periodos durante los cuales el residente comienza su aprendizaje en el área cirugías de urgencias y electivas, respectivamente. Posteriormente es capaz de realizar cirugías de manera autónoma, en el bloque de urgencias, durante el segundo y tercer año; y en el bloque de cirugías electivas, en el sexto año. El residente es capaz de instruir a cirujanos menos experimentados en el cuarto año.

Conclusiones

El Registro Neuroquirúrgico Electrónico es una herramienta tecnológica innovadora que apoya en los campos de asistencia, docencia e investigación. Permite conocer con exactitud la cantidad de pacientes que han sido intervenidos quirúrgicamente en un determinado momento, lo cual brinda información valiosa para el manejo adecuado de recursos. Los datos obtenidos permiten identificar áreas de oportunidad en el entrenamiento de los residentes, lo que permite el desarrollo de estrategias para la mejora continua en la formación de neurocirujanos competentes.

Palabras clave:
Registro quirúrgico
Neurocirugía
Supervisión
Enseñanza quirúrgica
Residente
Registro electrónico

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