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Your search keyword '"Gauger, Paul G."' showing total 5 results
Start Over Author "Gauger, Paul G." Journal american journal of surgery
5 results on '"Gauger, Paul G."'

1. Construct validity of the LapSim laparoscopic surgical simulator

Author

Woodrum, Derek T., Andreatta, Pamela B., Yellamanchilli, Rajani K., Feryus, Lauren, Gauger, Paul G., and Minter, Rebecca M.

Subjects
Synthetic training device industry, Surgery, Health
Abstract

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjsurg.2005.10.018 Byline: Derek T. Woodrum (a), Pamela B. Andreatta (b), Rajani K. Yellamanchilli (b), Lauren Feryus (a), Paul G. Gauger (a)(b), Rebecca M. Minter (a)(b) Keywords: LapSim TM; Laparoscopy; Surgical education; Virtual reality; Laparoscopic simulator; simulation; Construct validity Abstract: Computer-aided simulators may increase the safety and efficiency of training in laparoscopic surgery. Before implementation of the Immersion LapSim (Gaithersburg, MD) simulator in our training curriculum, we wished to determine its construct validity (ie, whether the simulator could differentiate laparoscopic novices from trainees with greater experience). Author Affiliation: (a) Department of Surgery, University of Michigan, 1500 E. Medical Center Drive, 2920 Taubman Center, Ann Arbor, MI 48109-0331, USA (b) Department of Medical Education, University of Michigan, Ann Arbor, MI, USA Article History: Received 7 April 2005; Revised 9 October 2005 Article Note: (footnote) Supported in part by a research grant from United States Surgical (Norwalk, CT) and by the Association for Surgical Education Foundation's Center for Excellence in Surgical Education and Research (Springfield, IL).

Published
2006

2. Gender differences in the self-assessment of surgical residents

Author

Minter, Rebecca M., Gruppen, Larry D., Napolitano, Kelly S., and Gauger, Paul G.

Subjects
Health
Abstract

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjsurg.2004.11.035 Byline: Rebecca M. Minter (a), Larry D. Gruppen (b), Kelly S. Napolitano (a), Paul G. Gauger (a)(b) Abstract: Despite equivalent performance as assessed by objective external measures, women tend to underestimate their abilities compared with their male counterparts. Author Affiliation: (a) Department of Surgery, University of Michigan Medical School, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA (b) Department of Medical Education, University of Michigan Medical School, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA

Published
2005

4. Laparoscopic simulation training with proficiency targets improves practice and performance of novice surgeons

Author

Gauger, Paul G., Hauge, Linnea S., Andreatta, Pamela B., Hamstra, Stanley J., Hillard, Miranda L., Arble, Eamonn P., Kasten, Steven J., Mullan, Patricia B., Cederna, Paul S., and Minter, Rebecca M.

Subjects
*LAPAROSCOPY, *MEDICAL education, *INTERNS (Medicine), *CHOLECYSTECTOMY, *VIRTUAL reality in medicine, *OPERATING rooms, *SIMULATION methods in medical education, *TRAINING of surgeons
Abstract

Abstract: Background: This study compares a laparoscopic skill training protocol without proficiency targets to the same protocol with explicit targets and notification of progress. Methods: Fourteen surgery interns were randomized into 2 groups. The intervention group received task-specific proficiency criteria to guide practice. The control group did not. After training, participants were evaluated by blinded faculty during laparoscopic cholecystectomy. Results: The control group met significantly fewer of the 7 LapSim (Surgical Science Sweden AB, Gotëborg) targets (mean = 1.14) than the intervention group (mean = 7.00; P = .001) and significantly fewer of the 5 video trainer targets (mean = .86) than the intervention group (mean = 5.00; P = .001). Ratings of depth perception, bimanual dexterity, efficiency, tissue handling, autonomy, and overall competence were higher for the intervention group. Effect sizes ranged from medium to large (.394–.981), indicating an impact of the proficiency-based training protocol. Conclusions: Delineation of proficiency targets with reporting of progress improves interns'' practice results, and appears to have a positive effect on their early operating room (OR) performance of laparoscopic cholecystectomy. [Copyright &y& Elsevier]

Published
2010
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5. Comparing intraoperative parathyroid identification based on surgeon experience versus near infrared autofluorescence detection - A surgeon-blinded multi-centric study.

Author

Thomas G, Solórzano CC, Baregamian N, Mannoh EA, Gautam R, Irlmeier RT, Ye F, Nelson JA, Long SE, Gauger PG, Magner A, Metcalf T, Shirley LA, Phay JE, and Mahadevan-Jansen A

Subjects
Adult, Aged, Aged, 80 and over, Clinical Competence, Female, Humans, Male, Middle Aged, Parathyroid Glands diagnostic imaging, Parathyroid Glands surgery, Spectroscopy, Near-Infrared, Young Adult, Intraoperative Period, Optical Imaging methods, Parathyroid Glands anatomy & histology
Abstract

Background: Near infrared autofluorescence (NIRAF) detection has previously demonstrated significant potential for real-time parathyroid gland identification. However, the performance of a NIRAF detection device - PTeye® - remains to be evaluated relative to a surgeon's own ability to identify parathyroid glands., Methods: Patients eligible for thyroidectomy and/or parathyroidectomy were enrolled under 6 endocrine surgeons at 3 high-volume institutions. Participating surgeons were categorized based on years of experience. All surgeons were blinded to output of PTeye® when identifying tissues. The surgeon's performance for parathyroid discrimination was then compared with PTeye®. Histology served as gold standard for excised specimens, while expert surgeon's opinion was used to validate in-situ tissues., Results: PTeye® achieved 92.7% accuracy across 167 patients recruited. Junior surgeons (<5 years of experience) were found to have lower confidence in parathyroid identification and higher tissue misclassification rate per specimen when compared to PTeye® and senior surgeons (>10 years of experience)., Conclusions: NIRAF detection with PTeye® can be a valuable intraoperative adjunct technology to aid in parathyroid identification for surgeons., (Copyright © 2021 Elsevier Inc. All rights reserved.)

Published
2021
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