Abstract:
BACKGROUND:Recent changes in surgical training environments may have limited opportunities for trainees to gain proficiency in skill. Complex skills such as neurosurgery require extended periods of training. Methods to enhance surgical training are required to overcome duty-hour restrictions, to ensure the acquisition of skill proficiency. Transcranial direct-current stimulation (tDCS) can enhance motor skill learning, but is untested in surgical procedural training. We aimed to determine the effects of tDCS on simulation-based neurosurgical skill acquisition. METHODS:Medical students were trained to acquire tumor resection skills using a virtual reality neurosurgical simulator. The primary outcome of change in tumor resection was scored at baseline, over 8 repetitions, post-training, and again at 6 weeks. Participants received anodal tDCS or sham over the primary motor cortex. Secondary outcomes included changes in brain resected, resection effectiveness, duration of excessive forces (EF) applied, and resection efficiency. Additional outcomes included tDCS tolerability. RESULTS:Twenty-two students consented to participate, with no dropouts over the course of the trial. Participants receiving tDCS intervention increased the amount of tumor resected, increased the effectiveness of resection, reduced the duration of EF applied, and improved resection efficiency. Little or no decay was observed at 6 weeks in both groups. No adverse events were documented, and sensation severity did not differ between stimulation groups. CONCLUSIONS:The addition of tDCS to neurosurgical training may enhance skill acquisition in a simulation-based environment. Trials of additional skills in high-skill residents, and translation to nonsimulated performance are needed to determine the potential utility of tDCS in surgical training.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Ciechanski P,Cheng A,Lopushinsky S,Hecker K,Gan LS,Lang S,Zareinia K,Kirton Adoi
10.1016/j.wneu.2017.08.123subject
Has Abstractpub_date
2017-12-01 00:00:00pages
876-884.e4eissn
1878-8750issn
1878-8769pii
S1878-8750(17)31424-9journal_volume
108pub_type
杂志文章,随机对照试验abstract:OBJECTIVES:Despite the increasing awareness of scientific fraud, no attempt has been made to assess its prevalence in neurosurgery. The aim of our review was to assess the chronologic trend, reasons, research type/design, and country of origin of retracted neurosurgical publications. METHODS:Three independent reviewer...
journal_title:World neurosurgery
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更新日期:2020-04-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2014-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2015.07.071
更新日期:2016-03-01 00:00:00
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更新日期:2019-11-01 00:00:00
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pub_type: 历史文章,杂志文章,评审
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更新日期:2018-01-01 00:00:00
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pub_type: 历史文章,杂志文章
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更新日期:2017-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-06-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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更新日期:2019-09-01 00:00:00