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Medical & Surgical Simulation: Lower GI Clinical Studies
The Endoscopy AccuTouch® Surgical Simulation System was introduced
in 1999 and since that time, many clinical studies have been performed
and published in leading medical journals. A few of the studies related
to the system's use in teaching lower gastrointestinal procedures are
listed here.
Gut 2001
Gastrointestinal Endoscopy
Gastrointestinal Endoscopy
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American College of Gastroenterology
American Journal of Gastroenterology
Evaluation and Validation of a Virtual Reality
Based Flexible Sigmoidoscopy Trainer
The results show that the AccuTouch® Endoscopy Simulator (formerly
called PreOp™) is a valid discriminator of flexible sigmoidoscopic
experience. Study performed by V.K. Datta, M. Mandalia, S.D. Mackay, A.W.
Darzi, Academic Surgical Unit, Imperial College School of Medicine, St.
Mary's Hospital, London, UK. Published in Gut 2001, supl I, 48: A1-A124.
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Endoscopic Simulator Enhances Training of Colonoscopy
in a Randomized, Prospective, Blinded Trial
The aim of this single blind, randomized, prospective, multi-center study
was to determine the impact of using an endoscopic simulator (AccuTouch
Endoscopy Simulator, Immersion Medical, Gaithersburg, MD) for the acquisition
of skills to perform colonoscopy. Conclusion: The use of this endoscopic
simulator enhanced the performance of colonoscopies by GI fellows within
the first two months of training. Study performed by Asyia Ahmad, Zaid
Alnoah, Michael L. Kochman, Benjamin Krevsky, Steven R. Peikin, Giancarlo
Mercogliano, Marie Bailey, Robert Boynton, James C. Reynolds, Philadelphia
GI Training Group; Philadelphia, PA, Camden, NJ, Wynnewood, PA. Published
in Gastrointestinal Endoscopy April 2003, 57(5): S1499. Online
abstract
The Effects of Computer Simulator Training on
Patient-Based Sigmoidoscopy by Residents
For the first time, computer-based sigmoidoscopy simulator training demonstrates
a direct patient benefit- reduced discomfort during flexible sigmoidoscopy.
Study performed on an AccuTouch Endoscopy Simulator (Immersion Medical,
Gaithersburg, MD) by Robert E. Sedlack, MD and Joseph C. Kolars, MD, Department
of Gastroenterology, Mayo Clinic, Rochester, MN. Published in Gastrointestinal
Endoscopy April 2003, 57(5): S1495.
Efficacy of a Computer-Assisted Endoscopic Simulator
in Training Residents in Flexible Sigmoidoscopy
Use of a simulator (AccuTouch Endoscopy Simulator, Immersion Medical,
Gaithersburg, MD) reduced the number of procedures required to reach competency.
Presented as a poster abstract at the 2002 ACG, this study was conducted
by Sanjay Garuda, MD; Ali Keshavarzian, MD, FACG; John Losurdo, MD; Michael
D. Brown, MD, FACG, Rush Presbyterian St. Luke's Medical Center, Chicago,
IL.
Computer Simulator Training Enhances the Competency
of Gastroenterology Fellows at Colonoscopy: Results of a Pilot Study
Simulator-trained fellows outperformed traditionally trained fellows
during their initial 15 colonoscopies in all performance aspects except
“insertion time” (p< 0.05). Simulator-trained fellows inserted
the endoscope significantly further and reached the cecum independently
nearly twice as often during this early training period. Study performed
by Robert E. Sedlack, MD and Joseph C. Kolars, MD, Division of Gastroenterology
and Hepatology, Mayo Clinic, Rochester, Minnesota. Published in American
Journal of Gastroenterology, January 2004, 99(1):38-9. Online
abstract
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