Surgeon Simulation

First Step is to graduate from a surgical technology program accredited by the Commission on Accreditation for Allied Health Education Programs (CAAHEP). Most of these programs take one to two years to complete. They combine classroom instruction in subjects such as anatomy, pharmacology and medical terminology with hands-on training in clinical settings.

This article was interesting because similarly to the other article, Robotic Surgical Training, this one talks about the simulation that is used to help the surgical teams train properly. The teams have to be familiar and have operational knowledge of the robotics. The teams have to know how to properly use and manipulate the instruments with hands on experience.

Surgical Technologists have an important role in the operation room (OR). There are different positions within the Surgical Technology field, including Scrub Surgical Technologist, Circulating Surgical Technologist, and Second Assisting Technologist. Scrub Surgical Technologists have a number of tasks, including prepping the patient for surgery, sterilizing the OR, gown and glove surgeons and assistants, and assists the surgeon and other surgical team members in a number of ways, such as passing instruments and dressing wounds. Circulating Surgical Technologists have a number of tasks as well, including checking patient’s charts, identifying patient and verifying the surgery that will be performed with consent forms, assisting anesthesia

Simulation can improve outcomes in four areas: laboratory, patient care, patient outcomes, and reduced healthcare costs.

- Taking into account the patient physical, social, psychological and spiritual health allow for allow for a more competent and effective patient care.

quality, which, in addition to achieoing excellent medical outcomes, has created a aery deaoted base of patient "alumni."

The simulation in question deals with the Elijah Heart Center in New York State. The simulation covers three very distinction aspects of healthcare financial decisions that an administrator may have to make. First, a capital shortage and cost cutting techniques are delved into. What techniques can be employed that will provide adequate

That is where credentials are important to know to what specifically the surgeon is specialized in. For example, the fact that someone is an experience surgeon to deliver pregnant women does not mean he/she has experience and practice to operate on a woman have a breast reduction. In other undeveloped countries, I am aware of one surgeon is able to operate on people with many different issues. I have heard the story of Gynecologist surgeon who also operates on children with other birth defect. But, I like the way it is over here in this country, there is almost surgeons who practice very specific part of the body. This way, it is safer, and without much doubt one knows that he/she is dealing with someone who is trained, educated, and experienced in one particular field. In some particular cases, hospitals have granted privileges to physicians/surgeons to carry out certain procedures, but cannot depend on theoretical knowledge. Medicine is one the fields where theoretical knowledge only will not be considered as proof of experience. Also, no one can claim to be experienced through training and practice without the required years of theoretical knowledge. Both are required here, theory and practice. However, specific practice is required. For the surgeon needs to specialize in a particular area.

 This paper will aim to apply my insights on motivational theory of individuals and teams by developing two initiatives to be put into action at the New Mexico Veteran Administration Medical Center (VA).  It will discuss how I will implement these initiatives and what changes in an employee mindset may be required to overcome any resistance.  It will discuss the positive outcomes I expect, and how I can avoid or minimize negative factors which may cause stress.

Providers do not have any control over their patient population and hospitals attract specific patient groups based on the services they offer. Interpreting outcome data and rates, especially for different groups of patients may not be the best data to determine quality of care as these rates can also be tied to specific patient characteristics rather than care delivery. Also, comparison among these various groups will be considered to be unfair unless they are adjusted for risk. Including a case mix index is one way to account for the clinical complexity of procedures performed. Even though there are techniques to account for this variability, many of it can go unexplained and has the possibility of inaccurately ranking providers based on patient outcomes.

While I didn’t realize it at the time, the process of answering key questions about why the Clinic would build a family history-based clinical decision support platform exposed dimensions that are clearly linked to macroergonomics.

The paper offers a simulation model describing the X-ray departments operations in the county hospital. It can be used for testing various process scenarios, for allocation of resources and also conduct activity based cost analysis. The simulation model is used for demonstrating a new operational method that makes the operations at the X-ray department more effective. The operational method is referred to as Triage team method. This method has been it is been studied from two view points. The results showed that the method enhances the X-ray department if properly implemented and it incorporates all the required tasks.

that delivers better outcomes that is more cost efficient and value to the patient's medical needs.

The same concept is applicable in complex surgical procedures. The first application of volume-outcome relationships in the hospital care was reported by Luft in 1979 19.(503167) Still then, numerous publications show a consistent trend toward hospital case volume predicting superior outcome in neurosurgery. Amin-Hanjani S et al 3 (PMID:16304982) reported the national trends and in hospital mortality in their study. They pointed out that high-volume hospitals had less frequent adverse discharge disposition (odds ratio 0.54, p = 0.03). Barker FG 2nd et al 4 (PMID:12699540) published a population study on surgical management of un -ruptured aneurysm and showed surgery performed at high-volume institutions or by high-volume surgeons was associated with significantly lower morbidity and modestly lower mortality. Starke et al23 (22418580) also reported that the outcomes of EC-IC bypass in Moya Moya disease were better in high volume care where turnover of bypass procedures was more. The skill and experience of the individual surgeon, better organized postoperative care, intensive care ,more resources for managing the postoperative complications are the several factors either alone or in combination controls outcome and the differences between high- and low-volume hospital. 5,6(11948273, 14645640

The entire hospital holds a total of 90 beds, 5 operating rooms, 6 examination rooms, and a laboratory. Despite the size of the hospital, they average 150 operations per week and 7000 to 7500 operations annually. Also, it is important to note that there are only 12 full-time surgeons and 7 assistant part-time surgeons that handle all operations in 5 day a week period. The last thing to take into consideration is that each patient stays 3 days out of a week starting the day they arrive. Although Shouldice’s operations seems to be functioning just fine, there is a debate of effectiveness of whether or not they are fully utilizing their full potential in relation to surgeries performed and beds being