Laparoscopic Surgery Training List

Daedalos Institute, Ltd.
A Health Informatics' Company

Surgical Asynchronous Imitation Learning or (S.A.I.L.) is our method of transferring Minimal Access Surgery Skills to able surgeons with the necessary hospital infrastructure. The method of S.A.I.L. consists of:

1) Psychomotor skills teaching on simulators

2) Transferring and creation of Internal Procedural Model

3) Testing the forward model expression on simulators and through the Pygmalion's tests

3) Proctoring their first cases in their hospital.

4) Offering tele-mentoring and tele-consultation for continuous education.

A Synopsis of our Method for the surgeon.

As you know, Minimal Access (or Minimal Invasive or Laparoscopic) Surgery is an another way to perform an operation. To learn this new surgical method and to successfully transfer it to your hospital you need:

A: Persistent Learning Will

Learning is an active process and without strong and persistent desire to learn you cannot acquire any knowledge. The surgeon wishing to perform Minimal Invasive and other technological Surgeries must commit the time and the necessary will to learn them.

B. Psychomotor Skills

Minimal Access Surgery is an image surgery. It requires familiarity with new tools and development of new psychomotor skills. These skills can be acquired with persistent and supervised training exercises on simulators.

C. Procedural Perception

Every action requires a conscious or subconscious plan. For every successful operative procedure we have a internal mental plan. Therefore, the minimal access surgeon needs an operational plan, like a detailed mental procedural map, as well.

In open surgery, we acquired our operative plans by assisting other surgeons and watching them as they applied their operational plan and their reaction to unplanned findings. In Minimal Access Surgery surgeons operate not on direct vision but on pictorial reality (Image). They operate by, though, and on an image! Their “operative reality” and their actions can be recorded for Asynchronous critical reviews. This frees us from the space and time limitations of “real” assistants by converting us to “virtual” assistants. In image surgery, we do not have to assist other surgeons to observe their operative methods any more. We can learn their method of image-surgery by viewing its video-images.

We have found that an able and willing surgeon can develop his mental operational plans (models) by critical reviews and analysis of a sufficient number and variety of unedited Minimal access Surgery procedure videos.

D. Intra-operative proctorship

While modern technology enables asynchronous training, it does not guarantee safe implementation of the new knowledge. For this reason, we offer intra-operative proctorship. It encourages the implementation of new technology. It reassures the surgeon and hospital administrations that patient's safety is our most important priority. Therefore. we offer assistance during your first cases in your hospital.

E. Tele-mentoring and tele-consultation.

Tele-mentoring and tele-consultation will help you address future medical problems and will keep you informed about the continuous changes in the field of Minimal Access Surgery.

In summary: We offer Psychomotor Skills , the Surgical Procedural Perception Acquisition and Intra-operative Proctorship all in One Package under the acronym of S.A.I.L.© for Surgical Asynchronous Imitation Learning© To reduce the cost of traveling, the whole training process could be arranged at your hospital.

Daedalos Institute, Ltd.

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