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Published in: Surgical Endoscopy 8/2007

01-08-2007 | New Technology

Telementoring: an application whose time has come

Authors: James C. Rosser Jr., Steven M. Young, Jonathan Klonsky

Published in: Surgical Endoscopy | Issue 8/2007

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Abstract

Background

Telementoring offers the possibility of making extended education oversight available on a cost-effective, large-scale basis. It expands the mentor/proctor pool and makes these educational assets more widely available to assist in protecting the public. However, it is an application that if haphazardly implemented rapidly losses its effectiveness and is more dangerous to the patient. Like all programs that can cite demonstrable outcome consistency, telementoring should be established on a foundation of sound training methodology. This article discusses the history of telementoring and where this modality stands today and outlines a validated methodology for successful telementoring missions.

Methods

This algorithm includes preprocedural assessment and enhancement of laparoscopic surgical skills, establishment of a standardized approach to the procedure, tactical information deployment, telementoring simulation laboratories, and establishment of the doctor/patient relationship.

Results

Telementoring can make cost-effective extended education oversight available on a large-scale basis.

Discussion

Because of an overwhelming need for mentors/proctors and supporting evidence in the literature, telementoring is an application whose time has come.
Literature
2.
go back to reference Bruschi M, Micali S, Porpiglia F, Celia A, De Stefani S, Grande M, Scarpa RM, Bianchi G (2005) Laparoscopic telementored adrenalectomy: The Italian experience. Surg Endosc 19: 836–840PubMedCrossRef Bruschi M, Micali S, Porpiglia F, Celia A, De Stefani S, Grande M, Scarpa RM, Bianchi G (2005) Laparoscopic telementored adrenalectomy: The Italian experience. Surg Endosc 19: 836–840PubMedCrossRef
3.
go back to reference Byrne JP, Mughal MM (2000) Telementoring in laparoscopic cholecystectomy: a useful adjunct in training and assessment of higher surgical trainees. Br J Surg 87: 362–373CrossRef Byrne JP, Mughal MM (2000) Telementoring in laparoscopic cholecystectomy: a useful adjunct in training and assessment of higher surgical trainees. Br J Surg 87: 362–373CrossRef
4.
go back to reference Camara JG, Rodriguez RE (1998) Real-time telementoring in ophthalmology. Telemedicine J 4: 375–377 Camara JG, Rodriguez RE (1998) Real-time telementoring in ophthalmology. Telemedicine J 4: 375–377
5.
go back to reference Challacombe B, Kandaswamy R, Dasgupta P, Mamode N (2005) Telementoring facilitates independent hand-assisted laparoscopic living donor nephrectomy. Transplant Proc 37: 613–616PubMedCrossRef Challacombe B, Kandaswamy R, Dasgupta P, Mamode N (2005) Telementoring facilitates independent hand-assisted laparoscopic living donor nephrectomy. Transplant Proc 37: 613–616PubMedCrossRef
6.
go back to reference Cubano M, Poulose BK, Talamini MA, Stewart R, Antosek LE, Lentz R, Nibe R, Kutka MF, Mendoza-Sagaon M (1999) Long distance telementoring. A novel tool for laparoscopy aboard the USS Abraham Lincoln. Surg Endosc 13: 673–678PubMedCrossRef Cubano M, Poulose BK, Talamini MA, Stewart R, Antosek LE, Lentz R, Nibe R, Kutka MF, Mendoza-Sagaon M (1999) Long distance telementoring. A novel tool for laparoscopy aboard the USS Abraham Lincoln. Surg Endosc 13: 673–678PubMedCrossRef
7.
go back to reference Di Valentino M, Alerci M, Bogen M, Tutta P, Sartori F, Marty B, von Segesser L, Gallino A (2005) Telementoring during endovascular treatment of abdominal aortic aneurysms: a prospective study. J Endovasc Ther 12: 200–205PubMedCrossRef Di Valentino M, Alerci M, Bogen M, Tutta P, Sartori F, Marty B, von Segesser L, Gallino A (2005) Telementoring during endovascular treatment of abdominal aortic aneurysms: a prospective study. J Endovasc Ther 12: 200–205PubMedCrossRef
8.
go back to reference Jutras A (1959) Teleroentgen diagnosis by means of video-tape recording. Am J Roentgenol Radium Ther Nucl Med 82: 1099–1102PubMed Jutras A (1959) Teleroentgen diagnosis by means of video-tape recording. Am J Roentgenol Radium Ther Nucl Med 82: 1099–1102PubMed
9.
go back to reference Lee BR, Moore R (2000) International telementoring: a feasible method of instruction. World J Surg 4: 296–298 Lee BR, Moore R (2000) International telementoring: a feasible method of instruction. World J Surg 4: 296–298
10.
go back to reference Lee BR, Bishoff JT, Janetschek G, Bunyaratevej P, Kamolpronwijit W, Cadeddu JA, Ratchanon S, O’Kelley S, Kavoussi LR (1998) A novel method of surgical instruction: international telementoring. World J Urol 16: 367–370PubMedCrossRef Lee BR, Bishoff JT, Janetschek G, Bunyaratevej P, Kamolpronwijit W, Cadeddu JA, Ratchanon S, O’Kelley S, Kavoussi LR (1998) A novel method of surgical instruction: international telementoring. World J Urol 16: 367–370PubMedCrossRef
11.
go back to reference Mendez I, Hill R, Clarke D, Kolyvas G (2005) Robotic long-distance telementoring in neurosurgery. Neurosurgery 56: 434–440PubMedCrossRef Mendez I, Hill R, Clarke D, Kolyvas G (2005) Robotic long-distance telementoring in neurosurgery. Neurosurgery 56: 434–440PubMedCrossRef
13.
go back to reference Moore RG, Adams JB, Partin AW, Docimo SG, Kavoussi LR (1996) Telementoring of laparoscopic procedures: initial clinical experience. Surg Endosc 10: 107–110PubMedCrossRef Moore RG, Adams JB, Partin AW, Docimo SG, Kavoussi LR (1996) Telementoring of laparoscopic procedures: initial clinical experience. Surg Endosc 10: 107–110PubMedCrossRef
14.
go back to reference Ranshaw B, Tucker J, Duncan T, Mason E, Lucas G (1996) Laparoscopic herniorrhaphy: a review of 900 cases. Surg Endosc 10: 255 Ranshaw B, Tucker J, Duncan T, Mason E, Lucas G (1996) Laparoscopic herniorrhaphy: a review of 900 cases. Surg Endosc 10: 255
15.
go back to reference Robles AE (1994) Laparoscopy in general surgery: Training, credentialing, and safety. Int Surg 79: 266–267PubMed Robles AE (1994) Laparoscopy in general surgery: Training, credentialing, and safety. Int Surg 79: 266–267PubMed
16.
go back to reference Rodrigues Netto N Jr, Mitre AI, Lima SV, Fugita OE, Lima ML, Stoianovici D, Patriciu A, Kavoussi LR (2003) Telementoring between Brazil and the United States: initial experience. J Endourol 17: 217–220PubMedCrossRef Rodrigues Netto N Jr, Mitre AI, Lima SV, Fugita OE, Lima ML, Stoianovici D, Patriciu A, Kavoussi LR (2003) Telementoring between Brazil and the United States: initial experience. J Endourol 17: 217–220PubMedCrossRef
17.
go back to reference Rosser JC, Rosser LE, Savalgi RS (1997) Skill acquisition and assessment for laparoscopic surgery. Arch Surg 132: 200–204PubMed Rosser JC, Rosser LE, Savalgi RS (1997) Skill acquisition and assessment for laparoscopic surgery. Arch Surg 132: 200–204PubMed
18.
go back to reference Rosser JC, Wood M, Payne JH, Fullum TM, Lisehora GB, Rosser LE, Barcia PJ, Salvagi RS (1997) Telementoring: A practical option in surgical training. Surg Endosc 11: 852–855PubMedCrossRef Rosser JC, Wood M, Payne JH, Fullum TM, Lisehora GB, Rosser LE, Barcia PJ, Salvagi RS (1997) Telementoring: A practical option in surgical training. Surg Endosc 11: 852–855PubMedCrossRef
19.
go back to reference Rosser JC Jr, Rosser LE, Savalgi RS (1998) Objective evaluation of a laparoscopic surgical skill program for residents and senior surgeons. Arch Surg 133: 657–661PubMedCrossRef Rosser JC Jr, Rosser LE, Savalgi RS (1998) Objective evaluation of a laparoscopic surgical skill program for residents and senior surgeons. Arch Surg 133: 657–661PubMedCrossRef
20.
go back to reference Rosser JC, Bell RL, Harnett B, Rodas E, Murayama M, Merrell R (1999) Use of mobile low-bandwidth telemedical techniques for extreme telemedicine applications. J Am Coll Surg 189: 397–404PubMedCrossRef Rosser JC, Bell RL, Harnett B, Rodas E, Murayama M, Merrell R (1999) Use of mobile low-bandwidth telemedical techniques for extreme telemedicine applications. J Am Coll Surg 189: 397–404PubMedCrossRef
21.
go back to reference Rosser JC, Herman B, Risucci DA, Murayama M, Rosser LE, Merrell RC (2000) Effectiveness of a CD-ROM multimedia tutorial in transferring cognitive knowledge essential for laparoscopic skill training. Am J Surg 179: 320–324PubMedCrossRef Rosser JC, Herman B, Risucci DA, Murayama M, Rosser LE, Merrell RC (2000) Effectiveness of a CD-ROM multimedia tutorial in transferring cognitive knowledge essential for laparoscopic skill training. Am J Surg 179: 320–324PubMedCrossRef
22.
go back to reference Rosser JC Jr, Murayama M, Gabriel NH (2000) Minimally invasive training solutions for the twenty-first century. Surg Clin North Am 80: 1607–1624PubMedCrossRef Rosser JC Jr, Murayama M, Gabriel NH (2000) Minimally invasive training solutions for the twenty-first century. Surg Clin North Am 80: 1607–1624PubMedCrossRef
23.
go back to reference Rosser JC, Gabriel NH, Herman B, Murayama M (2001) Telementoring and teleproctoring. World J Surg 11: 1438–1448CrossRef Rosser JC, Gabriel NH, Herman B, Murayama M (2001) Telementoring and teleproctoring. World J Surg 11: 1438–1448CrossRef
24.
go back to reference Rosser JC, Herman B, Ehrenwerth C (2001) An overview of videostreaming on the Internet and its application to surgical education. Surg Endosc 15: 624–629PubMedCrossRef Rosser JC, Herman B, Ehrenwerth C (2001) An overview of videostreaming on the Internet and its application to surgical education. Surg Endosc 15: 624–629PubMedCrossRef
25.
go back to reference Rosser JC, Herman B, Giammaria L (2003) Telementoring. Semin Laparosc Surg 10: 209–217PubMed Rosser JC, Herman B, Giammaria L (2003) Telementoring. Semin Laparosc Surg 10: 209–217PubMed
26.
go back to reference Satava RM, Reed WP (1993) Proctors, preceptors, and laparoscopic surgery: the role of “proctor” in the surgical credentialing process. Surg Endosc 7: 283–284PubMedCrossRef Satava RM, Reed WP (1993) Proctors, preceptors, and laparoscopic surgery: the role of “proctor” in the surgical credentialing process. Surg Endosc 7: 283–284PubMedCrossRef
27.
go back to reference Sawyer MA, Lim RB, Wong SY, Cirangle PT, Birkmire-Peters D (2000) Telementored laparoscopic cholecystectomy: a pilot study. Stud Health Technol Inform 70: 302–308PubMed Sawyer MA, Lim RB, Wong SY, Cirangle PT, Birkmire-Peters D (2000) Telementored laparoscopic cholecystectomy: a pilot study. Stud Health Technol Inform 70: 302–308PubMed
28.
go back to reference Schauer P, Ikramuddin S, Hamad G, Gourash W (2003) The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc 17: 212–215PubMedCrossRef Schauer P, Ikramuddin S, Hamad G, Gourash W (2003) The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc 17: 212–215PubMedCrossRef
29.
go back to reference Schulam PG, Docimo SG, Saleh W, Breitenbach C, Moore RG, Kavoussi L (1997) Telesurgical mentoring. Initial clinical experience. Surg Endosc 11: 1001–1005CrossRef Schulam PG, Docimo SG, Saleh W, Breitenbach C, Moore RG, Kavoussi L (1997) Telesurgical mentoring. Initial clinical experience. Surg Endosc 11: 1001–1005CrossRef
30.
go back to reference Taniguchi E, Ohashi S (2000) Construction of a regional telementoring network for endoscopic surgery in Japan. IEEE Trans Inf Technol Biomed 4: 195–199PubMedCrossRef Taniguchi E, Ohashi S (2000) Construction of a regional telementoring network for endoscopic surgery in Japan. IEEE Trans Inf Technol Biomed 4: 195–199PubMedCrossRef
32.
go back to reference Voitk AJ (1998) The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Can J Surg 41: 446–450PubMed Voitk AJ (1998) The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Can J Surg 41: 446–450PubMed
33.
go back to reference Watson DI, Baigrie RJ, Jamieson GG (1998) A learning curve for laparoscopic fundoplication: definable, avoidable, or a waste of time? Ann Surg 224: 198–203CrossRef Watson DI, Baigrie RJ, Jamieson GG (1998) A learning curve for laparoscopic fundoplication: definable, avoidable, or a waste of time? Ann Surg 224: 198–203CrossRef
34.
go back to reference Whitehead R (1995) The evolution of telemedicine: then, now, and what will be. Teleconference 14: 9–11 Whitehead R (1995) The evolution of telemedicine: then, now, and what will be. Teleconference 14: 9–11
35.
go back to reference Wishner JD, Baker JW Jr, Hoffman GC, Hubbard GW 2nd, Gould RJ, Wohlgemuth SD, Ruffin WK, Melick CF (1995) Laparoscopic-assisted colectomy. The learning curve. Surg Endosc 9: 1179–1183 Wishner JD, Baker JW Jr, Hoffman GC, Hubbard GW 2nd, Gould RJ, Wohlgemuth SD, Ruffin WK, Melick CF (1995) Laparoscopic-assisted colectomy. The learning curve. Surg Endosc 9: 1179–1183
36.
go back to reference Wittson CL, Affleck DC, Johnson V (1961) Two-way television group therapy. Ment Hosp 12: 22–23PubMed Wittson CL, Affleck DC, Johnson V (1961) Two-way television group therapy. Ment Hosp 12: 22–23PubMed
Metadata
Title
Telementoring: an application whose time has come
Authors
James C. Rosser Jr.
Steven M. Young
Jonathan Klonsky
Publication date
01-08-2007
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 8/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-007-9263-3

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