Simulation-Based Wound Closure Training System

描述(由申请人提供)：培训时间的减少、需要掌握的程序数量的增加、对手术室使用效率的要求、以及成本可以回收的服务的最大化的压力，已经冲击了以患者为中心的外科医生培训的传统方式。技术正越来越多地被纳入这一进程，特别是在以计算机互动技能培训为形式的微创程序中。然而，大多数手术仍然是通过开放切口术进行的，而且没有基于模拟的培训系统可用于这种培训。开放式手术训练的基础是伤口闭合，这是本提案中将建立的模拟。这项工作建立在已经证明基本概念是可能的早期原型工作的基础上。以此为起点，这项工作将完善基于物理的工具-组织相互作用的模拟，并实施符合最近宣布的外科住院医师培训课程的伤口闭合培训内容。所产生的底层模拟器体系结构将作为未来附加培训内容的平台。这项提议的结果将是一个成本适中的模拟器，准备进入商业化的下一个阶段，在那里它可以满足外科医生的需求，以及许多其他需要基本伤口闭合培训的医疗保健专业人员的需求。

DESCRIPTION (provided by applicant): The pressures of reduced training hours, increased numbers of procedures to master, demands for operating room usage efficiency, and maximizing performance of services whose costs can be recovered has impacted the traditional ways of patient-centric surgeon training. Technology is being increasingly incorporated into the process, especially in minimally invasive procedures in the form of computer-based interactive skills trainers. Yet the majority of surgery is still performed through open-incision access and there are no simulation-based training systems available for this training. The foundation for open surgery training is wound closure and this is the simulation that will be built in this proposal. This work builds upon earlier prototype work that has proved the fundamental concept is possible. Taking that as a starting point, this effort will refine physics-based simulation of tool-tissue interaction and implement training content for wound closure that conforms with recently announced curricula for surgical resident training. The underlying simulator architecture that results will serve as a platform for additional training content in the future. The outcome of this proposal will be a cost appropriate simulator that is ready to go to the next stage of commercialization, where it can meet the needs of surgeons in addition to those of many other groups of healthcare professionals who need basic wound closure training.