Recomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanos
El uso de la simulación en cirugía ha permitido acortar las curvas de aprendizaje mediante la práctica deliberada. A pesar de que se ha incorporado previamente, aún no existen recomendaciones claras para estandarizar su desarrollo e implementación. Este manuscrito pretende compartir recomendaciones...
- Autores:
-
Durán Espinoza, Valentina
Montero Jaras, Isabella
Miguieles Schilling, Mariana
Valencia Coronel, Brandon
Belmar Riveros, Francisca
Gaete Dañobeitia, Maria Inés
Jarry Trujillo, Cristian
Varas Cohen, Julián
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2023
- Institución:
- Universidad Autónoma de Bucaramanga - UNAB
- Repositorio:
- Repositorio UNAB
- Idioma:
- spa
- OAI Identifier:
- oai:repository.unab.edu.co:20.500.12749/26139
- Palabra clave:
- Ejercicio de Simulación
Laparoscopía
Educación Médica
Retroalimentación
Entrenamiento Simulado
Cirugía General
Medical sciences
Life sciences
Simulation Exercise
Laparoscopy
Education Medical
Feedback
Simulation Training
General Surgery
Health sciences
Ciências médicas
Ciências da vida
Ciências da saúde
Exercício de Simulação
Laparoscopia
Educação Médica
Retroalimentação
Treinamento por Simulação
Cirurgia Geral
Ciencias médicas
Ciencias de la vida
Ciencias de la salud
- Rights
- License
- http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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| dc.title.spa.fl_str_mv |
Recomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanos |
| dc.title.translated.eng.fl_str_mv |
Recommendations to Develop a Laparoscopic Surgical Simulation Training Program. Insights Gained After 12 Years of Training Surgeons |
| dc.title.translated.por.fl_str_mv |
Recomendações para o desenvolvimento de um programa de formação em simulação cirúrgica laparoscópica. Perspectivas obtidas após 12 anos de formação de cirurgiões |
| title |
Recomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanos |
| spellingShingle |
Recomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanos Ejercicio de Simulación Laparoscopía Educación Médica Retroalimentación Entrenamiento Simulado Cirugía General Medical sciences Life sciences Simulation Exercise Laparoscopy Education Medical Feedback Simulation Training General Surgery Health sciences Ciências médicas Ciências da vida Ciências da saúde Exercício de Simulação Laparoscopia Educação Médica Retroalimentação Treinamento por Simulação Cirurgia Geral Ciencias médicas Ciencias de la vida Ciencias de la salud |
| title_short |
Recomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanos |
| title_full |
Recomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanos |
| title_fullStr |
Recomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanos |
| title_full_unstemmed |
Recomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanos |
| title_sort |
Recomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanos |
| dc.creator.fl_str_mv |
Durán Espinoza, Valentina Montero Jaras, Isabella Miguieles Schilling, Mariana Valencia Coronel, Brandon Belmar Riveros, Francisca Gaete Dañobeitia, Maria Inés Jarry Trujillo, Cristian Varas Cohen, Julián |
| dc.contributor.author.none.fl_str_mv |
Durán Espinoza, Valentina Montero Jaras, Isabella Miguieles Schilling, Mariana Valencia Coronel, Brandon Belmar Riveros, Francisca Gaete Dañobeitia, Maria Inés Jarry Trujillo, Cristian Varas Cohen, Julián |
| dc.subject.spa.fl_str_mv |
Ejercicio de Simulación Laparoscopía Educación Médica Retroalimentación Entrenamiento Simulado Cirugía General |
| topic |
Ejercicio de Simulación Laparoscopía Educación Médica Retroalimentación Entrenamiento Simulado Cirugía General Medical sciences Life sciences Simulation Exercise Laparoscopy Education Medical Feedback Simulation Training General Surgery Health sciences Ciências médicas Ciências da vida Ciências da saúde Exercício de Simulação Laparoscopia Educação Médica Retroalimentação Treinamento por Simulação Cirurgia Geral Ciencias médicas Ciencias de la vida Ciencias de la salud |
| dc.subject.keywords.eng.fl_str_mv |
Medical sciences Life sciences Simulation Exercise Laparoscopy Education Medical Feedback Simulation Training General Surgery Health sciences |
| dc.subject.keywords.por.fl_str_mv |
Ciências médicas Ciências da vida Ciências da saúde Exercício de Simulação Laparoscopia Educação Médica Retroalimentação Treinamento por Simulação Cirurgia Geral |
| dc.subject.lemb.spa.fl_str_mv |
Ciencias médicas Ciencias de la vida Ciencias de la salud |
| description |
El uso de la simulación en cirugía ha permitido acortar las curvas de aprendizaje mediante la práctica deliberada. A pesar de que se ha incorporado previamente, aún no existen recomendaciones claras para estandarizar su desarrollo e implementación. Este manuscrito pretende compartir recomendaciones basadas en nuestra experiencia, con más de doce años empleando y mejorando una metodología en la simulación quirúrgica laparoscópica. Temas de reflexión. Para transferir las habilidades quirúrgicas a un aprendiz, basamos nuestra metodología en un marco de tres pilares: El hardware y la infraestructura (herramientas con las que entrenar), el programa de entrenamiento (qué hacer), y la retroalimentación (cómo mejorar). La implementación de un programa rentable es factible: el hardware no necesita ser de alta fidelidad para transferir las habilidades, pero el programa necesita ser validado. Estos pilares han evolucionado a lo largo del tiempo incorporando tecnología: la presencia de expertos ha evolucionado a una modalidad remota y asincrónica mediante la grabación en vídeo de la ejecución del alumno, y permitiendo su retroalimentación. Aquel que entrega retroalimentación no tiene que ser necesariamente un clínico experto en la materia, sino una persona previamente formada como instructor. Esto permite una práctica deliberada hasta dominar la habilidad y establecer curvas de aprendizaje. Conclusiones. Se han presentado recomendaciones basadas en la experiencia de nuestro centro, explicando el marco de nuestra estrategia. Teniendo en cuenta estas sugerencias, se espera que nuestra metodología de simulación pueda ayudar al desarrollo e implementación de programas efectivos basados en la simulación a otros grupos e instituciones. |
| publishDate |
2023 |
| dc.date.issued.none.fl_str_mv |
2023-03-12 |
| dc.date.accessioned.none.fl_str_mv |
2024-08-21T20:38:40Z |
| dc.date.available.none.fl_str_mv |
2024-08-21T20:38:40Z |
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Article |
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http://purl.org/coar/resource_type/c_6501 |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/article |
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Artículo |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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http://purl.org/redcol/resource_type/ART |
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i-ISSN 0123-7047 e-ISSN 2382-4603 |
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http://hdl.handle.net/20.500.12749/26139 |
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instname:Universidad Autónoma de Bucaramanga UNAB |
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reponame:Repositorio Institucional UNAB |
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repourl:https://repository.unab.edu.co |
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https://doi.org/10.29375/01237047.4514 |
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https://revistas.unab.edu.co/index.php/medunab/article/view/4514/3720 |
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https://revistas.unab.edu.co/index.php/medunab/issue/view/286 |
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Lioce L. Healthcare simulation dictionary. 2nd Edition ed: Agency for Healthcare Research and Quality; [Internet]. New York. 2020. doi: https://doi. org/10.23970/simulationv2 Khan K, Pattison T, Sherwood M. Simulation in medical education. Medical Teacher [Internet]. 2011;33(1):1-3. doi: https://doi.org/10.3109/0142159X.2010.519412 Habib BA Chadli D. History of medical simulation. Tunis Med [Internet]. 2020;98(12):892-94. Available from: https://pubmed.ncbi.nlm.nih.gov/33479991/ Jandu GK, Khan A. Angélique Marguerite Le Boursier du Coudray (1712–1790) – Pioneer of simulation. J Med Biogr [Internet]. 2021;29(2):121-22. doi: https:// doi.org/10.1177/09677720211002204 Is Manual Cardiac Resuscitation. JAMA [Internet]. 1966;196(1):A36-A37. doi: https://doi.org/10.1001/ jama.1966.03100140020005 Corvetto M, Bravo MP, Montaña R, Utili F, Escudero E, Boza C, et al. Simulación en educación médica: una sinopsis. Rev. Med. Chile [Internet]. 2013;141(1):70-9. doi: http://dx.doi.org/10.4067/ S0034-98872013000100010 Carey JM, Rossler K. The How When Why of High Fidelity Simulation. StatPearls [Internet]. 2022 Available from: https://www.ncbi.nlm.nih.gov/books/ NBK559313/ Ruz C, Besa P, Irarrázaval S, Vidal C, Nazar C, Varas J, et al. High-Fidelity Hybrid Simulation Not Only Optimizes Skills Acquisition But Improves Non- Technical Skills. J. Surg. Educ [Internet]. 2020;29. doi: https://doi.org/10.1007/s44186-022-00027-y Massoth C, Röder H, Ohlenburg H, Hessler M, Zarbock A, Pöpping DM, et al. High-fidelity is not superior to low-fidelity simulation but leads to overconfidence in medical students. BMC Med Educ [Internet]. 2019;19(1):29. doi: https://doi.org/10.1186/s12909- 019-1464-7 Fritz PZ, Gray T, Flanagan B. Review of mannequinbased high-fidelity simulation in emergency medicine. Emerg Med Australas [Internet]. 2008;20(1):1-9. doi: https://doi.org/10.1111/j.1742-6723.2007.01022.x Cameron JL. William Stewart Halsted. Our surgical heritage. Ann Surg. [Internet]. 1997;225(5):445-58. doi: https://doi.org/10.1097/00000658-199705000-00002 Beyer L, Troyer JD, Mancini J, Bladou F, Berdah SV, Karsenty G. Impact of laparoscopy simulator training on the technical skills of future surgeons in the operating room: a prospective study. Am J Surg [Internet]. 2011;202(3):265-72. doi: https://doi.org/10.1016/j. amjsurg.2010.11.008 Beyer-Berjot L, Palter V, Grantcharov T, Aggarwal R. Advanced training in laparoscopic abdominal surgery: a systematic review. Surgery [Internet]. 2014;156(3):676- 88. doi: https://doi.org/10.1016/j.surg.2014.04.044 Yudkowsky R, Park YS, Lineberry M, Knox A, Ritter EM. Setting Mastery Learning Standards. Acad Med [Internet]. 2015;90(11):1495-500. doi: https://doi. org/10.1097/ACM.0000000000000887 Ericsson KA, Harwell KW. Deliberate Practice and Proposed Limits on the Effects of Practice on the Acquisition of Expert Performance: Why the Original Definition Matters and Recommendations for Future Research. Front Psychol [Internet]. 2019;10:2396. doi: https://doi.org/10.3389/fpsyg.2019.02396 Siddaiah-Subramanya M, Smith S, Lonie J. Mastery learning: how is it helpful? An analytical review. Adv Med Educ Pract [Internet]. 2017;8:269-75. doi: https:// doi.org/10.2147/AMEP.S131638 Boza C, León F, Buckel E, Riquelme A, Crovari F, Martínez J, et al. Simulation-trained junior residents perform better than general surgeons on advanced laparoscopic cases. Surg Endosc [Internet]. 2017;31(1):135-41. doi: https:// doi.org/10.1007/s00464-016-4942-6 McGaghie WC, Adler M, Salzman DH. Instructional Design and Delivery for Mastery Learning. Springer International Publishing [Internet]. 2020:71-88. doi: https://doi.org/10.1007/978-3-030-34811-3_4 Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg [Internet]. 2006;243(6):864-75. doi: https://doi. org/10.1097/01.sla.0000220042.4831 Russ JB, McKenney AS, Patel AB. An identity crisis: the need for core competencies in undergraduate medical education. Med Educ Online [Internet]. 2013;18:1-2. doi: https://doi.org/10.3402/meo.v18i0.21028 Jarry-Trujillo C, Achurra-Tirado P, Escalona-Vivas G, Crovari-Eulufi F, Varas-Cohen J. Surgical training during COVID-19: a validated solution to keep on practicing. Br J Surg [Internet]. 2020;107(11):e468-e69. doi: https://doi. org/10.1002/bjs.11923 Quezada J, Achurra P, Asbun D, Polom K, Roviello F, Buckel E, et al. Smartphone application supplements laparoscopic training through simulation by reducing the need for feedback from expert tutors. Surg Open Sci [Internet]. 2019;1(2):100-104. doi: https://doi. org/10.1016/j.sopen.2019.05.006 Quezada J, Achurra P, Jarry C, Asbun D, Tejos R, Inzunza M, et al. Minimally invasive tele-mentoring opportunity-the mito project. Surg Endosc. [Internet]. 2020;34(6):2585-92. doi: https://doi.org/10.1007/ s00464-019-07024-1 Brian R, Davis G, Park KM, Alseidi A. Evolution of laparoscopic education and the laparoscopic learning curve: a review of the literature. Laparosc Surg [Internet]. 2022;6(34):184-92. doi: https://dx.doi. org/10.21037/ls-22-29 Argay IM, Lawrence T, Afors K, Centini G, Lazzeri L, Habib N, et al. 1 vs 3 days laparoscopic suturing courses: is it feasible to design a valid training curriculum? Facts Views Vis Obgyn. [Internet]. 2020;12(3):163-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC7580269/#:~:text=Both%203%20and%20 1%2Dday,to%20pre%2Dsurgical%20competences%20 acquisition Moulton CA, Dubrowski A, Macrae H, Graham B, Grober E, Reznick R. Teaching surgical skills: what kind of practice makes perfect?: a randomized, controlled trial. Ann Surg [Internet]. 2006;244(3):400-9. doi: https://doi.org/10.1097/01.sla.0000234808.85789.6a Vela J, Contreras C Jarry C, Varas J, Corvetto M. Recomendaciones generales para elaborar un programa de entrenamiento basado en simulación para desarrollar competencias en pregrado y postgrado. Simulación Clínica [Internet]. 2020;2(1):26-38. doi: https://doi. org/10.35366/92936 Jarry C, Inzunza M, Quezada J, Marino C, Zamorano E, Alvarado V, et al. Gimnasio de simulación quirúrgica: una herramienta educacional factible de entrenamiento continuo. Experiencia de un centro universitario. Simulación Clínica. [Internet]. 2019;1(1):18-24. doi: https://doi.org/10.35366/RSC191D Kurashima Y, Hirano S. Systematic review of the implementation of simulation training in surgical residency curriculum. Surg Today [Internet]. 2017;47(7):777-82. doi: https://doi.org/10.1007/ s00595-016-1455-9 Downing SM. Validity: on the meaningful interpretation of assessment data. Med Educ. [Internet]. 2003;37(9):830-7. doi: https://doi.org/10.1046/j.1365- 2923.2003.01594.x Cook DA, Beckman TJ. Current Concepts in Validity and Reliability for Psychometric Instruments: Theory and Application. Am J Med [Internet]. 2006;119(2):166.e7- 16. doi: https://doi.org/10.1016/j.amjmed.2005.10.036 Cook DA, Hatala R. Validation of educational assessments: a primer for simulation and beyond. Adv Simul [Internet]. 2016;1:31. doi: https://doi. org/10.1186/s41077-016-0033-y Hennessey IA, Hewett P. Virtual reality versus box laparoscopic simulators in trainee selection and aptitude testing. Surg Laparosc Endosc Pct Tech [Internet]. 2014;24(4):318-21. doi: https://doi.org/10.1097/ SLE.0b013e3182a2f05f Naismith LM, Cavalcanti RB. Validity of Cognitive Load Measures in Simulation-Based Training: A Systematic Review. Acad Med [Internet]. 2015;90(11 Suppl):S24-35. doi: https://doi.org/10.1097/ACM.0000000000000893 Messick S. Validity of Psychological Assesment: Validation of Inferences from Persons’ Responses and Performances As Scientific Inquiry into Score Meaning [Internet]. Educational Testing Service;1989:13-104. Available from: https://files.eric.ed.gov/fulltext/ ED380496.pdf Varas J, Mejía R, Riquelme A, Maluenda F, Buckel E, Salinas J, et al. Significant transfer of surgical skills obtained with an advanced laparoscopic training program to a laparoscopic jejunojejunostomy in a live porcine model: feasibility of learning advanced laparoscopy in a general surgery residency. Surg Endosc [Internet]. 2012;26(12):3486-94. doi: https:// doi.org/10.1007/s00464-012-2391-4 Boerebach BC, Arah OA, Busch OR, Lombarts KM. Reliable and valid tools for measuring surgeons’ teaching performance: residents’ vs. self evaluation. J Surg Educ [Internet]. 2012;69(4):511-20. doi: https:// doi.org/10.1016/j.jsurg.2012.04.003 Fluit C, Bolhuis S, Grol R, Ham M, Feskens R, Laan R, et al. Evaluation and feedback for effective clinical teaching in postgraduate medical education: validation of an assessment instrument incorporating the CanMEDS roles. Med Teach [Internet]. 2012;34(11):893-901. doi: https://doi.org/10.3109/0142159X.2012.699114 Ross S, Hamza D, Zulla R, Stasiuk S, Nichols D. Development of and Preliminary Validity Evidence for the EFeCT Feedback Scoring Tool. J Grad Med Educ [Internet]. 2022;14(1):71-9. doi: https://doi. org/10.4300/JGME-D-21-00602.1 Gaete MI, Belmar F, Cortés M, Alseidi A, Asbun D, Durán V, et al. Remote and asynchronous training network: from a SAGES grant to an eight-country remote laparoscopic simulation training program. Surg Endosc [Internet]. 2023;37(2):1458-65. doi: https://doi. org/10.1007/s00464-022-09386-5 |
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Durán Espinoza, Valentinaddcaff0d-ff6a-4449-af92-917b5c024117Montero Jaras, Isabella0ee3a6c1-1f55-4da9-b904-cba3464f6cb3Miguieles Schilling, Mariana9946af9e-0ade-40bb-b896-06e03c6949abValencia Coronel, Brandon083bbac1-3ef8-4a8f-80f6-8af2c084d218Belmar Riveros, Franciscae78d1493-430c-4b89-b13c-42c32c9e626dGaete Dañobeitia, Maria Inésc46fc65e-e1f9-40e0-8860-501596066465Jarry Trujillo, Cristianeab945e2-61b8-4b54-8e4a-ef9e76924fa8Varas Cohen, Julián9d58700f-4cb7-4433-8d2c-677845ee5a812024-08-21T20:38:40Z2024-08-21T20:38:40Z2023-03-12i-ISSN 0123-7047e-ISSN 2382-4603http://hdl.handle.net/20.500.12749/26139instname:Universidad Autónoma de Bucaramanga UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.cohttps://doi.org/10.29375/01237047.4514El uso de la simulación en cirugía ha permitido acortar las curvas de aprendizaje mediante la práctica deliberada. A pesar de que se ha incorporado previamente, aún no existen recomendaciones claras para estandarizar su desarrollo e implementación. Este manuscrito pretende compartir recomendaciones basadas en nuestra experiencia, con más de doce años empleando y mejorando una metodología en la simulación quirúrgica laparoscópica. Temas de reflexión. Para transferir las habilidades quirúrgicas a un aprendiz, basamos nuestra metodología en un marco de tres pilares: El hardware y la infraestructura (herramientas con las que entrenar), el programa de entrenamiento (qué hacer), y la retroalimentación (cómo mejorar). La implementación de un programa rentable es factible: el hardware no necesita ser de alta fidelidad para transferir las habilidades, pero el programa necesita ser validado. Estos pilares han evolucionado a lo largo del tiempo incorporando tecnología: la presencia de expertos ha evolucionado a una modalidad remota y asincrónica mediante la grabación en vídeo de la ejecución del alumno, y permitiendo su retroalimentación. Aquel que entrega retroalimentación no tiene que ser necesariamente un clínico experto en la materia, sino una persona previamente formada como instructor. Esto permite una práctica deliberada hasta dominar la habilidad y establecer curvas de aprendizaje. Conclusiones. Se han presentado recomendaciones basadas en la experiencia de nuestro centro, explicando el marco de nuestra estrategia. Teniendo en cuenta estas sugerencias, se espera que nuestra metodología de simulación pueda ayudar al desarrollo e implementación de programas efectivos basados en la simulación a otros grupos e instituciones.The use of simulation in surgery has made it possible to shorten learning curves through deliberate practice. Although it has been incorporated long ago, there are still no clear recommendations to standardize its development and implementation. This manuscript aims to share recommendations based on our experience of more than twelve years of employing and improving a methodology in laparoscopic surgical simulation. Topics for Reflection. To transfer surgical skills to a trainee, we base our methodology on a three-pillar framework: The hardware and infrastructure (tools to train with), the training program itself (what to do), and the feedback (how to improve). Implementing a cost-effective program is feasible: the hardware does not need to be high fidelity to transfer skills, but the program needs to be validated. These pillars have evolved over time by incorporating technology: the on-site guidance from experts has changed to a remote and asynchronous modality by video recording the trainee’s execution, and by enabling remote and asynchronous feedback. The feedback provider does not necessarily have to be an expert clinician in the subject, but a person previously trained to be a trainer. This allows for deliberate practice until mastery has been reached and learning curves are consolidated. Conclusions. Recommendations based on the experience of our center have been presented, explaining the framework of our strategy. Considering these suggestions, it is hoped that our simulation methodology can aid the development and implementation of effective simulationbased programs for other groups and institutions.O uso de simulação em cirurgia tornou possível encurtar as curvas de aprendizagem por meio da prática deliberada. Embora tenha sido incorporado anteriormente, ainda não há recomendações claras para padronizar seu desenvolvimento e implementação. Este manuscrito pretende compartilhar recomendações com base em nossa experiência, com mais de doze anos usando e aprimorando uma metodologia em simulação cirúrgica laparoscópica. Temas de reflexão. Para transferir habilidades cirúrgicas para um aprendiz, baseamos nossa metodologia em uma estrutura de três pilares: o hardware e a infraestrutura (ferramentas para treinar), o programa de treinamento (o que fazer) e feedback (como melhorar). A implementação de um programa rentável é viável: o hardware não precisa ser de alta fidelidade para transferir as habilidades, mas o programa precisa ser validado. Esses pilares evoluíram ao longo do tempo incorporando a tecnologia: a presença de especialistas evoluiu para uma modalidade remota e assíncrona por meio da gravação em vídeo do desempenho do aluno e permitindo seu feedback. Quem dá feedback não precisa ser necessariamente um clínico especialista na área, mas sim uma pessoa previamente treinada como instrutor. Isso permite a prática deliberada até que a habilidade seja dominada e estabeleça curvas de aprendizado. Conclusões. 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Surg Endosc [Internet]. 2023;37(2):1458-65. doi: https://doi. org/10.1007/s00464-022-09386-5http://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Vol. 25 Núm. 3 (2022): diciembre 2022 - marzo 2023: Innovación, Cirugía, Educación; 470-479Ejercicio de SimulaciónLaparoscopíaEducación MédicaRetroalimentaciónEntrenamiento SimuladoCirugía GeneralMedical sciencesLife sciencesSimulation ExerciseLaparoscopyEducation MedicalFeedbackSimulation TrainingGeneral SurgeryHealth sciencesCiências médicasCiências da vidaCiências da saúdeExercício de SimulaçãoLaparoscopiaEducação MédicaRetroalimentaçãoTreinamento por SimulaçãoCirurgia GeralCiencias médicasCiencias de la vidaCiencias de la saludRecomendaciones para desarrollar un programa de formación en simulación quirúrgica laparoscópica. Perspectivas obtenidas tras 12 años de formación de cirujanosRecommendations to Develop a Laparoscopic Surgical Simulation Training Program. Insights Gained After 12 Years of Training SurgeonsRecomendações para o desenvolvimento de um programa de formação em simulação cirúrgica laparoscópica. Perspectivas obtidas após 12 anos de formação de cirurgiõesArticleinfo:eu-repo/semantics/articleArtículohttp://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/resource_type/c_6501http://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85Universidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludORIGINALArtículo.pdfArtículo.pdfArtículoapplication/pdf745787https://repository.unab.edu.co/bitstream/20.500.12749/26139/1/Art%c3%adculo.pdf93cf0874709e6301ab39e21c113d4605MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8183https://repository.unab.edu.co/bitstream/20.500.12749/26139/2/license.txt737346e09d47a3db691f1370de49426aMD52open accessTHUMBNAILArtículo.pdf.jpgArtículo.pdf.jpgIM Thumbnailimage/jpeg13359https://repository.unab.edu.co/bitstream/20.500.12749/26139/3/Art%c3%adculo.pdf.jpgb20b89839f9616d08cfedf5018bb987aMD53open access20.500.12749/26139oai:repository.unab.edu.co:20.500.12749/261392024-08-21 22:00:52.761open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.coTGFzIHB1YmxpY2FjaW9uZXMgZGUgbGEgcmV2aXN0YSBNZWRVTkFCIGVzdMOhbiBiYWpvIHVuYSBMaWNlbmNpYSBkZSBBdHJpYnVjacOzbiBkZSBCaWVuZXMgQ29tdW5lcyBDcmVhdGl2b3MgKENyZWF0aXZlIENvbW1vbnMsIENDKSB0aXBvIDQuMCwgY29uIGRlcmVjaG9zIGRlIGF0cmlidWNpw7NuIHkgbm8gY29tZXJjaWFs |