METHODS: The Society of Neurological Surgeons organized 6 regional “”boot camp”" courses for incoming neurosurgery PGY1 residents in July 2010 that consisted of 9 lectures on clinical and nonclinical
competencies plus 10 procedural and 6 surgical skills stations. Resident and faculty participants were surveyed to assess knowledge and course effectiveness.
RESULTS: A total Defactinib of 186 of 197 U.S. neurosurgical PGY1 residents (94%) and 75 neurosurgical faculty from 36 of 99 programs (36%) participated in the inaugural boot camp courses. All residents and 83% of faculty participants completed course surveys. All resident and faculty respondents thought that the boot camp courses fulfilled their purpose and objectives and imparted skills and knowledge that would improve patient care. PGY1 residents’ knowledge of information taught in the courses improved significantly in postcourse testing (P < .0001). Residents and faculty particularly valued simulated and other hands-on skills training.
CONCLUSION: Regional organization facilitated an unprecedented degree of participation in a national fundamental skills program for entering neurosurgery residents. One hundred percent of resident P5091 manufacturer and faculty respondents positively reviewed the courses. The boot camp courses may provide a model for enhanced learning, professionalism, and safety at the inception of training in other procedural specialties.”
“Objective:
The purpose of this study was to compare the branch morphology and short-term outcome of endovascular aneurysm repair using multibranched thoracoabdominal custom-made stent grafts (CSGs) vs standard stent grafts (SSGs).
Methods: Data on patient demographics, aortic morphology, component use, and outcome were collected prospectively. Final branch length (cuff to target artery orifice) and branch angle (cuff orientation to target artery orientation) were determined using 3-D reconstruction of computed tomographic Selleck 3-deazaneplanocin A angiograms (CTAs).
Results:
Between January 2008 and March 2010, 28 patients underwent endovascular aneurysm repair using 14 CSGs and 14 SSGs. Two patients were excluded from analysis: one patient in the CSG group had yet to undergo CTA, and one patient in the SSG group had crossed renal branches due to problems traversing a previously reconstructed aortic arch. All the stent grafts were implanted successfully. There were no perioperative deaths. There were no statistically significant differences between the CSG (n = 13) and SSG (n = 13) groups in terms of patient age (74.4 +/- 7.9 years vs 73.5 +/- 6.0 years), aneurysm diameter (66.1 +/- 9.0 mm vs 71.2 +/- 9.0 nun), operative time (311 +/- 94 minutes vs 286 +/- 57 minutes), fluoroscopy time (108 +/- 43 minutes vs 101 +/- 30 minutes), contrast volume (98 +/- 39 minutes vs 91 +/- 27 minutes), blood loss (458 +/- 205 mL vs 433 +/- 193 mL), mean branch angle (22.8 +/- 19.0 degrees vs 22.0 +/- 17.6 degrees), or branch length (25.3 +/- 12.1 nun vs 23.4 +/- 10.2 nun).