Creation of an optic nerve sheath diameter ultrasound model for NeuroICU education.

Background: Using ultrasound to measure optic nerve sheath diameter (ONSD) is an emerging bedside technique to noninvasively assess intracranial pressure (ICP) in patients with brain injury. This technique is unique among bedside ultrasonography and is often performed by providers who have no formal ultrasound training. We sought to create a low-cost, 3D, reusable ONSD model to train neurology, neurosurgery, and critical care providers in measuring ICP.

Enhancing the Informed Consent Process Using Shared Decision Making and Consent Refusal Data from the CLEAR III Trial.

Background: The process of informed consent in National Institutes of Health randomized, placebo-controlled trials is poorly studied. There are several issues regarding informed consent in emergency neurologic trials, including a shared decision-making process with the patient or a legally authorized representative about overall risks, benefits, and alternative treatments.

Methods: To evaluate the informed consent process, we collected best and worst informed consent practice information from a National Institutes of Health trial and used this in medical simulation videos to educate investigators at multiple sites to improve the consent process.

Vasectomy Simulation Curriculum and Trainer with Enhanced Face, Content and Construct Validity.

Introduction: We assessed the face, content and construct validity of a newly created vasectomy simulation module.

Methods: Pre-simulation and post-simulation surveys quantifying simulation effectiveness, impact on confidence level and critiques of the overall design were obtained in July 2015 to assess face and content validity. Residents were subdivided based on year of residency and construct validity was ascertained via a 20-objective checklist and individual Likert score as graded by a single attending physician in a blinded fashion.

A Colposcopy Trainer to Simulate Visualization and Biopsy of the Cervix.

Background: Colposcopy is a common office procedure providing a magnified view of the cervix for the evaluation of an abnormal cytology result. Traditionally the procedure has been replicated in simulation training by using a sausage or hotdog to represent the cervix and allow for target biopsy. This is neither reusable nor sustainable.

Assessing the performance and satisfaction of medical residents utilizing standardized patient versus mannequin-simulated training.

Background: Conducting simulations of rapidly decompensating patients are a key part of internal medicine (IM) residency training. Traditionally, mannequins have been the simulation tool used in these scenarios.

Objective: To compare IM residents' performance and assess realism in specific-simulated decompensating patient scenarios using standardized patients (SPs) as compared to mannequin.

"iTrainers"--novel and inexpensive alternatives to traditional laparoscopic box trainers.

Objective: To evaluate the use of 2 inexpensive laparoscopic trainers (iTrainers) constructed of easily attainable materials and portable tablets (iPads).

Methods: Two different laparoscopic trainers were constructed using a cardboard box, thumbtacks, and Velcro tape (box trainer). A separate box was constructed using the same supplies with a 3-ring binder (binder trainer).

Simulation-based training for bedside assistants can benefit experienced robotic prostatectomy teams.

Purpose: We designed a three-phase bedside assistant training course for those involved with robot-assisted radical prostatectomy (RARP). We also examined whether an experienced RARP team (>1000 cases) would perceive benefit from this three-phase bedside assistant training course.

Materials And Methods: The 13 RARP bedside assistants were identified at our institution (three surgical technicians, two surgical assistants, four resident trainees, and four physician assistants).