Simulation in Surgical Education: Influences of and Opportunities for the Southern Surgical Association John B. Hanks, MD, FACS Journal of the American.

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Simulation in Surgical Education: Influences of and Opportunities for the Southern Surgical Association John B. Hanks, MD, FACS Journal of the American College of Surgeons Volume 228, Issue 4, Pages 317-328 (April 2019) DOI: 10.1016/j.jamcollsurg.2018.12.029 Copyright © 2019 American College of Surgeons Terms and Conditions

Figure 1 Mentors and educators whose contributions to a surgical career are deeply appreciated: (A) Seymour Schwartz, MD, FACS, University of Rochester Medical School Advisor. (Reprinted with permission from the Department of Surgery, University of Rochester School of Medicine and Dentistry.) (B) R Scott Jones, MD, FACS, University of Virginia Clinical and Research Advisor. (Reprinted with permission from the Department of Surgery, University of Virginia.) (C) David Sabiston, MD, FACS, Duke University, Chair of Surgery. (Reprinted with permission from the Duke University Department of Surgery Archives.) Journal of the American College of Surgeons 2019 228, 317-328DOI: (10.1016/j.jamcollsurg.2018.12.029) Copyright © 2019 American College of Surgeons Terms and Conditions

Figure 2 Ajit Sachdeva, MD, FACS, Director of Education, American College of Surgeons. Dr Sachdeva guided the implementation of American College of Surgeons-supported Simulation Centers, the Accredited Educational Institutes. (Reprinted with permission from the American College of Surgeons.) Journal of the American College of Surgeons 2019 228, 317-328DOI: (10.1016/j.jamcollsurg.2018.12.029) Copyright © 2019 American College of Surgeons Terms and Conditions

Figure 3 Deliberate practice methodology significantly improves surgical resident performance for laparoscopic cholecystectomy technique. (Reprinted from Hashimoto and colleagues5 with permission from Springer Nature.) Journal of the American College of Surgeons 2019 228, 317-328DOI: (10.1016/j.jamcollsurg.2018.12.029) Copyright © 2019 American College of Surgeons Terms and Conditions

Figure 4 Using virtual-reality simulator pretraining, surgical residents reduced the mean operating time (left figure) and reduced the number of intraoperative “errors” (right figure). (Reprinted from Seymour and colleagues13 with permission from Wolters Kluwer.) Journal of the American College of Surgeons 2019 228, 317-328DOI: (10.1016/j.jamcollsurg.2018.12.029) Copyright © 2019 American College of Surgeons Terms and Conditions

Figure 5 Using simulation models in a resource limited environment (Rwanda). Ramirez and colleagues showed measureable positive impact on skills learning for basic thoracic procedures. (Reprinted from Ramirez and colleagues28 with permission from Elsevier.) Journal of the American College of Surgeons 2019 228, 317-328DOI: (10.1016/j.jamcollsurg.2018.12.029) Copyright © 2019 American College of Surgeons Terms and Conditions