CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(05): 676-682
DOI: 10.1055/s-0042-1756351
Clinical Practice and Education: Original Article

Learners' Responses to a Virtual Cadaver Dissection Nerve Course in the COVID Era: A Survey Study

1   Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan
,
2   Section of Plastic Surgery & Department of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, Michigan
,
2   Section of Plastic Surgery & Department of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, Michigan
,
1   Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan
› Author Affiliations
Funding None.

Abstract

Background Virtual education is an evolving method for teaching medical learners. During the coronavirus disease 2019 pandemic, remote learning has provided a replacement for conferences, lectures, and meetings, but has not been described as a method for conducting a cadaver dissection. We aim to demonstrate how learners perceive a virtual cadaver dissection as an alternative to live dissection.

Methods A virtual cadaver dissection was performed to demonstrate several upper extremity nerve procedures. These procedures were livestreamed as part of an educational event with multimedia and interactive audience questions. Participants were queried both during and after the session regarding their perceptions of this teaching modality.

Results Attendance of a virtual dissection held for three plastic surgery training institutions began at 100 and finished with 70 participants. Intrasession response rates from the audience varied between 68 and 75%, of which 75% strongly agreed that they were satisfied with the virtual environment. The audience strongly agreed or agreed that the addition of multimedia captions (88%), magnified video loupe views (82%), and split-screen multicast view (64%) was beneficial. Postsession response rate was 27%, and generally reflected a positive perspective about the content of the session.

Conclusions Virtual cadaver dissection is an effective modality for teaching surgical procedures and can be enhanced through technologies such as video loupes and multiple camera perspectives. The audience viewed the virtual cadaver dissection as a beneficial adjunct to surgical education. This format may also make in-person cadaver courses more effective by improving visualization and allowing for anatomic references to be displayed synchronously.

Authors' Contributions

Conceptualization: J.L.L., S.P.J., D.G., K.C.C. Data curation: J.L.L., S.P.J., D.G. Formal analysis: J.L.L., S.P.J., D.G. Methodology: J.L.L., S.P.J., D.G., K.C.C. Project administration: J.L.L., K.C.C. Writing-original draft: J.L.L. Writing-review & editing: J.L.L., S.P.J., D.G., K.C.C.


Ethical Approval

This study was approved and deemed exempt from our university's Institutional Review Board.




Publication History

Received: 28 December 2021

Accepted: 24 May 2022

Article published online:
23 September 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Moore W. The Knife Man: Blood, Body Snatching, and the Birth of Modern Surgery. New York: Broadway Books; 2005
  • 2 Klima S, Cornwall J, Kieser D, Hammer N. The utility and benefit of a newly established postgraduate training course in surgical exposures for orthopedic and trauma surgery. Arch Orthop Trauma Surg 2019; 139 (12) 1673-1680
  • 3 Morgan M, Aydin A, Salih A, Robati S, Ahmed K. Current status of simulation-based training tools in orthopedic surgery: a systematic review. J Surg Educ 2017; 74 (04) 698-716
  • 4 Holland JP, Waugh L, Horgan A, Paleri V, Deehan DJ. Cadaveric hands-on training for surgical specialties: is this back to the future for surgical skills development?. J Surg Educ 2011; 68 (02) 110-116
  • 5 James HK, Chapman AW, Pattison GTR, Griffin DR, Fisher JD. Author response to: Comment on: systematic review of the current status of cadaveric simulation for surgical training. Br J Surg 2020; 107 (04) 468
  • 6 Go PM, Payne Jr JH, Satava RM, Rosser JC. Teleconferencing bridges two oceans and shrinks the surgical world. Surg Endosc 1996; 10 (02) 105-106
  • 7 Hadley GP, Mars M. Postgraduate medical education in paediatric surgery: videoconferencing–a possible solution for Africa?. Pediatr Surg Int 2008; 24 (02) 223-226
  • 8 Stain SC, Mitchell M, Belue R. et al. Objective assessment of videoconferenced lectures in a surgical clerkship. Am J Surg 2005; 189 (01) 81-84
  • 9 Davis CR, Rosenfield LK. Looking at plastic surgery through Google Glass: part 1. Systematic review of Google Glass evidence and the first plastic surgical procedures. Plast Reconstr Surg 2015; 135 (03) 918-928
  • 10 Graves SN, Shenaq DS, Langerman AJ, Song DH. Video capture of plastic surgery procedures using the GoPro HERO 3+. Plast Reconstr Surg Glob Open 2015; 3 (02) e312
  • 11 Wlodarczyk JR, Wolfswinkel EM, Carey JN. COVID-19 video conferencing: preserving resident education with online meeting platforms. Plast Reconstr Surg 2020; 146 (01) 110e-111e
  • 12 Yuen JC, Gonzalez SR. Addressing the surgical training gaps caused by the COVID-19 pandemic: an opportunity for implementing standards for remote surgical training. Plast Reconstr Surg 2020; 146 (01) 109e-110e
  • 13 Kogan M, Klein SE, Hannon CP, Nolte MT. Orthopaedic education during the COVID-19 pandemic. J Am Acad Orthop Surg 2020; 28 (11) e456-e464
  • 14 Metchik A, Boyd S, Kons Z. et al. How we do it: implementing a virtual, multi-institutional collaborative education model for the COVID-19 pandemic and beyond. J Surg Educ 2021; 78 (04) 1041-1045
  • 15 Kirkpatrick D, Kirkpatrick J. Evaluating Training Programs: The Four Levels. Berrett-Koehler Publishers; San Fransisco: 2006
  • 16 Ali J, Adam RU, Sammy I, Ali E, Williams JI. The simulated Trauma Patient Teaching Module–does it improve student performance?. J Trauma 2007; 62 (06) 1416-1420
  • 17 Ten Eyck RP, Tews M, Ballester JM. Improved medical student satisfaction and test performance with a simulation-based emergency medicine curriculum: a randomized controlled trial. Ann Emerg Med 2009; 54 (05) 684-691
  • 18 Martin-Smith JD, McArdle A, Carroll SM, Kelly EJ. Webinar: a useful tool in plastic surgery specialty trainee education. J Plast Reconstr Aesthet Surg 2015; 68 (09) 1323-1324
  • 19 Vara AD, Wu J, Shin AY, Sobol G, Wiater B. Video recording with a GoPro in hand and upper extremity surgery. J Hand Surg Am 2016; 41 (10) e383-e387
  • 20 Rehim SA, Chung KC. Educational video recording and editing for the hand surgeon. J Hand Surg Am 2015; 40 (05) 1048-1054