Medical Training

We Can’t Overlook Robotics in Surgical Success

The da Vinci robotic surgical platform was first introduced to medicine in 2000. At that time, the robotic device was approved for the performance of laparoscopic surgeries. Now, nearly two decades later, we see the use of robotics used far more expansively than ever before. A large percentage of the minimally-invasive surgical procedures that are performed today involve either the da Vinci or another robotic platform. Because robotics is not going away, it is vital that physicians become acquainted with the merits of robotic surgery and well-versed in communicating the details of robotic surgery with their patients.
Robotics as the Surgical Assistant
Platforms like the da Vinci do not take over the role of the surgeon; they act as a highly-trained assistant. Through robotics, surgeons can increase their efficiency by using smaller surgical instruments without affecting precision. Most robotic surgeries are performed by two surgeons; one in the direct presence of the patient and the other at the platform console, observing the surgical field and maneuvering robotic arms using computer controls.

One of the most significant ways that robotics assist surgeons is by reducing fatigue. This is possible because the surgeon operating robotic arms is seated for the duration of the procedure. Also, the cameras involved in robotic surgeries magnify the surgical field up to ten-times – and in 3D high definition.
Robotics Benefit Patients, Too
Robotic surgical devices have been developed for mutual gain. A surgeon who is not affected by fatigue is a better-performing surgeon. The availability of small surgical tools and robotic hands significantly reduces the need for long incisions and more “open” surgical technique. Smaller incisions are the cornerstone of minimally-invasive surgeries and the basis of faster, more comfortable recovery.
Uses of Robotics in Modern Medicine
Robotics […]

Simulation is No Match for Hands-On Cadaver Training

Several aspects of medicine have been improved with the advent of innovative new technologies and systems. One such advancement has been the use of virtual reality software and apps in the area of medial education. Because we have seen an increase in the sophistication and use of these apps, some say that virtual reality will at some point make hands-on bioskills training obsolete. Here, we discuss the value, as well as the limitations, of virtual reality in medical training.
Virtual Reality as a Reliable Instructor
The use of digital technologies is nothing new. Medical classrooms have incorporated a range of programs, including advanced medical imaging, 3D printing, multimedia, and even games, to disperse information to students and engage various abilities through interactive and effective methods. Virtual reality falls into the same category as these technologies; it is simply the latest and greatest to be developed, albeit one that has extensive capabilities in and outside of the classroom.

Some of the recent uses of virtual reality, thanks to the collaboration between universities and developers like Microsoft, have been the simulation of medical exams and VR apps that teach anatomy.
Several Tools Beat One Tool
Medicine is a practice of precision. We cannot rely on a singular modality or technology to teach us what we need to know. To do so could open the door for a decline in the level of patient care we provide. To maximize our potential as medical examiners, surgeons, and general physicians, our reliance should be on multiple educational tools, including cadaver training.

What cadavers bring to the table is the ability to observe the unique aspects of every human body. The anatomical variations are unique even between twins. To recreate these numerous variations from one person […]

Surgical Techniques: We’ve Come a Long Way

Patients facing the prospect of surgery are usually more than a little stressed. The medical team is also not impervious to the effects of surgery. On our end, stress stems from the need for meticulous performance at every turn. We are well aware that, regardless of the reason for surgery, there are certain risks. It is the desire to mitigate these risks that lead surgeons and surgical staff to obtain training in innovative techniques. How impressive is it that we have several options available these days?
We Want to Take a Walk
The original surgical techniques that were developed involved what we now call open surgery. Doctors used to have to open the body just to be able to observe internal structures, let alone repair or remove them as needed. Open surgeries still exist today and may have a valuable place in medicine for some time to come. However, more healthcare professionals are coming to realize the implications of this surgical technique, including longer recover times for patients and suboptimal outcomes regarding scarring and discomfort. Finally, we cannot overlook the level of risk that is involved in opening any part of the body more than necessary.

A more modern and sophisticated surgical technique to be adopted is referred to as minimally invasive. Minimally invasive surgeries may be laparoscopic or endoscopic. These techniques naturally have fewer complication risks due to the smaller incisions. This also leads to smaller or barely perceptible scars and significantly reduces patients’ recovery time. Minimally invasive surgeries increase efficiency in patient care and lower costs because many of these procedures are now performed in outpatient facilities or even office settings using only local anesthesia.

The most recent advances in surgery follow the minimally-invasive route but facilitate […]

January 15th, 2018|Medical Training|0 Comments|

Trends in Bariatric Surgery Affect the Need for Training

Bariatric surgeries for weight management have become increasingly popular in recent years. The available procedures have provided invaluable assistance to men and women who have spent years yo-yoing between a healthy weight and dangerous obesity. The trend for many years was to undergo gastric bypass to realign the digestive tract. More recently, statistics indicate that a higher number of patients are leaning toward the laparoscopic procedure, sleeve gastrectomy, to essentially downside their stomach.

Weight loss surgery is typically considered only when other strategies have failed to help an individual manage her weight for long periods of time. Diet, exercise, and medications continue to be a front-line defense against obesity. However, patients who are at risk for serious health consequences due to excess weight may be prime candidates for bariatric surgery.  The question is, which one, and whom should perform the procedure.
Choices in Weight Loss Surgery
Most physicians agree that patient outcomes are best improved through personal care. No single procedure is right for every person. Instead, care should be based on particulars such as medical history, current health status, and patient preferences. This is where the upward trend in laparoscopic sleeve gastrectomy may have originated.

Some of the reasons that patients cite for their interest in this weight-loss surgery is its shorter duration. Most sleeve gastrectomy surgeries are completed within about an hour. Gastric bypass takes twice as long. Naturally, a shorter procedure is less psychologically stressful and is also less taxing on the body, making it advantageous for the patient.

Bariatric surgeons report that sleeve gastrectomy seems to achieve excellent results in patients who have less than 100 pounds to lose. Older patients, as well as those with chronic health conditions such as heart disease, also may […]

The Important Role of Cadavers in Bioskills Training

Most physicians are aware of the necessity for post-graduate training. Not only do the governing bodies that renew licensure require a certain number of hours of training each year, but patients also deserve to receive the highest standard of care from physicians who are performing cosmetic and medical procedures. This is where focused bio skills training comes in. The physician who is well-trained – beyond medical school – is the physician who is more likely to enjoy a thriving practice. Even more than that, advance training also carries with it the benefit of pride in practice.

Med Ed Labs has been successfully facilitating surgical and medical training courses across the country for years. Our expertise in the planning and implementation of such programs makes the entire training process for physicians and staff more pleasant and efficient. Cadavers are an integral aspect of many of our bio skills courses. Here’s why . . .

Cadaver studies take us away from the reliance on animals for medical investigation. Study on the human form may be perceived as more ethical. That argument aside, it is the human form on which physicians work, so familiarity with the nuances of that form is necessary. Cadaver studies allow for the best possible research on organs, bones, and muscles in the way they will be during that crucial operation.
Cadavers also facilitate the optimal, real-life performance of techniques using innovative operating room devices, such as cath lab instruments, c-arms, and more.
Research on cadavers significantly reduces the need for guess-work. Computer simulation and animal testing do not come close to the accuracy of cadaver tissue and structure when assessing the value of new modalities or surgical interventions.
Surgical effectiveness and precision obtained […]

October 15th, 2017|Medical Training|0 Comments|
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    Using Dermal Fillers: It’s Not a Once-and-Done Achievement

Using Dermal Fillers: It’s Not a Once-and-Done Achievement

The use of dermal fillers and other injectable products can set your practice up for additional, ongoing income. To fulfill the entirety of your responsibility to your patients, it is necessary to perfect the techniques you use for various products. Because each filler product carries unique properties, there are small nuances that can significantly impact the outcome. Therefore, injectable training is something that, at this time, should not end. Here, we discuss a few of the tips experts offer for mastering technique.
The Road to Mastery
The path to perfecting injection techniques begins with a few basic steps for all providers. A reputable training course should offer demonstration and hands-on practice. Beyond training, injectors are encouraged to continually focus on:

Relevant anatomy, not only of the face but also of other common injectable areas.
Study and review of danger zones, as well as remedies for unexpected side effects.
Use of reversible fillers only during the initial learning phase.
Use of injectables in patients whom can be monitored closely for several days after treatment. Friends, family, and office staff are ideal patients for new injectors who need to observe the effects of products, side effects, and recovery.
Easier treatment areas, such as nasolabial folds, are an excellent place to start. Move on gradually to more difficult treatment areas such as tear trough.
Take before and after pictures of as many patients as possible. This facilitates learning the nuances of different techniques and products.

Moving Beyond the Basics
For an injector to garner the praise of patients, it is necessary to fully master techniques, and this can take less time when you know what is needed. One of the primary areas of learning recommended by experts is the subtleties of […]

Pelvic Organ Prolapse: Looking Beyond Mesh

One of the biggest pieces of news in the field of urogynecology has been the persistence of lawsuits related to transvaginal mesh. This type of medical device was first developed in the 1950s. It resembles fishing net, and was originally intended to act as a barrier for surgical patients. Transvaginal mesh treatments did not begin until sometime in the 1970s, when the netting material was deemed appropriate to support pelvic organs to stop prolapse, as well as stress urinary incontinence. At the height of use, it is estimated that more than 100,000 implantations were performed in the U.S. And then the problems began . . .
Fast Forward

Gynecologists, family physicians, and urogynecology specialists should be well aware of the problems attributed to the unremovable transvaginal mesh. To that end, we will fast forward in our discussion of alternatives to the controversial surgery.

If the issues at hand is stress urinary incontinence, science now has new ways to improve on old techniques for resolution. For years, women have been encouraged to strengthen the muscles of the pelvic floor using Kegel exercises. The problem with this approach has been largely overlooked. If not performed correctly, Kegel exercises may not achieve the desired outcome. For that reason, more physicians are obtaining training for biofeedback. Stress urinary incontinence may also be improved with the support of an appropriate sling, or even with innovative radiofrequency treatments that reinstate the proper laxity and elasticity to the vagina.

Women affected by pelvic organ prolapse also need an alternative to transvaginal mesh, and they are finding it with sacrocolpopexy. Many surgeons are now performing this gold-standard treatment using the Da Vinci robotic platform. The procedure restores the correct anatomical position to the vagina using […]

November 15th, 2016|Medical Training|0 Comments|

Breast Implant Trends: Saline or Silicone

The decision that a patient makes to have cosmetic plastic surgery is incredibly important. Breast augmentation has been contentious, at times, but has remained a leading procedure sought by women of all ages. One of the most crucial aspects of breast augmentation surgery is the decision between saline or silicone breast implants. As such, one of the most pivotal points in the consultation phase of care is to provide the fullest extent of information to each individual patient. Just the facts, Ma’am.
Every surgeon has personal preferences between the two types of implants. This includes innovative models such as the “gummy bear” implant and Ideal implants. What is the bottom line, though? What is the aspect of care that matters most for the patient? Here, we will discuss the potential differences in the appearance of saline versus silicone implants.

Silicone and Saline, Making the Comparison
Most physicians really do like silicone implants. The fact of the matter is that this material simply looks – and feels – more like natural breast tissue. This material is lighter; believe it or not, more durable in terms of longevity and it has a lower risk or rippling than saline. That being said, as a medical professional, any physician would do him or herself a disservice by offering only silicone implants. There is a large number of women who, regardless of physical characteristics, feel more comfortable with saline; period.

Still . . .
Still, the number one question most patients have when they are contemplating their choice between saline and silicone is “what will it look like?” Safety is one issue. To be frank, if a patient is worried at all about the overall safety of implants – will they be rejected? […]

Get Ready for Exciting Introductions to the Filler Market

Cosmetic treatments are interesting. What we consider new may be a product or technique that has already become popular in other countries. Likewise, the U.S. has set trends for certain cosmetic treatments, leaving the usual leader, Europe, wanting. Kybella is one example. This year, physicians are anxiously awaiting the arrival, or should we say approval, of two new filler products that are already being used across the pond.

The two products are both formulated with hyaluronic acid, similar to those in the Juvederm family. Hyaluronic acid is advantageous due to its biocompatibility and high record of safety. The substance is already present in the body, but its stores diminish with age, which results in the development of lines and creases around the eyes, nose, and mouth. It is estimated that at least half of the hyaluronic acid stores we have are gone by age 50. How unfair!

It may come as no surprise to hear that these products, Volbella and  Volift, will be brought to us by the makers of Botox and Juvederm, the Allergan company. Let’s look at how they will differ from other popular products:

Volift is formulated with low and high molecular weight. This has been shown to achieve soft correction and longer lasting results. At this time, it is predicted that this filler will outlast those that are currently used; up to 15 months in all. Physicians in Europe are using Volift in combination with other fillers, such as Voluma, to enhance the overall result.
Volbella is not as thick in its consistency as Volift and other fillers. This product is appreciated for its effects on finer lines, like those that appear around the mouth. It is also being used as a […]

The Types of Electrical Stimulation Therapists can Implement to Assist Their Patients

Electrical stimulation, or e-stim, is a common practice among chiropractors, physical therapists, and sports medicine practitioners. This therapeutic modality is valuable to clinical success, which is why it pays to know how to use it in the most efficient manner. Here, we will explore the 4 methods of electrical stimulation in physical rehabilitation.

Pain and inflammation. When electrical stimulation is used to minimize swelling and discomfort around an injured joint, it is referred to as interferential stimulation. The method incorporates 2 currents which interfere with pain signals at a sensory level. Used in the treatment of low back, shoulder, knee, and ankle injuries, this method of stimulation has been a mainstay in rehabilitation since the mid-60s.
Soft tissues and connective tissues: pre-mod. Pre-mod may be introduced into therapy as an adjunct to manual modalities such as trigger-point release or Graston therapy. This method is common in the treatment of a tendon or ligament, as well as for muscle tears. It can reinforce physical and mechanical changes, and also decrease pain.
Russian. This method of muscle strengthening was developed by Russian physician Dr. Kots. The motor stimulation of muscle tissue causes contraction that can improve strength in a muscle after injury or surgical treatment. Due to the immediate contraction of muscles, it is necessary to develop precise techniques for this type of electrical stimulation in order to avoid patient discomfort.
Hi-volt tissue stimulation. This method of electrical stimulation involves positive and negative forces that can promote wound healing and improve comfort. It is especially valuable to patients with circulatory conditions that would naturally inhibit tissue healing and new tissue production.

Electrical stimulation methods are valuable in the clinical setting, and are quite complementary to rehabilitation modalities […]