Neurosurgical training with a novel cervical spine simulator: posterior foraminotomy and laminectomy.
BACKGROUND
Neurosurgical residents have traditionally been instructed on surgical techniques and procedures through an apprenticeship model. Currently, there has been research and interest in expanding the neurosurgical education model.


OBJECTIVE
To establish a posterior cervical decompression educational curriculum with a novel cervical simulation model.


METHODS
The Congress of Neurological Surgeons developed a simulation committee to explore and develop simulation-based models. The educational curriculum was developed to have didactic and technical components with the incorporation of simulation models. Through numerous reiterations, a posterior cervical decompression model was developed and a 2-hour education curriculum was established.


RESULTS
Individual's level of training varied, with 5 postgraduate year (PGY) 2 participants, 1 PGY-3 participant, 2 PGY-5 participants, and 1 attending, with the majority being international participants (6 of 9, 67%). Didactic scores overall improved (7 of 9, 78%). The technical scores of all participants improved from 11 to 24 (mean, 14.1) to 19 to 25 (mean, 22.4). Overall, in the posterior cervical decompression simulator, there was a significant improvement in the didactic scores (P = .005) and the technical scores (P = .02).


CONCLUSIONS
The posterior cervical decompression simulation model appears to be a valuable tool in educating neurosurgery residents in the aspects of this procedure. The combination of a didactic and technical assessment is a useful teaching strategy in terms of educational development.
*Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania; ‡Department of Neurosurgery, Ohio State University, Columbus, Ohio; §Department of Neurosurgery, University of Florida, Gainesville, Florida.
James
J
Harrop
Ali R
AR
Rezai
Daniel J
DJ
Hoh
George M
GM
Ghobrial
Ashwini
A
Sharan
D002574:Cervical Vertebrae / Q000502:physiology*; D002983:Clinical Competence; D003198:Computer Simulation; D003479:Curriculum; D019299:Decompression, Surgical / Q000193:education; D059526:Foraminotomy / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D007796:Laminectomy / Q000193:education*; D008953:Models, Anatomic; D009460:Neurologic Examination; D009493:Neurosurgery / Q000193:education*; D013126:Spinal Nerve Roots / Q000502:physiology