posterpresentations.com background posterpresentations.com ... · this powerpoint 2007 template...

1
RESEARCH POSTER PRESENTATION DESIGN © 2015 www.PosterPresentations.com Myringotomy tube (MT) placement is technically challenging and has many known complica/ons, especially in hands of trainees Simula/on training is a cost effec/ve way to familiarize surgical residents prior to live pa/ent training 1 Current simula/on models for MT placement exist but can be expensive, hard to reproduce, or lack resemblance to the real life procedure 2,3,4 We present a MT inser/on simula/on model that is low-cost and easy to replicate and resembles the anatomy of MT placement Background Materials Construc>ng the Model Figure 2A-D: Steps to construct the model. Methods References 1. Tavakol M, et al. Assessing the skills of surgical residents using simula/on.Educa&on.2008;65: 77-83 2. Mahalingam, S., Awad, Z., Tolley, N. S., & Khemani, S. (2016). Ven/la/on tube inser/on simula/on: a literature review and validity assessment of five training models. Clin Otolaryngol, 41(4), 321-326. doi:10.1111/coa.12543 3. Hong P, Webb AN, Corsten G, Balderston J, Haworth R, Ritchie K, Massoud E. An anatomically sound surgical simula/on model for myringotomy and tympanostomy tube inser/on. Int J Pediatr Otorhinolaryngol. 2014; 78(3): 522-529. 4. Wheeler B, Doyle PC, Chandarana S, Agrawal S, Husein M, Ladak HM. Interac/ve computer-based simulator for training in blade naviga/on and targe/ng in myringotomy. Comput Methods Programs Biomed. 2010 May;98(2):130-9 5. Reznick, R., Regehr, G., MacRae, H., Mar/n, J., & McCulloch, W. (1997). Tes/ng technical skill via an innova/ve "bench sta/on" examina/on. Am J Surg, 173(3), 226-230. Acknowledgements Dr. Cecelia Schmalbach MD, Dr. Resha Soni MD, Dr. Julie Schtracks MD Nicole Molin M.D. 1 , Jerlon Chiu B.S. 2 , Benjamin Liba M.D. 1 , Glenn Isaacson M.D. 1 1. Departments of Otolaryngology, Head and Neck Surgery and Pediatrics, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA 2. University of Connec/cut School of Medicine, Farmington, CT, USA Low Cost, Easy-to-Replicate Myringotomy Tube Placement Simula>on Model C B A D Figure 1 A-D: Materials needed to construct this model (total cost $35 USD) 1A. 4.5 inch diameter sok resin composite bocce ball 1B. Base – 4’’ PVC closet flange with plas/c ring (sold in the plumbing aisle of most hardware stores) 1C. Newspaper or tracing paper with printed or ink stamped tympanic membrane (included) 1D. Any sturdy plas/c/wooden slide (about 3cm x 6cm) 2A. Make your measurements and drill the holes with a hand drill or drill press 2B. Drill a hole in your plas/c slide 2C. Finished model Benefits of the Model Conclusions 2C. Load tympanic membrane onto slide This MT placement simula/on model is inexpensive and easy to reproduce without special tools or equipment. This model is unique in that it allows for prac/ce of MT placement on an anatomically similar target in addi/on to prac/ce with head orienta/on and focus of the microscope Prac/ce with the model can lead to improvement in performance and confidence in resident surgeons during MT placement Figure 3: (A) Model in use (B) view under microscope The efficacy of the model was tested on 10 volunteer medical students, performance was evaluated before and aker 30 minutes of prac/ce with the model. 5 Prac/cing on the model for 30 minutes led to sta/s/cally significant improvement in MT skill scores and decreased /me to place a MT tube (p<0.05) Anecdotally, residents show greater confidence, manual dexterity and performance in the opera/ng room with MT placement aker prac/cing on the model Efficacy Angle of simulated TM and EAC are similar to average human EAC and TM (Figure 4) Figure 5 Figure 4 Round shape of the model allows for prac/ce with head orienta/on, focusing of the microscope and speculum hand balance (Figure 5) A B

Upload: others

Post on 30-Jun-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: PosterPresentations.com Background PosterPresentations.com ... · This PowerPoint 2007 template produces a 42”x60” presentation poster. You can use it to create your research

RESEARCH POSTER PRESENTATION DESIGN © 2015

www.PosterPresentations.com

(—THIS SIDEBAR DOES NOT PRINT—) D E S I G N G U I D E

This PowerPoint 2007 template produces a 42”x60” presentation poster. You can use it to create your research poster and save valuable time placing titles, subtitles, text, and graphics.

We provide a series of online answer your poster production questions. To view our template tutorials, go online to PosterPresentations.com and click on HELP DESK.

When you are ready to print your poster, go online to PosterPresentations.com

Need assistance? Call us at 1.510.649.3001

Q U I C K S T A R T

Zoom in and out As you work on your poster zoom in and out to the level that is more comfortable to you. Go to VIEW > ZOOM.

Title, Authors, and Affiliations

Start designing your poster by adding the title, the names of the authors, and the affiliated institutions. You can type or paste text into the provided boxes. The template will automatically adjust the size of your text to fit the title box. You can manually override this feature and change the size of your text.

T I P : The font size of your title should be bigger than your name(s) and institution name(s).

Adding Logos / Seals Most often, logos are added on each side of the title. You can insert a logo by dragging and dropping it from your desktop, copy and paste or by going to INSERT > PICTURES. Logos taken from web sites are likely to be low quality when printed. Zoom it at 100% to see what the logo will look like on the final poster and make any necessary adjustments.

T I P : See if your company’s logo is available on our free poster templates page.

Photographs / Graphics You can add images by dragging and dropping from your desktop, copy and paste, or by going to INSERT > PICTURES. Resize images proportionally by holding down the SHIFT key and dragging one of the corner handles. For a professional-looking poster, do not distort your images by enlarging them disproportionally.

Image Quality Check Zoom in and look at your images at 100% magnification. If they look good they will print well.

ORIGINAL DISTORTED

Cornerhandles

Good

prin

/ngqu

ality

Badprin/n

gqu

ality

Q U I C K S TA R T ( c o n t . )

How to change the template color theme You can easily change the color theme of your poster by going to the DESIGN menu, click on COLORS, and choose the color theme of your choice. You can also create your own color theme. You can also manually change the color of your background by going to VIEW > SLIDE MASTER. After you finish working on the master be sure to go to VIEW > NORMAL to continue working on your poster.

How to add Text The template comes with a number of pre-formatted placeholders for headers and text blocks. You can add more blocks by copying and pasting the existing ones or by adding a text box from the HOME menu.

Text size

Adjust the size of your text based on how much content you have to present. The default template text offers a good starting point. Follow the conference requirements.

How to add Tables

To add a table from scratch go to the INSERT menu and click on TABLE. A drop-down box will help you select rows and columns.

You can also copy and a paste a table from Word or another PowerPoint document. A pasted table may need to be re-formatted by RIGHT-CLICK > FORMAT SHAPE, TEXT BOX, Margins.

Graphs / Charts You can simply copy and paste charts and graphs from Excel or Word. Some reformatting may be required depending on how the original document has been created.

How to change the column configuration RIGHT-CLICK on the poster background and select LAYOUT to see the column options available for this template. The poster columns can also be customized on the Master. VIEW > MASTER.

How to remove the info bars

If you are working in PowerPoint for Windows and have finished your poster, save as PDF and the bars will not be included. You can also delete them by going to VIEW > MASTER. On the Mac adjust the Page-Setup to match the Page-Setup in PowerPoint before you create a PDF. You can also delete them from the Slide Master.

Save your work Save your template as a PowerPoint document. For printing, save as PowerPoint or “Print-quality” PDF.

Student discounts are available on our Facebook page. Go to PosterPresentations.com and click on the FB icon.

•  Myringotomytube(MT)placementistechnicallychallengingandhasmanyknowncomplica/ons,especiallyinhandsoftrainees

•  Simula/ontrainingisacosteffec/vewaytofamiliarize

surgicalresidentspriortolivepa/enttraining1

•  Currentsimula/onmodelsforMTplacementexistbutcanbeexpensive,hardtoreproduce,orlackresemblancetothereallifeprocedure2,3,4

•  WepresentaMTinser/onsimula/onmodelthatis

low-costandeasytoreplicateandresemblestheanatomyofMTplacement

Background

Materials

Construc>ngtheModelFigure2A-D:Stepstoconstructthemodel.

Methods

References1.  TavakolM,etal.Assessingtheskillsofsurgicalresidentsusingsimula/on.Educa&on.2008;65:77-832.  Mahalingam,S.,Awad,Z.,Tolley,N.S.,&Khemani,S.(2016).Ven/la/ontubeinser/onsimula/on:aliteraturereviewandvalidityassessmentoffivetraining

models.ClinOtolaryngol,41(4),321-326.doi:10.1111/coa.125433.  HongP,WebbAN,CorstenG,BalderstonJ,HaworthR,RitchieK,MassoudE.Ananatomicallysoundsurgicalsimula/onmodelformyringotomyand

tympanostomytubeinser/on.IntJPediatrOtorhinolaryngol.2014;78(3):522-529.4.  WheelerB,DoylePC,ChandaranaS,AgrawalS,HuseinM,LadakHM.Interac/vecomputer-basedsimulatorfortraininginbladenaviga/onandtarge/ngin

myringotomy.ComputMethodsProgramsBiomed.2010May;98(2):130-95.  Reznick,R.,Regehr,G.,MacRae,H.,Mar/n,J.,&McCulloch,W.(1997).Tes/ngtechnicalskillviaaninnova/ve"benchsta/on"examina/on.AmJSurg,173(3),

226-230.

AcknowledgementsDr.CeceliaSchmalbachMD,Dr.ReshaSoniMD,Dr.JulieSchtracksMD

NicoleMolinM.D.1,JerlonChiuB.S.2,BenjaminLibaM.D.1,GlennIsaacsonM.D.11.DepartmentsofOtolaryngology,HeadandNeckSurgeryandPediatrics,LewisKatzSchoolofMedicine,TempleUniversity,Philadelphia,PA,USA

2.UniversityofConnec/cutSchoolofMedicine,Farmington,CT,USA

LowCost,Easy-to-ReplicateMyringotomyTubePlacementSimula>onModel

C

BA

D

Figure1A-D:Materialsneededtoconstructthismodel(totalcost$35USD)

1A.4.5inchdiametersokresincompositebocceball1B.Base–4’’PVCclosetflangewithplas/cring(soldintheplumbingaisleofmosthardwarestores)1C.Newspaperortracingpaperwithprintedorinkstampedtympanicmembrane(included)1D.Anysturdyplas/c/woodenslide(about3cmx6cm)

2A.Makeyourmeasurementsanddrilltheholeswithahanddrillordrillpress

2B.Drillaholeinyourplas/cslide

2C.Finishedmodel

BenefitsoftheModel

Conclusions

2C.Loadtympanicmembraneontoslide

•  ThisMTplacementsimula/onmodelisinexpensiveandeasytoreproducewithoutspecialtoolsorequipment.

•  Thismodelisuniqueinthatitallowsforprac/ceofMTplacementonananatomicallysimilartargetinaddi/ontoprac/cewithheadorienta/onandfocusofthemicroscope

•  Prac/cewiththemodelcanleadtoimprovementinperformanceandconfidenceinresidentsurgeonsduringMTplacement

Figure3:(A)Modelinuse(B)viewundermicroscope

•  Theefficacyofthemodelwastestedon10volunteermedicalstudents,performancewasevaluatedbeforeandaker30minutesofprac/cewiththemodel.5• Prac/cingonthemodelfor30minutesledtosta/s/callysignificantimprovementinMTskillscoresanddecreased/metoplaceaMTtube(p<0.05)• Anecdotally,residentsshowgreaterconfidence,manualdexterityandperformanceintheopera/ngroomwithMTplacementakerprac/cingonthemodel

Efficacy

•  AngleofsimulatedTMandEACaresimilartoaveragehumanEACandTM(Figure4)

Figure5

Figure4

•  Roundshapeofthemodelallowsforprac/cewithheadorienta/on,focusingofthemicroscopeandspeculumhandbalance(Figure5)

A B