Facilitating the Safe Diffusion of Surgical Innovations

Annals of Surgery

This article highlights novel strategies that may assist surgeons and hospitals in addressing the challenges associated with incorporating emerging procedures and technology with safe patient care. Peer coaching by experienced surgeons has been proposed to assist with safe surgical skill acquisition in practice. Hospital credentialing committees may better utilize expert surgeons as proctors for less-experienced surgeons who apply for privileges to perform new procedures. Furthermore, opportunities exist in leveraging industry's financial incentives with surgeons’ drive for clinical advancements. The strategies described in this article offer ways to ensure procedural competency to benefit and protect patients when surgical innovations enter practice.

Pradarelli, Jason C. MD, MS*,†; Havens, Joaquim M. MD*,†; Smink, Douglas S. MD, MPH*,†

Annals of Surgery: April 2019 - Volume 269 - Issue 4 - p 610–611

JAMA Surgery

FloydW. van de Graaf, MD; Marilyne M. Lange,MD, PhD; Jolanda I. Spakman, MD; Wilhelmina M. U. van Grevenstein, MD, PhD; Daan Lips, MD, PhD; Eelco J. R. de Graaf,MD, PhD; Anand G. Menon, MD, PhD; Johan F. Lange,MD, PhD (2019) Comparison of Systematic Video Documentation With Narrative Operative Report in Colorectal Cancer Surgery JAMA Surg. Published online January 23, 2019. doi:10.1001/jamasurg.2018.5246

American Urological Association National Meeting

Ghani KR, Comstock B, Miller DC, Dunn RL, Kim T, Linsell S, Lane BR, Sarle R, Lendvay T, Montie J, Peabody JO, The Michigan Urological Surgery Improvement Collaborative. Skill Assessment of Surgeons Performing Robot-Assisted Radical Prostatectomy: Relationship Between Crowdsourced Review. American Urological Association National Meeting.  Boston MA USA May 2017. [BEST ABSTRACT - PLENARY]

Journal of Endourology

Kowalewski T, Comstock B, Sweet R, Schaffhausen C, Menhadji A, Averch T, Box G, Brand T, Ferrandino M, Kaouk J, Knudsen B, Landman J, Lee B, Schwartz B, McDougall E, Lendvay TS. Correlation of High-Volume Crowdsourced Evaluation and Tool Motion Metrics for Surgical Skills Assessment: The Basic Laparoscopic Urologic Skills (BLUS) Validation Project.  Journal of Endourology [in Review, 2016].

American Journal Of Obstetrics And Gynecology

Polin MR, Siddiqui NY, Comstock BA, Hesham H, Brown C, Lendvay TS, Martino MA. Crowdsourcing: a valid alternative to expert evaluation of robotic surgery skills. American Journal Of Obstetrics And Gynecology. 2016 Nov 30;215(5):644-e1.

Plastic and Reconstructive Surgery

Raymond WT, Oh E, Gruss JS, Hopper RA, Birgfeld CB. Crowdsourcing as a Novel Method to Evaluate Aesthetic Outcomes of Treatment for Unilateral Cleft Lip. Plastic and Reconstructive Surgery. 2016 Oct 1;138(4):864-74.