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High-Throughput Dissociation and Orthotopic Implantation of Breast Cancer Patient-Derived Xenografts
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Novel Approach to Residents Training in Breast Surgery Using Human Donors.

Sarah Keshwani1, Lilia Lunt1, Rachel Akers1

  • 1Rush University Medical Center, Chicago, Illinois.

The Journal of Surgical Research
|September 14, 2024
PubMed
Summary
This summary is machine-generated.

A novel human donor curriculum improved junior surgical residents' confidence and skills in performing breast lumpectomy and sentinel lymph node biopsy procedures, enhancing their readiness for patient care.

Keywords:
Breast cancerBreast surgeryHuman donorsResident educationSurgery residency

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Area of Science:

  • Surgical Education
  • Oncology
  • Anatomy Training

Background:

  • General surgeons often manage breast cancer patients due to specialist shortages.
  • Resident surgical training faces challenges like reduced operative exposure and autonomy.
  • A need exists for effective training methods in breast surgery for junior residents.

Purpose of the Study:

  • To evaluate a human donor-based curriculum for training junior surgical residents in breast lumpectomy and sentinel lymph node biopsy.
  • To assess the impact of this curriculum on residents' understanding, skills, and confidence.

Main Methods:

  • Junior surgery residents participated in two training sessions using fresh human donors.
  • Procedures included breast lumpectomy with Savi Scout localization and sentinel lymph node biopsy using methylene blue.
  • Residents performed procedures with and without direct supervision, receiving feedback and completing confidence surveys.

Main Results:

  • Half of participating residents reported improved understanding of breast lumpectomy, sentinel lymph node biopsy, and axillary anatomy.
  • A majority felt their surgical skills improved and were transferable to clinical practice.
  • Attending evaluations showed significant improvement in PGY1 residents' procedural skills, with non-significant improvement in PGY2 residents.

Conclusions:

  • The human donor curriculum effectively enhances residents' anatomical knowledge, confidence, and surgical skills for breast procedures.
  • This training approach facilitates skill acquisition transferable to the operating room.
  • The curriculum is recommended for integration into general surgery residency programs.