Nakhla Jonathan, Kobets Andrew, De la Garza Ramos Rafeal, Haranhalli Neil, Gelfand Yaroslav, Ammar Adam, Echt Murray, Scoco Aleka, Kinon Merritt, Yassari Reza
Department of Neurological Surgery, Montefiore Medical Center, Bronx, New York, USA.
Department of Neurological Surgery, Montefiore Medical Center, Bronx, New York, USA.
World Neurosurg. 2017 Feb;98:711-714. doi: 10.1016/j.wneu.2016.11.122. Epub 2016 Dec 3.
The relatively decreased time spent in the operating room and overall reduction in cases performed by neurosurgical trainees as a result of duty-hour restrictions demands that the pedagogical content within each surgical encounter be maximized and crafted toward the specific talents and shortcomings of the individual. It is imperative to future generations that the quality of training adapts to the changing administrative infrastructures and compensates for anything that may compromise the technical abilities of trainees. Neurosurgeons in teaching hospitals continue to experiment with various emerging technologies-such as simulators and virtual presence-to supplement and improve surgical training.
The authors participated in the Google Glass Explorer Program in order to assess the applicability of Google Glass as a tool to enhance the operative education of neurosurgical residents. Google Glass is a type of wearable technology in the form of eyeglasses that employs a high-definition camera and allows the user to interact using voice commands.
Google Glass was able to effectively capture video segments of various lengths for residents to review in a variety of clinical settings within a large, tertiary care university hospital, as well as during a surgical mission to a developing country. The resolution and quality of the video were adequate to review and use as a teaching tool.
While Google Glass harbors the potential to dramatically improve both neurosurgical education and practice in a variety of ways, certain technical drawbacks of the current model limit its effectiveness as a teaching tool.
由于工作时间限制，神经外科实习生在手术室花费的时间相对减少，且手术量总体下降，这就要求每次手术中的教学内容要最大化，并根据个人的特定才能和不足进行设计。培训质量适应不断变化的管理架构，并弥补可能影响实习生技术能力的任何因素，这对后代来说至关重要。教学医院的神经外科医生继续尝试各种新兴技术，如模拟器和虚拟临场感，以补充和改进手术培训。
作者参与了谷歌眼镜探索者计划，以评估谷歌眼镜作为增强神经外科住院医师手术教育工具的适用性。谷歌眼镜是一种眼镜形式的可穿戴技术，它配备高清摄像头，允许用户通过语音命令进行交互。
在一所大型三级护理大学医院的各种临床环境中，以及在一次前往发展中国家的外科任务中，谷歌眼镜能够有效地捕捉不同长度的视频片段，供住院医师回顾。视频的分辨率和质量足以用于回顾并作为教学工具。
虽然谷歌眼镜有潜力以多种方式显著改善神经外科教育和实践，但当前型号的某些技术缺陷限制了其作为教学工具的有效性。
