Performance in the Fundamentals of Laparoscopic Surgery: Does it reflect global rating scales in the Objective Structured Assessment of Technical Skills in porcine laparoscopic surgery?

Objective:To correlate the utility of the Fundamentals of Laparoscopic Surgery(FLS)manual skills program with the Objective Structured Assessment of Technical Skills(OSATS)global rating scale in evaluating operative performance.Methods:The Asian Urological Surgery Training and Educational Group(AUSTEG)Laparoscopic Upper Tract Surgery Course implemented and validated the FLS program for its usage in laparoscopic surgical training.Delegates’basic laparoscopic skills were assessed using three different training models(peg transfer,precision cutting,and intra-corporeal suturing).They also performed live porcine laparoscopic surgery at the same workshop.Live surgery skills were assessed by blinded faculty using the OSATS rating scale.Results:From March 2016 to March 2019,a total of 81 certified urologists participated in the course,with a median of 5 years of post-residency experience.Although differences in task time did not reach statistical significance,those with more surgical experience were visibly faster at completing the peg transfer and intra-corporeal suturing FLS tasks.However,they took longer to complete the precision cutting task than participants with less experience.Overall OSATS scores correlated weakly with all three FLS tasks(peg transfer time:r=0.331,r^(2)=0.110;precision cutting time:r=0.240,r^(2)=0.058;suturing with intracorporeal knot time:r=0.451,r^(2)=0.203).Conclusion:FLS task parameters did not correlate strongly with OSATS globing rating scale performance.Although FLS task models demonstrated strong validity,it is important to assimilate the inconsistencies when benchmarking technical proficiency against real-life operative competence,as evaluated by FLS and OSATS,respectively.

Discussion on the Application of Technical and Tactical Skills in Mixed Martial Arts Competitions

This article mainly analyzes the application of technical and tactical skills in mixed martial arts competitions,including mixed martial arts and its competition characteristics,the main application significance of technical and tactical skills in mixed martial arts competitions,and its primary application strategies.It is hoped that this analysis can provide some guidelines for the appropriate application of mixed martial arts athletes’technical and tactical skills to improve their winning rate in mixed martial arts competitions.

Understanding the effects of structured self-assessment in directed,self-regulated simulation-based training of mastoidectomy:A mixed methods study

Objective:Self-directed training represents a challenge in simulation-based training as low cognitive effort can occur when learners overrate their own level of performance.This study aims to explore the mechanisms underlying the positive effects of a structured self-assessment intervention during simulation-based training of mastoidectomy.Methods:A prospective,educational cohort study of a novice training program consisting of directed,self-regulated learning with distributed practice(5x3 procedures)in a virtual reality temporal bone simulator.The intervention consisted of structured self-assessment after each procedure using a rating form supported by small videos.Semi-structured telephone interviews upon completion of training were conducted with 13 out of 15 participants.Interviews were analysed using directed content analysis and triangulated with quantitative data on secondary task reaction time for cognitive load estimation and participants’self-assessment scores.Results:Six major themes were identified in the interviews:goal-directed behaviour,use of learning supports for scaffolding of the training,cognitive engagement,motivation from self-assessment,selfassessment bias,and feedback on self-assessment(validation).Participants seemed to self-regulate their learning by forming individual sub-goals and strategies within the overall goal of the procedure.They scaffolded their learning through the available learning supports.Finally,structured self-assessment was reported to increase the participants’cognitive engagement,which was further supported by a quantitative increase in cognitive load.Conclusions:Structured self-assessment in simulation-based surgical training of mastoidectomy seems to promote cognitive engagement and motivation in the learning task and to facilitate self-regulated learning.

The Role of the Project Manager in Construction Projects in India

In India, the construction industry plays an important role in the economy of the country. It employs a sizeable portion of the work force, contributes largely to the gross domestic product （GDP） of the country, and is seen as a key catalyst for the growth and development of the Indian economy. The industry, however, is beset with many challenges, including delivering projects within projected costs and delivery dates and at the right quality to increasingly discerning clients. It is because of this that project management has assumed so much importance with the project manager seen to be a critical resource in the project achieving its objectives. However, the role of the project manager is still ambiguous. These research hypotheses that the role the project manager ought to play is that of a leader. It is only when project managers assume leadership roles that construction projects achieve objectives measured against time, cost, quality, and customer satisfaction. A quantitative approach was followed in this using both theoretical and analytic methods. The theoretical studies revealed the qualities, skills, and competencies that a project manager ought to possess and the links between the project manager assuming a position of leadership and the project achieving its objectives. The main data collection tool in the analytic method was an online questionnaire administered to 20 project managers of construction projects in India. It was found that while the Indian construction industry does recognize the significance of project managers, their role is relegated to administrative, monitoring, and supervision tasks. There is an overwhelming focus on technical skills. In those cases, where project managers were involved in all the stages of the project and possessed a gamut of managerial, technical, human, and interpersonal skills, there were substantial differences in terms of time, cost, quality, and customer satisfaction in the projects administered by them. The importance of this research stems from its alerting the construction sector in India to the true role that project managers ought to play. If it serves in a shift in the perception of the role of the project managers, this research would have served its purpose.

Development of TNU-SuperSID Teaching Module for Observing the Effects of Solar Activities on the Lower Ionosphere

Department of Physics, Faculty of Natural Science and Technology, Tay Nguyen university has collaborated with Stanford Solar Center of Stanford university on Space Weather monitor project. We have developed the TNU-SuperSID teaching module which has three main parts： antenna, preamplifier and data logger. This module can detect the variation of Very Low Frequency （VLF, 3 - 30 kHz） signals during sunrise and sunset transition, and sudden ionospheric disturbance due to solar flares. In other word, the behavior of the Earth＇s lower ionosphere corresponding the solar activities is understood by using VLF technique. Our project helps undergraduate students who are learning the astrophysics and space physics to enhance their knowledge in space science and their technical skills with real experiments. Through the participant in this project, students can also be gained their skills such as communication, working in team, processing data, etc.

Physical and Biomechanical Bases of Construction of a Training and Training Process When Preparing Wrestlers of the Greek-Roman Style

The article outlines the growing competition in the world in sports,especially in the Olympic types of programs,describes the fundamental importance of success in the sports arenas of the planet-the organization of educational and training and competitive process in Greco-Roman wrestling.The content of the weekly cycle of the training camp is presented.Individual cards for accounting the effectiveness of attacking and defensive technical and tactical actions in the ground have been developed and tested.Concrete conclusions are made and proposals are made to wrestling Federations and sports organizations.