Surgical training is changing： one hundred years of tradition is being challenged by legal and ethical concerns for patient safety, work hours restrictions, the cost of operating room time, and complications. Surgica...Surgical training is changing： one hundred years of tradition is being challenged by legal and ethical concerns for patient safety, work hours restrictions, the cost of operating room time, and complications. Surgical simulation and skills training offers an opportunity to teach and practice advanced skills outside of the operating room environment before attempting them on living patients. Simulation training can be as straight forward as using real instruments and video equipment to manipulate simulated ＂tissue＂ in a box trainer. More advanced, virtual reality simulators are now available and ready for widespread use. Early systems have demonstrated their effectiveness and discriminative ability. Newer systems enable the development of comprehensive curricula and full procedural simulations. The Accreditation Council of Graduate Medical Education＇s （ACGME） has mandated the development of novel methods of training and evaluation. Surgical organizations are calling for methods to ensure the maintenance of skills, advance surgical training, and to credential surgeons as technically competent. Simulators in their current form have been demonstrated to improve the operating room performance of surgical residents. Development of standardized training curricula remains an urgent and important agenda, particularly for minimal invasive surgery. An innovative and progressive approach, borrowing experiences from the field of aviation, can provide the foundation for the next century of surgical training, ensuring the quality of the product. As the technology develops, the way we practice will continue to evolve, to the benefit of physicians and patients.展开更多
CFD （computational fluid dynamics） is following the trend of CAD and FEA （finite element analysis） to undergraduate education especially with recent advances in commercial codes. It will soon take its place as an ...CFD （computational fluid dynamics） is following the trend of CAD and FEA （finite element analysis） to undergraduate education especially with recent advances in commercial codes. It will soon take its place as an expected skill for new engineering graduates. CFD was added as a component to an experiment in a junior level fluid mechanics course. The objectives were to introduce CFD, as an analysis tool, to the students and to support the theoretical concepts of the course. The students were asked to complete an experimental two-dimensional study for a wing in a wind tunnel, to use CFD to simulate the flow, and to predict the aerodynamic lift using CFD as well as the experimentally obtained pressure distribution. In addition, they had to compare their results to published data for the studied wing. Details of the course, the wind tunnel test and the CFD simulations are presented. Samples from the students＇ work are used in the discussion. The lab activities were successfully completed by the students and the learning objectives were well addressed. One of the valuable outcomes from this lab was the opportunity for the students to integrate multiple fluid mechanics analysis tools and learn about the limits for each tool. CFD also enhanced the learning in the lab activities and increased students＇ interest in the subject.展开更多
文摘Surgical training is changing： one hundred years of tradition is being challenged by legal and ethical concerns for patient safety, work hours restrictions, the cost of operating room time, and complications. Surgical simulation and skills training offers an opportunity to teach and practice advanced skills outside of the operating room environment before attempting them on living patients. Simulation training can be as straight forward as using real instruments and video equipment to manipulate simulated ＂tissue＂ in a box trainer. More advanced, virtual reality simulators are now available and ready for widespread use. Early systems have demonstrated their effectiveness and discriminative ability. Newer systems enable the development of comprehensive curricula and full procedural simulations. The Accreditation Council of Graduate Medical Education＇s （ACGME） has mandated the development of novel methods of training and evaluation. Surgical organizations are calling for methods to ensure the maintenance of skills, advance surgical training, and to credential surgeons as technically competent. Simulators in their current form have been demonstrated to improve the operating room performance of surgical residents. Development of standardized training curricula remains an urgent and important agenda, particularly for minimal invasive surgery. An innovative and progressive approach, borrowing experiences from the field of aviation, can provide the foundation for the next century of surgical training, ensuring the quality of the product. As the technology develops, the way we practice will continue to evolve, to the benefit of physicians and patients.
文摘CFD （computational fluid dynamics） is following the trend of CAD and FEA （finite element analysis） to undergraduate education especially with recent advances in commercial codes. It will soon take its place as an expected skill for new engineering graduates. CFD was added as a component to an experiment in a junior level fluid mechanics course. The objectives were to introduce CFD, as an analysis tool, to the students and to support the theoretical concepts of the course. The students were asked to complete an experimental two-dimensional study for a wing in a wind tunnel, to use CFD to simulate the flow, and to predict the aerodynamic lift using CFD as well as the experimentally obtained pressure distribution. In addition, they had to compare their results to published data for the studied wing. Details of the course, the wind tunnel test and the CFD simulations are presented. Samples from the students＇ work are used in the discussion. The lab activities were successfully completed by the students and the learning objectives were well addressed. One of the valuable outcomes from this lab was the opportunity for the students to integrate multiple fluid mechanics analysis tools and learn about the limits for each tool. CFD also enhanced the learning in the lab activities and increased students＇ interest in the subject.
