David E. Biffar

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The Department of Surgery at the University of Arizona has created an intensive laparoscopic training course for surgical residents featuring a combined simulation laboratory and live swine model. We herein report the essential components to design and implement a rigorous training course for developing laparoscopic skills in surgical residents. At our(More)
BACKGROUND Ultrasonography use is increasing in emergency departments, and ultrasound education is now recommended in resident training. Ultrasound phantoms are used in many institutions for training purposes. The purpose of this study is to describe an inexpensive and simple method to create ultrasound-imaging models for the purpose of education and(More)
BACKGROUND Telepresence is emerging in clinical and educational settings as a potential modality to provide expert guidance during remote airway management. This study aimed to compare the effectiveness of telepresent versus in-person supervision of tracheal intubation. MATERIALS AND METHODS A randomized, crossover study was performed in a university(More)
BACKGROUND An emergent open thoracotomy (OT) is a high-risk, low-frequency procedure uniquely suited for simulation training. We developed a cost-effective Cardiothoracic (CT) Surgery trainer and assessed its potential for improving technical and interprofessional skills during an emergent simulated OT. MATERIALS AND METHODS We modified a commercially(More)
The goal of this study was to determine whether video laryngoscopy (VL) provides any advantage over direct laryngoscopy (DL) in first-attempt intubations. This was a controlled, randomized study of 120 medical students. Students were randomly assigned to either of 2 intubation groups, which used (1) DL (n=64) or (2) VL (n=56) with the Karl Storz C-MAC®(More)
The objective of this study was to determine whether or not a standard definition stereoscopic, 3D display could improve trainees’ performance on a standard Fundamentals of Laparoscopy (FLS) task. Thirtytwo procedurally naïve volunteers were recruited for the study. Subjects were randomized to begin the trials on either the 3D or 2D display and performed 10(More)
Limited clinical site availability and an increased need for clinical training experiences often make it difficult for prehospital health care providers to complete new and annual training requirements. Medical simulation provides an alternative learning environment that provides trainees the opportunity to acquire and perfect new clinical skills without(More)
Initiation of extracorporeal membrane oxygenation (ECMO) is stressful, especially for inexperienced extracorporeal life support providers. The main objective of this study was to create a novel, reusable mannequin for high-fidelity simulation of ECMO initiation. We modified a Laerdal neonatal mannequin (SimNewB; Stavanger, Norway) so that it could be used(More)
Introduction: The objective of this study was to determine whether or not a navigation pointer (NP) integrated into a laparoscopic camera and projected onto a surgical display might allow instructors to more easily and precisely direct assistants’ instruments to specific sites in a simulated laparoscopic field. Methods: Two hundred forty pins served as(More)
INTRODUCTION The objective of this study was to determine whether or not a navigation grid (NG) with a coordinate system overlaid on a laparoscopic display might allow attending surgeons to more easily and precisely direct their assistants' instruments to specific sites in a simulated laparoscopic field. MATERIALS AND METHODS In this randomized, crossover(More)
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