Roger L. Kneebone

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Background: Although the general literature on stress and performance is extensive, little is known about specific effects of stress in surgical practice. This qualitative study explored key surgical stressors, their impact on performance, and coping strategies used by surgeons. Methods: Individual in-depth semistructured interviews with surgeons were(More)
The base of all training in interventional radiology relies on the development of the core skills in manipulating the instruments. Computer simulators are emerging to help in this task with virtual reality simulators and haptic devices. This paper extends our previous interventional radiology training framework with two new virtual instruments: a stent and(More)
Availability of YR laparoscopic simulation for surgical training has increased significantly. Nevertheless, few studies have explored such simulators' requirements and the degree of fidelity necessary to provide effective educational tools. The authors aim to identify which didactic resources available in YR simulation technologies are most important for(More)
BACKGROUND The literature on simulated or standardized patient (SP) methodology is expanding. However, at the level of the program, there are several gaps in the literature. We seek to fill this gap through documenting experiences from four programs in Australia, Canada, Switzerland and the United Kingdom. We focused on challenges in SP methodology,(More)
OBJECTIVE To determine whether there is equivalence in the competence of GPs and hospital doctors to perform a range of elective minor surgical procedures, in terms of the safety, quality and cost of care. DESIGN A prospective randomised controlled equivalence trial was undertaken in consenting patients presenting at general practices and needing minor(More)
Skin malignancy is an important cause of mortality in the United Kingdom and is rising in incidence every year. Most skin cancer presents in primary care, and an important determinant of outcome is initial recognition and management of the lesion. Here we present an observational study of interobserver agreement using data from a population-based randomised(More)
BACKGROUND An evaluation of an effective and engaging intervention for educating general practice (GP) receptionists about integrated care and the importance of their role within the whole system was conducted. METHODS Workshops took place in North West London, one of England's 14 'Integrated Care Pioneers.' Three training days featuring Sequential(More)