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. Author manuscript; available in PMC: 2014 Sep 1.
Published in final edited form as: Ann Biomed Eng. 2013 Mar 13;41(9):1899–1912. doi: 10.1007/s10439-013-0783-9

Table 1.

Description of video breakdown from 2011 DVD detailing the four segments: Imaging, Patient Care, Surgery, and Procedures.

2011 Video Distribution

Segment Length Components Summary
Imaging 14:18
  1. Ultrasound

  2. Scopes

  3. Computertomography

  4. X-Ray

  5. Positron Emission Tomography

A variety of scopes were discussed, including laryngoscopes and bronchoscopes. Inherent flaws in the equipment such as image quality and image processing and cases of the equipment failing to meet needs of the environment, including portability, robustness, and ease of use were displayed. The portable equipment frequently was difficult to transport and fit in confined spaces in patient rooms. Cost of the equipment married with equipment lacking in durability was also discussed. Technician exposure to radiation was a significant risk with the radioactive glucose used in positron emission tomography (PET).

Patient Care 14:57
  1. Transportation

  2. Patient size

  3. Sterile technique

  4. Intravenous access

  5. Pain

  6. Hospitalization complications

A recurring concern was equipment and procedures poorly suited to incorporate the growing number of obese patients. Difficulties arose with transporting patients, regularly rotating patients to prevent skin breakdown, and preventing the muscle loss associated with immobility. Size complicated normal concerns, as typically functional equipment frequently adapted poorly to patients who were either very large or very small, indicating not enough specialization for infants and obese patients. Other primary concerns included creating a consistently sterile environment and difficulties involved with intravenous exertions.

Surgery 13:38
  1. Center for virtual care

  2. Gastric bypass surgery

  3. Laparoscopic instruments

  4. Da Vinci Surgical System

The surgery segment includes interviews with team members from Center for Virtual Care (CVC) displaying laparoscopic equipment and discussing the shortcomings of current tools used for teaching and performing surgery. Furthermore, examples of how the physicians interact with the CVC equipment demonstrate an area for further development in medical training tools. This section explores some of the drawbacks of using the mannequins to model human patients. Additionally, the physicians talk about the direction that medical training is heading. Online footage is included to highlight topics discussed in this section with regards to surgical training.

Procedures 14:26
  1. Airway management

  2. Nasogastric tube

  3. Improvisation techniques

  4. Vascular access

  5. Procedural kits

The major focuses of the procedural section were patient safety and procedural efficiency. Intubation and chest tubes provided both immediate and long-term concerns such as tube movement and infection. Bronchoscope maneuverability and tube access and placements were also difficulties. Safe and efficient IV placement posed additional problems. Access was complicated in special cases including in obese patients.