Program will allow surgeons to sharpen, showcase their skills

Scott Foster, M.D. portrait

Scott Foster, M.D.
Executive, Providence Regional Surgery Program

Shaghayegh Aliabadi-Wahle, M.D.
General surgeon, regional director of surgery

July 17, 2013

Error prevention, regional outreach and responsible use of resources are at the core of a new Providence safety initiative – The Northern-Oregon Minimally Invasive Surgery and Healthcare Advancement Program, or NO-MISHAP – set to launch later this year.

Through the use of technical and team-based simulation, this program aims to exceed stricter national quality-of-care standards and regulations. Further, it will be a venue to showcase our clinical experts with national and international reputations while offering ongoing training, education and research to our local and regional community partners.

With the help of a $229,363 grant from Providence Portland Medical Foundation, the regional program will focus on training and credentialing for minimally invasive procedures.

It will include a surgical educator; a specially outfitted operating room at Providence Portland Medical Center with surgery simulation equipment (including laparoscopy, endoscopy and robot-assisted surgery); and a credentialing test center. The program will help residents and practicing surgeons earn or maintain certification in laparoscopic (FLS) and endoscopic (STEP and FES) surgery recommended by national specialty boards.

Technology-enabled surgeries require complex surgical skills and extensive hands-on practice rarely taught in graduate medical education. Simulation allows for a validated surgical experience, with exercises ranging from simple surgical instrument manipulation to virtual procedures. For residents learning basic skills in laparoscopic, robot-assistant and endoscopy procedures, simulation platforms provide immediate feedback on skill levels before actual patient exposure.

For experienced surgeons, simulation can help maintain established but rarely used skill sets, and can help reduce OR time and the risk of complications. We also have the opportunity to collaborate with a few other centers across the country to formally study the link between simulation and outcomes that are important to patients.

Finally, there is a growing recognition that team simulation training enhances teamwork and improves patient safety not only through fewer adverse events, but also through operational efficiency. This skills program will help surgeons, gastroenterologists, anesthesiologists, nurses and OR techs practicing in all our communities deliver even safer care while keeping up on new innovations.

The vision for this center supports our long tradition of commitment to quality care, outreach and education, and it helps position Providence and affiliated surgeons as regional leaders in laparoscopic, robotic-assisted and endoscopic surgery.

The program is expected to launch this fall. To learn more, drop us an email.