“LESSONS LEARNED FROM 20 YEARS OF MILITARY AVIATION TRAINING: PARALLELS IN SURGICAL SKILL ACQUISTION AND POTENTIAL FOR IMPROVEMENTS IN SURGICAL OUTCOMES”
Arif Janjua, Jameel Janjua
The practice of Otolaryngology has become increasingly complex, with knowledge and techniques blossoming in each sub-specialty area. Crew resource management principles have begun to be applied to improve health outcomes in medicine. Drawing on the expertise of a Canadian Forces CF-18 fighter/test pilot with over 3,400 hours flying in 35 different aircraft, this workshop will explore several aspects of military flight preparation including mission planning/briefing, execution and debriefing. These practices may be adapted to improve the process of surgical skill acquisition – for surgical trainees and teaching faculty, as well as practicing surgeons aiming to expand their breadth of practice and/or improve their surgical outcomes via the structured feedback mechanisms employed in military aviation. Pre-operative planning includes a structured ‘briefing guide’ to maximize surgeon preparedness, delineation of contingency plans and identification of critical steps for successful procedure completion. The post-operative debriefing is performed using the ‘O-SCORE’ system, which provides actionable items for future improvement.
At the conclusion of the session, participants will:
- Become aware of structured mechanisms employed in the training of military aviators,
- Become exposed to improved pre-operative planning techniques including the use of a ‘briefing guide’ to improve preparedness including potential surgical complications and critical steps for success,
- Utilize the ‘O-SCORE’ framework to critical analyze surgical performance and identify areas for improvement at the next similar surgical encounter.
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Corresponding Author: Dr. Arif Janjua
Senior Author: Dr. Arif Janjua
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