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Design and Development of a Lumbar Puncture Simulation Model

2018· article· en· W3176597345 on OpenAlexaff
Lakshmi Kamala, Sarah Zhang, Anna Farias, Besim Kalajdzic, André Salim Khayat, Beth‐Anne Schuelke‐Leech, Jill Urbanic

Bibliographic record

VenueThe FASEB Journal · 2018
Typearticle
Languageen
FieldEngineering
TopicAnatomy and Medical Technology
Canadian institutionsUniversity of WindsorWestern University
Fundersnot available
KeywordsExcellenceFlexibility (engineering)Cadaveric spasmMedical physicsLumbarMedical simulationComputer scienceMedicineLumbar punctureParametric statisticsSimulationLumbar spineMedical educationPhysical therapySurgeryPathology

Abstract

fetched live from OpenAlex

Traditionally, medical trainees have been taught how to perform clinical skills on patients, moving directly from observation of senior physicians to carrying out the procedure themselves. In recent years, there has been a shift in medical education towards including simulation‐based teaching methods, which has been associated with reduced learner discomfort and improved patient outcomes. Simulation models are currently used to train medical students on lumbar punctures. The aim of this project is to improve upon existing models by creating a lumbar puncture simulation model with flexibility in the spine, with anatomically accurate physical measurements and mechanical properties, where required. Clinicians were interviewed to gather input on the initial design of the model, and will be interviewed again after testing the prototype to obtain feedback on how to further modify the model for increased clinical accuracy. A parametric CAD model was based on anatomic data collected by cadaveric experiments and measurements obtained from a literature search of imaging, cadaveric and in vivo studies. We will discuss the current prototype of the lumbar puncture model and the mechanical properties, physical measurements and clinician input incorporated in the design. Improved anatomic accuracy of the finalized model will allow trainees to translate their lumbar puncture skills more readily from practicing on the simulation model to performing on patients, leading to increased patient safety. Support or Funding Information Schulich ‐ UWindsor Opportunities for Research Excellence Program (SWORP) This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal .

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: Simulation or modeling
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.660
Threshold uncertainty score0.095

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.024
GPT teacher head0.240
Teacher spread0.216 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSimulation or modeling
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2018
Admission routes1
Has abstractyes

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