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PANTOGEN SURGICAL SCRIPTS: DETAILED EXPERT OPERATIVE INFORMATION FOR TRAINING AND QUALITY CONTROL

Michael H Edwards 14 February 2007

http://www.wikisurgery.com CLICK HERE TO SEE EXAMPLES OF PANTOGEN SURGICAL SCRIPTS IN WIKISURGERY.COM:

BREAST SURGERY

GENERAL SURGERY

PAEDIATRIC SURGERY

UROLOGY

VASCULAR SURGERY

SURGICAL EDUCATION AND TRAINING

A Pantogen Surgical Script is a unique source of extremely detailed operative surgical information.

Each script aims to present all the operative information that an expert surgeon uses when operating.

Ninety percent of this information is “not in the books”. Traditionally such

information has been learned by experience during the course of operating on

many cases over many years.

However, much of this information is very simple and can be absorbed outside the

operating theatre. The trainee’s progress at the operating table subsequently

should be faster and more confident, with fewer patients being put at risk.

For experts, the scripts will doubtless be a source for comment and criticism.

However, the scripts can be easily edited to match the preferences of any

surgeon, thereby creating a surgeon’s personalised operative manual.

Just as the expert surgeon does, the scripts divides even the most complex

operation into very small basic steps. For each step, the scripts describe all

the information that the expert surgeon uses using during that step.

Eg Where to start the step, where to finish, plus how to avoid, prevent and

solve problems.

The scripts are written in a manual style with high readability scores, in

contrast to the classical essay style.

We recommend that trainees skim through the overview, the sections and then one

or two of the steps to get a general idea of the scope of the work. Then they

should read the whole script before assisting an expert performing the

operation. The trainee can make notes and comments in the script after

assisting. Rereading the script after the operation should reinforce what has

been learned at the operation. Within a surprisingly short space of time the

trainee will reach a stage to perform the operation, or parts of it, under

supervision

Always check with a trained surgeon before using any of the information in these

scripts.

[edit] Warning

A pantogen script is a useful tool for training and for quality control.

BUT it has major limitations.

It does not cover all the details of the procedures.

It is not a comprehensive training system.

It may complement, but it does not replace standard accepted surgical practices, or accepted forms of surgical teaching and training.

It does not set out to establish or impose any specific standard of surgical practice.

It does not set out to impose any particular way of performing an operation.

It describes some procedures which carry an inherent high risk of serious or lethal complications.

It describes some procedures and operations which are changing very rapidly, but the information in a pantogen is only as good as its last update.

The information in a pantogen is only a part of the requirements for successful surgery.

Pantogens assumes certain levels of surgical skill. These skills may have been acquired with the help of more basic pantogens. eg. The steps of an oesophagectomy are far more difficult than the steps in an inguinal hernia repair.

It is possible for a surgeon to follow pantogen steps to the letter, and still get into serious trouble for a large number of reasons, some of which are listed above.

The clinical judgement of the surgeon at all times overrides the information given in pantogens.

We accept that there are entirely acceptable alternatives to the procedures, techniques, equipment, and materials mentioned in pantogens.

We do not claim that any of the procedures, techniques, equipment, and materials in pantogens are in any way superior to others.

While the author and publishers have made strenuous efforts to make pantogens as safe and as reliable as they possibly can, they accept no liability for:

Problems occurring from the use of pantogens in their original or in any modified form, either now or in the future.

Any difficulties encountered in performing any of the techniques, or using any of the equipment or materials, surgical and non-surgical, described in the text.

Changes, discrepancies, errors that may appear in the information as the result of data inputting, programming, system faults, data handling, transmission, and printing or any other computerised process.