WISE Surgery
WISE-Surgery (formerly WISE-MD) has been developed through a joint effort of NYU Grossman School of Medicine, the American College of Surgeons (ACS) and the Association of Surgical Education (ASE).
A collection of 40 multimedia modules designed to enhance the teaching of common surgical problems and practices to medical students, residents, nurses, and allied health workers.
The Empathy Project
Overview
WISE-Surgery has been created to address gaps in healthcare learners’ surgical education resulting from shortened hospital stays and increased use of outpatient facilities for pre and post-surgical care.
The offering leverages a mix of instructional technologies, including computer animation and live surgical video, to deliver a self-directed learning experience in which the important principles related to the diagnosis and treatment of surgical illnesses are taught.
Two categories of content are included in WISE-Surgery: case-based and skill-based. The case-based modules focus on twenty-two different surgical scenarios related to specific disease processes and interventions. They were designed to follow the typical course of a patient from the initial presentation to the physical examination, laboratory testing and radiological imaging, preoperative preparation, surgery, and recovery.
The modules include patient/physician interactions to stress the importance of professionalism and communication. The eighteen skills-based modules focus on professionalism and practical clinical skills including suturing, ultrasound, and knot tying.
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Key Features
- Introduces the fundamentals, epidemiology and pathophysiology in 22 simulated diseased based cases
- Re-enforces professionalism and interpersonal communication (LCME 7.8)
- Allows students to follow an entire case for each common surgical condition (LCME 6.2, 8.8)
- Ensures a consistent experience despite site and instructor variability (LCME 6.2, 8.7)
- Can be assigned easily to remedy experience gaps caused by patient flow (LCME 8.6)
- Lets students assess their clinical reasoning with 270 case-based questions (LCME 6.3, 7.4, 9.7)
- Self-paced with ability to speed up and repeat content (LCME 6.3)
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Course Coverage
- Each symptom-based module includes an introduction, a review of causes, a sample patient case, practice questions, and references
- The selection of module topics is informed by the Core Entrustable Professional Activities (EPAs) outlined by the Association of American Medical Colleges
- Modules currently cover many of the conditions requiring urgent or emergent care as specified in EPA 10
- Reviews key considerations associated with general clinical activities such as documenting clinical encounters (EPA 5)
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Curriculum Integration
WISE-Surgery has been widely used as part of the curriculum for surgical clerkships. Some institutions have opted to replace some of their traditional lectures covering basic surgical diseases with WISE-Surgery modules. Self-directed review of the WISE-Surgery modules eliminates disruption of the clinical experience caused by assigned lectures while maintaining a high-quality learning experience. For schools with multiple clinical sites, WISE-Surgery permits a uniformity of content for all student clerks across locations. The modules have also been used by students to prepare for observation of surgical procedures. The WISE-Surgery cases also provide an opportunity for group discussion during direct instruction.
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Case List
Case-based (tracked for completion)
- Abdominal Aortic Aneurysms
- Adrenal Adenoma
- Anorectal Disease
- Appendicitis
- Bariatric
- Bowel Obstruction
- Breast Cancer
- Burn Management
- Carotid Stenosis
- Cholecystitis
- Colon Cancer
- Diverticulitis
- Hypercalcemia
- Inguinal Hernia
- Lung Cancer
- Pancreatitis
- Pediatric Hernia
- Pediatric Pyloric Stenosis
- Skin Cancer
- Thyroid Nodule
- Trauma Resuscitation
- Venous Thromboembolism
- Advanced Communication Skills: Empathy
- Advanced Communication Skills: Implicit Bias
- Best Practices
- Epidural placement technique
- Foley catheter placement
- Surgical Instruments
- Suturing and instrument tie
- Two-handed knot tie
- Ultrasound Basic Principles
- Ultrasound: Abdominal Aortic Aneurysm
- Ultrasound: ABI
- Ultrasound: Breast
- Ultrasound: Carotid Artery
- Ultrasound: Cholelithiasis / Cholecystitis
- Ultrasound: E-Fast Exam
- Ultrasound: For Vascular Access
- Ultrasound: Thyroid
- Ultrasound: Venous
Advanced Communication Skills Module
The WISE-Surgery team is proud to announce a new module on Implicit Bias created in collaboration with The Empathy Project. The module features an animated film called The Elephant in the Waiting Room created by The Empathy Project. The film focuses on Implicit Bias in the healthcare workspace. Dr. Christin Drake, Clinical Associate Professor at NYU Grossman School of Medicine, uses the animated film to walk learners through how to address and reflect upon one’s own implicit bias. All WISE-Surgery subscribers have access to this new module via the Skills tab.