Show Me The Evidence

Professor Anthony Gallagher talks to Professor Serge Boveda, co-head of department at Clinique Pasteur in Toulouse, principal investigator for the European Commission grant for ERIS (the European Research Institute on Simulation) and president-elect of the European Heart Rhythm Association. Serge trained in the early 1990s, when interventional electrophysiology was brand new and almost nobody in E...

Guest: Dr Jorio Mascheroni, biomedical engineer, with a Master's in Technology Enhanced Learning and a PhD on how best to implant cardiac resynchronisation therapy (CRT) devices. Jorio has spent his career in the medical device industry, where he develops and validates training for cardiac device implanters.  Interviewed by: Professor Anthony G. Gallagher  Topic: Moving the Learning Curve Away fro...

In this episode, Professor Anthony G. Gallagher is joined by Dr Rui Farinha, a senior consultant urologist in Lisbon who has completed fellowships in Spain, Germany and Belgium in laparoscopic and robotic surgery, and who trained with Professor Alexandre Mottrie in Aalst and at Orsi Academy in Belgium. The two met at Orsi in 2019. The conversation begins with a practical question. Robots are expen...

Professor Stefano Puliatti is Professor of Urology at the University of Modena, a practising robotic surgeon, a faculty member of Surgquest, and the former Medical Director of Orsi Academy in Belgium, where much of the PBP research discussed here was carried out. Key takeaways Training quality should not depend on the luck of being assigned a gifted trainer. A shared methodology makes good outcome...

Show Me the Evidence, Episode 8 Guest: Dr Dwight Meglan Topic: Physics-Based Simulation, Surgical Robotics and Why Simulators Still Don't Measure What Matters Episode Summary In this episode, Professor Tony Gallagher is joined by Dr Dwight Meglan, the engineer who developed one of the first physics-based virtual reality simulators for endovascular procedures in the late 1990s, and who has spent th...

Show Me the Evidence Guest: Dr Ruben De Groote Topic: From Time to Competence: Proficiency-Based Progression and the Reinvention of Robotic Surgical Training Episode Summary In this episode, Professor Tony Gallagher sits down with Dr Ruben De Groote, consultant urologist at OLV in Aalst, Belgium, CEO of 4Health and its digital learning platform Surgquest, and the researcher behind a recently compl...

Guest: Göran Malmberg, Group CEO and President of Mentice AB (Gothenburg, Sweden), the world leader in physics-based virtual reality simulation for endovascular therapies Host: Professor Anthony G Gallagher Topic: Why Simulation Without Metrics Falls Short, and the Unsettled Question of Who Owns Medical Training Episode Summary In this episode, Professor Tony Gallagher is joined by Göran Malmberg,...

The evidence that simulation and proficiency-based training produce better, safer surgeons has been settled for over two decades. So why has surgery been so slow to take it up? Professor Tony Gallagher talks to surgical simulation pioneer Dr Richard "Rick" Satava, Professor Emeritus of Surgery at the University of Washington and a former DARPA programme manager, about the study they ran together a...

Episode 4 — Dr. Richard Angelo Guest Dr. Richard (Rick) Angelo — Arthroscopic surgeon based in Seattle; former President of the Arthroscopic Association of North America (AANA). Holds a PhD in proficiency-based progression training. Host Tony (relationship with Rick spans ~15 years, originating from a chance meeting at a conference in Sweden) Episode Overview A deep-dive conversation on the fundam...

Guest: Professor Anthony G Gallagher Host: Patrick Kiely Episode focus: two landmark studies, the 2004 JAMA carotid stenting paper and the Copernicus arthroscopy trial Episode summary Professor Tony Gallagher, the founder of Proficiency-Based Progression (PBP), joins Patrick Kiely to revisit two studies that changed how we think about surgical competence. The first is the 2004 JAMA paper describin...

Guest: Professor Anthony G Gallagher Topic: The VR-OR Study — Proof That Simulation Training Transfers to the Operating Room & The Methodology of Proficiency-Based Progression Episode Summary In this episode, Patrick Kiely sits down with Professor Tony Gallagher to examine two landmark papers that transformed simulation-based surgical training. The first — the 2002 Yale VR-OR study — provided...

Guest: Professor Anthony G Gallagher Topic: The Crisis in Surgical Training & Proficiency-Based Progression (PBP) Episode Summary In this inaugural episode, Patrick Kiely sits down with Professor Tony Gallagher — founder of Proficiency-Based Progression and one of the world's leading researchers in surgical skills assessment and simulation-based training — to examine a deeply uncomfortable tru...