Browsing by Author "Fagalde, Gonzalo"

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    Process-oriented instrument and taxonomy for teaching surgical procedures in medical training: The ultrasound-guided insertion of central venous catheter
    (2024) Gálvez, Víctor; De La Fuente Sanhueza, René Francisco; Meneses, César; Leiva, Luis; Fagalde, Gonzalo; Herskovic, Valeria; Fuentes, Ricardo; Muñoz Gama, Jorge; Sepúlveda, Marcos
    Procedural training is relevant for physicians who perform surgical procedures. In the medical education field, instructors who teach surgical procedures need to understand how their students are learning to give them feedback and assess them objectively. The sequence of steps of surgical procedures is an aspect rarely considered in medical education, and state-of-the-art tools for giving feedback and assessing students do not focus on this perspective. Process Mining can help to include this perspective in this field since it has recently been used successfully in some applications. However, these previous developments are more centred on students than on instructors. This paper presents the use of Process Mining to fill this gap, generating a taxonomy of activities and a process-oriented instrument. We evaluated both tools with instructors who teach central venous catheter insertion. The results show that the instructors found both tools useful to provide objective feedback and objective assessment. We concluded that the instructors understood the information provided by the instrument since it provides helpful information to understand students' performance regarding the sequence of steps followed.
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    Understanding Undesired Procedural Behavior in Surgical Training: The Instructor Perspective
    (SPRINGER INTERNATIONAL PUBLISHING AG, 2019) Galvez, Victor; Meneses, Cesar; Fagalde, Gonzalo; Munoz Gama, Jorge; Sepulveda, Marcos; Fuentes, Ricardo; de la Fuente, Rene; DiFrancescomarino, C; Dijkman, R; Zdun, U
    In recent years, a new approach to incorporate the process perspective in the surgical procedural training through Process Mining has been proposed. In this approach, training executions are recorded, to later generate end-to-end process models for the students, describing their execution. Although those end-to-end models are useful for the students, they do not fully capture the needs of the instructors of the training programs. This article proposes a taxonomy of activities for surgical process models, analyzes the specific questions instructors have about the student execution and their undesired procedural behavior, and proposes the Procedural Behavior Instrument, an instrument to answer them in an easy-to-interpret way. A real case was used to test the approach, and a preliminary validity was developed by a medical expert.