AdventHealth Nicholson Center

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The Nicholson Center at AdventHealth Celebration. Nicholsoncenter.jpg
The Nicholson Center at AdventHealth Celebration.

The AdventHealth Nicholson Center is a medical research and training center with locations in Celebration and Orlando, Florida. Founded in 2001, it operates within the AdventHealth network and trains physicians on foundational surgical techniques, including robotic surgery and laparoscopic surgery, [1] using tools like robotic simulators, wet and dry labs. [2] Using emerging robotic, laparoscopic and orthopedic surgical techniques, the Nicholson Center is researching to develop modified ways to operate. [3]

Contents

History

In 2001, the center was founded as the Surgical Learning Institute. After receiving a grant in 2008 from Orlando real estate developers, Anthony and Sonja Nicholson, [4] the center became the Florida Hospital Nicholson Center and opened new facility in 2011. [5] The expansion included lecture and education rooms wired for digital conferences, two simulation-training centers, 25 surgical suites and a medical lab with eight surgical robots that are worth a total of over $8 million. The facility is also USGBC LEED Silver Certified. [6] Currently, the Nicholson Center is a 54,000-square-foot, two-story, $54 million facility [7]

The Nicholson Center, originally started as a facility in AdventHealth Celebration, an acute care hospital in Celebration, Florida, consists of a network of 24 campuses.[ citation needed ]

Training and research

Academics

The Nicholson Center emphasizes education through events and training programs. The education department offers continued medical education to healthcare providers including surgeons, allied health professionals, healthcare administrators, residents, nurses and Fellows. [8] Through its Continuing Medical Education (CME) training, a network of surgeons, physicians and clinicians develop and design curriculums for health societies. Curriculums are developed using a six-step medical education curriculum development process created by Kern et al. Continuing medical education credits are acquired through the ACCME-affiliated accrediting agency within the Florida Hospital Network. [9]

Laboratories and Training Rooms

The Nicholson Center provides training using operating rooms, clinical and surgical skills labs, simulation training labs and robotics training labs. The facility includes two 935 square-foot operating rooms for training in microsurgery, laparoscopy and computer-assisted surgery, allowing for eight stations per operating room. The labs available for clinical and surgical skills training include 50 stations and wet and dry labs. [10] Lastly, the center's 1,600 square-foot simulation training lab allows surgeons to perform in simulated scenarios. It is also home to one of the largest robotic training labs in the world, incorporating official da Vinci Surgical System robot simulation training. [11]

Funding

After receiving a $4.9 million grant from the Department of Defense and the Telemedicine and Advanced Technology Research Center (United States Army) (TATRC) in 2011, [12] the research focused on the ways telemedicine technology can be used in surgery for both civilian and military purposes, along with studying other areas of research. [13] With this funding, the center grew to be recognized in the technology and medical industries for its research in telesurgery, gaining recognition in publications such as TechCrunch, ZDNet, Engadget and Computerworld.

Telesurgery

In association with the Department of Defense, the Nicholson Center conducts studies to conclude if remote surgery across hospitals is possible through the Internet. The Feasibility of Telesurgery Across Metropolitan Hospital Systems study determines what the lag time is between two locations, then mimics that lag time using simulators and/or video displays to study how a surgeon responds to it. The Nicholson Center researched to determine if telesurgery can be performed based on bandwidth available and whether a surgeon can handle the lag time that is in place. The research team, headed by Chief Technology Officer, Dr. Roger Smith, had successfully tested the lag time to Ft. Worth, Texas, a location more than 1,200 miles away. [14] This research determined that telesurgery is safe and possible in the United States. [15] The telesurgery research benefits the US military by finding the necessary steps to providing specialized healthcare for wounded soldiers in remote locations. [16] This remote surgery might take the place of evacuating victims to medical facilities or having specialized surgeons in combat hospitals. [17]

Fundamentals of Robotic Surgery Dome and Training

The grant also resulted in the first standardized robotic surgery course, with the help of the Veterans Health Administration. [18] This funding helped develop the Fundamentals of Robotic Surgery (FRS) dome, which tests the psychomotor skills of a surgeon within a curriculum. The research also covers cognitive, team training and communication skills. Florida Hospital Nicholson Center also conducts research for Video Gamers vs. Doctors, Surgical Rehearsal, Simulator Effectiveness Comparison and Return on Investment for Robotic Simulators. [19]

Related Research Articles

Remote surgery is the ability for a doctor to perform surgery on a patient even though they are not physically in the same location. It is a form of telepresence. A robot surgical system generally consists of one or more arms, a master controller (console), and a sensory system giving feedback to the user. Remote surgery combines elements of robotics, telecommunications such as high-speed data connections and elements of management information systems. While the field of robotic surgery is fairly well established, most of these robots are controlled by surgeons at the location of the surgery. Remote surgery is remote work for surgeons, where the physical distance between the surgeon and the patient is less relevant. It promises to allow the expertise of specialized surgeons to be available to patients worldwide, without the need for patients to travel beyond their local hospital.

The Lindbergh operation was a complete tele-surgical operation carried out by a team of French surgeons located in New York on a patient in Strasbourg, France using telecommunications solutions based on high-speed services and sophisticated Zeus surgical robot. The operation was performed successfully on September 7, 2001 by Professor Jacques Marescaux and his team from the IRCAD. This was the first time in medical history that a technical solution proved capable of reducing the time delay inherent to long distance transmissions sufficiently to make this type of procedure possible. The name was derived from the American aviator Charles Lindbergh, because he was the first person to fly solo across the Atlantic Ocean.

<span class="mw-page-title-main">AdventHealth Orlando</span> Hospital in Florida, United States

AdventHealth Orlando is a non-profit hospital owned by AdventHealth and is the largest in the hospital network. The hospital is a tertiary, research and academic medical center located in Orlando, Florida, servicing Central Florida and the Orange county region. It is the second largest hospital in Florida and the largest in Central Florida. AdventHealth Orlando is the 3rd largest hospital in the United States in 2023. AdventHealth Orlando is the oldest Seventh-day Adventist hospital in the state of Florida.

<span class="mw-page-title-main">Medical robot</span> Robots used for medical purposes

A medical robot is a robot used in the medical sciences. They include surgical robots. These are in most telemanipulators, which use the surgeon's activators on one side to control the "effector" on the other side.

<span class="mw-page-title-main">AdventHealth</span> American health care system

AdventHealth is a Seventh-day Adventist non-profit health care system headquartered in Altamonte Springs, Florida, that operates facilities in 9 states across the United States. On January 2, 2019, Adventist Health System rebranded to AdventHealth. It is the largest not-for-profit Protestant health care provider. In 2021, it was the second largest hospital network in Florida. On February 28, 2023, it was the fifteenth largest in the country. It operates 52 hospitals in nine states that serve more than 6.7 million patients annually.

<span class="mw-page-title-main">Ashutosh Tewari</span> American urologist, oncologist

Ashutosh K. Tewari is the chairman of urology at the Icahn School of Medicine at Mount Sinai Hospital in New York City. He is a board certified American urologist, oncologist, and principal investigator. Before moving to the Icahn School of Medicine in 2013, he was the founding director of both the Center for Prostate Cancer at Weill Cornell Medical College and the LeFrak Center for Robotic Surgery at NewYork–Presbyterian Hospital. Dr. Tewari was the Ronald P. Lynch endowed Chair of Urologic Oncology and the hospital's Director of Robotic Prostatectomy, treating patients with prostate, urinary bladder and other urological cancers. He is the current President of the Society for Urologic Robotic Surgeons (SURS) and the Committee Chair of the Prostate Program. Dr. Tewari is a world leading urological surgeon, and has performed over 10,000 robotically assisted procedures using the da Vinci Surgical System. Academically, he is recognized as a world-renowned expert on urologic oncology with over 250 peer reviewed published papers to his credit; he is on such lists as America's Top Doctors, New York Magazine's Best Doctors, and Who's Who in the World. In 2012, he was given the American Urological Association Gold Cystoscope Award for "outstanding contributions to the field of urologic oncology, most notably the treatment of prostate cancer and the development of novel techniques to improve the outcomes of robotic prostatectomy."

<span class="mw-page-title-main">AdventHealth Celebration</span> Hospital in Florida, United States

AdventHealth Celebration is a non-profit hospital in Celebration, Florida owned by AdventHealth. The Mediterranean-style hospital attracts patients from around the world.

<span class="mw-page-title-main">University of Florida College of Medicine-Jacksonville</span> Medical school of the University of Florida in Jacksonville

The University of Florida College of Medicine – Jacksonville is the largest of the three University of Florida Health Science Center Jacksonville colleges — medicine, nursing and pharmacy. The college's 16 clinical science departments house more than 440 faculty members and 380 residents and fellows. The college offers 34 accredited graduate medical education programs and 10 non-standard programs.

<span class="mw-page-title-main">Timothy J. Broderick</span> Professor of Surgery and Biomedical Engineering at the University of Cincinnati

Timothy J. Broderick, F.A.C.S., is Professor of Surgery and Biomedical Engineering at the University of Cincinnati, where he has served on the faculty since 2003. He also serves as Chief of the Division of Gastrointestinal and Endocrine Surgery and is Director of the Advanced Center for Telemedicine and Surgical Innovation (ACTSI). He has flown on the NASA KC-135 parabolic laboratory and dived in the NASA Extreme Environment Mission Operations (NEEMO) program to develop advanced surgical technologies for long duration space flight.

A surgery simulator is computer technology developed to simulate surgical procedures for the purpose of training medical professionals, without the need of a patient, cadaver or animal. The concept goes back to the 1980s with video games, but only in the 1990s with three-dimensional graphics and the 2000s with the use of motion sensors for realistic movements has the technology been able to simulate the real situation. The most common type of surgery taught through this method is laparoscopic surgery, although it has also been used to do a trial run before other kinds of procedures. Cataract surgery and other ophthalmic procedures are also widely taught using surgical simulators.

<span class="mw-page-title-main">Prokar Dasgupta</span>

Prokar Dasgupta is an Indian-born British surgeon and academic who is professor of surgery at the surgical academy at King's Health Partners, London, UK. Since 2002, he has been consultant urologist to Guy's Hospital, and in 2009 became the first professor of robotic surgery and urology at King's, and subsequently the chairman of the King's College-Vattikuti Institute of Robotic Surgery.

Saumitra Rawat is an Indian surgical gastroenterologist and liver transplant surgeon.He is the chairman and head of the department of surgical gastroenterology and liver transplant at Sir Ganga Ram Hospital, New Delhi. He is a pioneer in minimally invasive laparoscopic and robotic surgery for digestive diseases. The Government of India honoured him in 2015 with the award of Padma Shri for distinguished service in the field of Discipline Medicine. He is also a fellow of the Indian National Academy of Medical Sciences and the Royal College of Surgeons of Edinburgh.

Touch Surgery is a London, New York City, Sydney and Auckland-based health technology app and trading name for the company Digital Surgery LTD. Digital Surgery is a health tech company shaping the future of surgery through the convergence of surgical expertise and technology. The app was first discussed in 2010. The Touch Surgery mobile app is a mobile surgical training platform designed to simulate surgical procedures. As of October 2019, The Touch Surgery mobile app included surgical instructions for about 200 surgical procedures in 17 different specialties.

Rosalyn P. Scott is an American thoracic surgeon known for her work in education and for being the first African-American woman to become a thoracic surgeon.

<span class="mw-page-title-main">Antonio Bernardo</span>

Antonio Bernardo is an Italian-American neurosurgeon and academic physician. He is a professor of Neurological Surgery and the Director of the Neurosurgical Innovations and Training Center for Skull Base and Microneurosurgery in the Department of Neurological Surgery at Weill Cornell Medical College. He has gained significant notoriety for his expertise in skull base and cerebrovascular surgery, and has published extensively on minimally invasive neurosurgery. He is a pioneer in the use of 3D technology in neurosurgery and a strong advocate for competency-based training in surgery.

<span class="mw-page-title-main">AdventHealth University</span>

AdventHealth University (AHU) is a Seventh-day Adventist institution specializing in healthcare education that is located in Orlando, Florida; Denver, Colorado; and online. It is associated with AdventHealth, which is operated by the Seventh-day Adventist Church. It is a part of the Seventh-day Adventist education system, the world's second largest Christian school system. The physical facilities are located next to AdventHealth Orlando and Centura Health in Denver. The university offers over 20 undergraduate and graduate degrees from associate to doctorate level, including online and post-baccalaureate certificates.

Simbionix is a line of surgical simulators that are used in medical schools to simulate surgical procedures.

VirtaMed is a Zurich, Switzerland-based company that develops virtual reality simulators for post-graduate medical education. The company was founded in 2007 as a spin-off of ETH Zurich by Gabor Székely, Co-Head of the Computer Vision Laboratory at ETH Zurich and Director of the Swiss National Centre of Competence in Research (NCCR) for Computer-Aided and Image-Guided Medical Interventions (CO-ME). Co-founders were Stefan Tuchschmid, Daniel Bachofen, Matthias Harders, Michael Bajka and Raimundo Sierra.

<span class="mw-page-title-main">Rolando Del Maestro</span> Italian-born Canadian neurosurgeon

Rolando Fausto Del Maestro is an Italian-born Canadian neurosurgeon, the William Feindel Professor Emeritus in neuro-oncology and director of the Neurosurgical Simulation Research Center at the Montreal Neurological Institute and Hospital, where he has been involved in simulating real brain surgery by creating virtual setting scenarios, founded upon the principles of flight simulation.

References

  1. ↑ Florida Hospital Nicholson Center. "Services". Retrieved 22 June 2015.
  2. ↑ Professional Convention Management Association. Orlando Becomes the Hub for Medical Meetings Archived 2015-09-30 at the Wayback Machine . Retrieved 22 June 2015.
  3. ↑ Florida Hospital Nicholson Center. "Services Overview" Retrieved 22 June 2015.
  4. ↑ Orlando Sentinel "New Nicholson Center positioned for global health impact" Retrieved 22 June 2015.
  5. ↑ Orlando Business Journal. "Nicholson Center to hold grand opening Oct. 6" Retrieved 22 June 2015.
  6. ↑ Barton Malow. "Florida Hospital Nicholson Center for Surgical Advancement - Celebration, Florida Retrieved 22 June 2015.
  7. ↑ Orlando Business Journal "Health Institute Expected to have $13M yearly economic impact" Retrieved 22 June 2015.
  8. ↑ Florida Hospital Nicholson Center. "CME Courses" [ permanent dead link ] Retrieved 22 June 2015.
  9. ↑ Florida Hospital Nicholson Center. "CME Courses" [ permanent dead link ] Retrieved 22 June 2015.
  10. ↑ Visit Orlando. "Florida Hospital Nicholson Center" Archived 2016-03-05 at the Wayback Machine Retrieved 22 June 2015.
  11. ↑ Barton Malow. "Florida Hospital Nicholson Center for Surgical Advancement - Celebration, Florida Retrieved 22 June 2015.
  12. ↑ mHealth News. "Testing lag times in telesurgery." Retrieved 22 June 2015.
  13. ↑ Florida Doctor. "Florida Hospital Nicholson Center Collaborates with Military Grand Funds" Archived 2016-03-04 at the Wayback Machine Retrieved 22 June 2015
  14. ↑ TechCrunch. "Research in lag time set to determine the future of telesurgery" Retrieved 22 June 2015.
  15. ↑ Computerworld. "Hospital tests lag time for robotic sugrery 1,200 miles away from doctor" Retrieved 22 June 2015.
  16. ↑ engadget. "Telesurgery tests highlight the limits of the Internet" Retrieved 08 September 2015.
  17. ↑ ZDNet. "Remote robotic surgery is both practical and safe" Retrieved 10 September 2015./
  18. ↑ Forward Florida. "Economic Development News | July 2014" Retrieved 08 September 2015.
  19. ↑ Florida Hospital Nicholson Center. "Research" Retrieved 22 June 2015.

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