Scientific Articles

Scientific articles published by CAMST

AI ethics, accountability, and sustainability: revisiting the Hippocratic oath.

Felländer-Tsai L.

Acta Orthop. 2020 Feb;91(1):1-2. doi: 10.1080/17453674.2019.1682850. Epub 2019 Oct 30.

Trainee Performance After Laparoscopic Simulator Training Using a Blackbox versus LapMentor.

Ousis N., Enochsson L., Henningsohn L., Castegren M., Georgiou E., Kjellin A

J Surg Res. 2020 Jan 31;250:1-11. doi: 10.1016/j.jss.2019.12.039. [Epub ahead of print]

Use of simulation-based learning among perioperative nurses and students: A scoping review.

Kaldheim HKA, Bergland A, Ölnes MA, Hofsö k, Dihle A, Creutzfeldt J, Zhang C Steindal SA,

Nurse Educ Today. 2019 Feb;73:31-37. doi: 10.1016/j.nedt.2018.09.013. Epub 2018 Sep 21

Stöd finns för att fortbildning kan förbättra patientrelaterade utfall: Bäst evidens när rutiner, riktlinjer och färdigheter lärs ut och sedan tränas i team.

Escher C, Felländer-Tsai L.


Person.centered endoscopy safety checklist: Development, implemantation and evaluation

Dubois,H, Schmidt PT, Creutzfeldt J, Bergenmar M.

World J Gastroenterol. 2017 Dec 28;23(48):8605-8614. doi: 10.3748/wjg.v23.i48.8605.

Method matters: impact of in-scenario instruction on simulation-based teamwork training

Method matters: impact of in-scenario instruction on simulation-based teamwork training
Cecilia Escher, Hans Rystedt, Johan Creutzfeldt, Lisbet Meurling, Sofia Nyström, Johanna Dahlberg, et al. Advances in Simulation 2017 2:25

Medical students’ situational motivation to participate in simulation based team training is predicted by attitudes to patient safety.
Escher C, Creutzfeldt J, Meurling L, Hedman L, Kjellin A, Fellander-Tsai L
BMC Med Educ. 2017 Feb 10;17(1):37. doi: 10.1186/s12909-017-0876-5. PubMed PMID: 28183316; PubMed Central PMCID: PMC5301395.

Engagement and learning in simulation: recommendations of the Simnovate Engaged Learning Domain Group
Wayne Choi,Ollivier Dyens,Teresa Chan,Mariles Schijven,Sue Lajoie, Mary E Mancini,Parvati Dev,Li Fellander-Tsai,Mathieu Ferland,Pamela Kato, James Lau,Michael Montonaro,Joelle Pineau,Rajesh Aggarwal
BMJ Stel 2017;0:1–10. doi:10.1136/bmjstel-2016-000177

Cardiopulmonary Resuscitation Training by Avatars: A Qualitative Study of Medical Students’ Experiences Using a Multiplayer Virtual World.
Creutzfeldt J, Hedman L, Fellander-Tsai L
JMIR Serious Games. 2016 Dec 16;4(2):e22. PubMed PMID:27986645; PubMed Central PMCID: PMC5203677.

Visual-spatial ability is moreimportant than motivation for novices in surgical simulator training: a preliminary study.
Schlickum M, Hedman L, Fellander-Tsai L.
Int J Med Educ. 2016 Feb 21;7:56-61. doi: 10.5116/ijme.56b1.1691. PubMed PMID: 26897701; PubMed Central PMCID: PMC4764245.

Individualized feedback during simulated laparoscopic training:a mixed methods study.
Ahlborg L, Weurlander M, Hedman L, Nisel H, Lindqvist PG, Fellander-Tsai L, Enochsson L.
Int J Med Educ. 2015 Jul 29;6:93-100. doi: 10.5116/ijme.55a2.218b. PubMed PMID: 26223033; PubMed Central PMCID: PMC4537795.

The next level : video gaming, cognition and motivation in surgical simulator training.
Marcus Schlickum
Dissertation May 2015

Comparison of high- and low equipment fidelity during paediatric simulation team training: a case control study.
Meurling L, Hedman L, Lidefelt KJ, Escher C, Felländer-Tsai L, Wallin CJ. 
BMC Med Educ. 2014 Oct 18;14:221. doi: 10.1186/1472-6920-14-221. PubMed PMID: 25326794; PubMed Central PMCID: PMC4287444.

Hybrid simulation: Bringing motivation to the art of teamwork training in the operating room.
Kjellin A, Hedman L, Escher C, Felländer-Tsai L.
Scand J Surg. 2014 Feb 18. [Epub ahead of print]
PubMed PMID: 24549486.

A pilot evaluation of an educational program that offers visualizations of cervical spine injuries: medical students’ self-efficacy increases by training.
Hedman L, Fahlstedt M, Schlickum M, Möller H, von Holst H, Felländer-Tsai L.
Inform Health Soc Care. 2014 Jan;39(1):33-46. doi: 10.3109/17538157.2013.834343. Epupb 2013 Oct 9. PubMed PMID: 24106880.

Using Virtual World Training to Increase Situation Awareness during Cardiopulmonary Resuscitation.
Creutzfeldt J, Hedman L, Felländer-Tsai L.
Stud Health Technol Inform. 2014;196:83-5. PubMed PMID: 24732485.

Training nonanesthetist administration of propofol for
gastrointestinal endoscopy in scenario-based full-scale hybrid simulation–a pilot study.
Westfelt P, Hedman L, Axelsson Lindkvist M, Enochsson L, Felländer-Tsai L, Schmidt PT.
Scand J Gastroenterol. 2013 Nov;48(11):1354-8. doi: 10.3109/00365521.2013.836753. Epub 2013 Sep 17. PubMed PMID: 24041148.

Simulator training and non-technical factors improve laparoscopic performance among OBGYN trainees.
Ahlborg L, Hedman L, Nisell H, Felländer-Tsai L, Enochsson L.
Acta Obstet Gynecol Scand. 2013 Oct;92(10):1194-201. doi: 10.1111/aogs.12218. PubMed PMID: 24461067.

Avatar – saving lives in virtual worlds
Johan Creutzfeldt
Dissertation May 2013

Teamwork training using patient simulation
Lisbet Meurling
Dissertation May 2013

Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions.
Meurling L, Hedman L, Sandahl C, Felländer-Tsai L, Wallin CJ.
BMJ Qual Saf. 2013 Feb 14. [Epub ahead of print]
PubMed PMID: 23412932.

Face Validity of VIS-Ed: A Visualization Program for Teaching Medical Students
and Residents the Biomechanics of Cervical Spine Trauma.
Courteille O, Ho J, Fahlstedt M, Fors U, Felländer-Tsai L, Hedman L, Möller H.
Stud Health Technol Inform. 2013;184:96-102.
PubMed PMID: 23400137.

Surgical Novices Randomized to Train in Two Video Games Become More Motivated During Training in MIST-VR and GI Mentor II Than Students with No Video Game Training.
Hedman L, Schlickum M, Felländer-Tsai L.
Stud Health Technol Inform. 2013;184:189-94.
PubMed PMID: 23400154.

Endourological simulator performance in female but not male medical students predicts written examination results in basic surgery.
Schlickum M, Felländer-Tsai L, Hedman L, Henningsohn L.
Scand J Urol. 2013 Feb;47(1):38-42. doi: 10.3109/00365599.2012.693538. Epub 2012 Jul 2.
PMID: 23323791 [PubMed – in process]
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Cardiopulmonary resuscitation training in high school using avatars in virtual worlds: an international feasibility study.
Creutzfeldt J, Hedman L, Heinrichs L, Youngblood P, Felländer-Tsai L.
J Med Internet Res. 2013 Jan 14;15(1):e9. doi: 10.2196/jmir.1715.
PMID: 23318253 [PubMed – in process] Free Article

Leaders’ and followers’ individual experiences during the early phase of simulation-based team training: an exploratory study.
Meurling L, Hedman L, Felländer-Tsai L, Wallin CJ.
BMJ Qual Saf. 2013 Jan 3. [Epub ahead of print]

The use of fluoroscopy to construct learning curves for coronary angiography.
Jensen UJ, Lagerquist B, Jensen J, Tornvall P.
Catheter Cardiovasc Interv. 2012 Oct 1;80(4):564-9. doi: 10.1002/ccd.23298. Epub 2011 Dec 12.
PMID: 21805613 [PubMed – in process]

Effects of pre-training using serious game technology on CPR performance — an exploratory quasi-experimental transfer study.
Creutzfeldt J, Hedman L, Felländer-Tsai L.
Scand J Trauma Resusc Emerg Med. 2012 Dec 6;20(1):79. [Epub ahead of print]
PMID: 23217084 [PubMed – as supplied by publisher] Free Article
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Training diagnosis and treatment of cervical spine trauma using a new educational program for visualization through imaging and simulation (VIS): a first evaluation by medical students.
Hedman L, Fahlstedt M, Schlickum M, Möller H, Halldin P, von Holst H, Felländer-Tsai L.
Stud Health Technol Inform. 2012;173:171-4.
PMID: 22356981 [PubMed – indexed for MEDLINE]
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Visuospatial ability correlates with performance in simulated gynecological laparoscopy.
Ahlborg L, Hedman L, Murkes D, Westman B, Kjellin A, Felländer-Tsai L, Enochsson L.
Eur J Obstet Gynecol Reprod Biol. 2011 Jul;157(1):73-7. Epub 2011 Mar 30. PubMed PMID: 21450391.

Mixed virtual reality simulation–taking endoscopic simulation one step further.
Courteille O, Felländer-Tsai L, Hedman L, Kjellin A, Enochsson L, Lindgren G, Fors U.
Stud Health Technol Inform. 2011;163:144-6. PubMed PMID: 21335778.

Surgical simulation tasks challenge visual working memory and visual-spatial ability differently.
Schlickum M, Hedman L, Enochsson L, Henningsohn L, Kjellin A, Felländer-Tsai L.
World J Surg. 2011 Apr;35(4):710-5. PubMed PMID: 21327603.

Exploring virtual worlds for scenario-based repeated team training of cardiopulmonary resuscitation in medical students.
Creutzfeldt J, Hedman L, Medin C, Heinrichs WL, Felländer-Tsai L.
J Med Internet Res. 2010 Sep 3;12(3):e38. PubMed PMID: 20813717; PubMed Central PMCID: PMC2956337.

The Center for Advanced Medical Simulation, Karolinska Institutet, Karolinska University Hospital, and Stockholm County Council.
Felländer-Tsai L, Westfelt P, Escher C, Hedsköld M, Kjellin A.
J Surg Educ. 2010 Sep-Oct;67(5):344-7. PubMed PMID: 21035778.

Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators. A prospective randomized study.
Schlickum MK, Hedman L, Enochsson L, Kjellin A, Felländer-Tsai L.
Word J Surg, 2009 Nov; 33(11):2360-7. PubMed PMID: 19649553

Retention of knowledge after repeated virtual world CPR training in high school students.
Creutzfeldt J, Hedman L, Medin C, Stengård K, Felländer-Tsai L.
Stud Health Technol Inform, 2009; 142: 59-61. PubMed PMID: 19377114

Effects of repeated CPR training in virtual worlds on medical student’s performance.
Creutzfeldt J, Hedman L, Medin C, Wallin CJ, Felländer-Tsai L.
Stud Health Technol Inform, 2008;132:89-94. PubMed PMID: 18391263

Transfer of systematic computer game training in surgical novices on performance in virtual reality image guided surgical simulators.
Kolga Schlickum M, Hedman L, Enochsson L, Kjellin A, Felländer-Tsai L.
Stud Health Technol Inform, 2008; 132:210-5. PubMed PMID: 18391288

Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude.
Wallin CJ, Meurling L, Hedman L, Hedegard J, and Felländer-Tsai L.
Med Educ. 2007; 41(2):173-80.

Implementing virtual worlds for systematic training of prehospital CPR in Medical School.
J Creutzfeldt, L Hedman, C Medin, C-J Wallin, A Hendrick, P Youngblood, Wm L Heinrichs, L Felländer-Tsai
Studies in Health Technology and Informatics 2007; 125: 82-84.

Virtual Worlds for Teaching the New CPR to High School Students
Patricia Youngblood, Leif Hedman, Johan Creutzfeld, Li Fellander-Tsai, Karl Stengard, Kim Hansen, Parvati Dev, Sakti Srivastava, Laura Kusumoto, Arnold Hendrick and Wm. LeRoy Heinrichs
Stud Health Technol Inform. 2007; 125: 515-519.

Visual working memory influences the performance in virtual image guided surgical intervention.
Hedman L, Klingberg T, Enochsson L, Kjellin A and Felländer-Tsai L
Surg Endosc. 2007 Nov; 21(11): 2044-2050.

Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies.
Ahlberg G, Enochsson L, Gallagher AG, Hedman L, Hogman C, McClusky DA 3rd, Ramel S, Smith CD, Arvidsson D.Am J Surg. 2007 Jun;193(6):797-804.

Working Memory and Image Guided Surgical Simulation.
Leif Hedman, Torkel Klingberg, Ann Kjellin, Torsten Wredmark, Lars Enochsson and Li Felländer-Tsai
Stud Health Technol Inform. 2006; 119:188-193.

Visuopatial tests predict the performance of simulated ERCP among endoscopists irrespective of previous ERCP experience.
Enochsson L, Swahn F, Westman B, Arnelo , Kjellin A, Felländer-Tsai L.
Gastroenterology 2006; 130: A863-A.

Perceptual, visuospatial, and psychomotor abilities correlate with duration of training required on a virtual-reality flexible endoscopy simulator.
Ritter EM, McClusky DA 3rd, Gallagher AG, Enochsson L, Smith CD.
Am J Surg. 2006 Sep; 192(3):379-84.

Early Exposure to Haptic Feedback Enhances Performance in Image Guided Surgical Simulator Training. – A Prospective Randomized Cross Over Study in Surgical Residents
Pär Ström, Leif Hedman, Lars Särnå, Ann Kjellin, Torsten Wredmark, Li Felländer-Tsai
Surg Endosc. 2006 Sep; 20(9):1383-8.

High-level visual-spatial ability for novices correlates with performance in a visual-spatial complex surgical simulator task.
Leif Hedman, Pär Ström, Pehr Andersson, Ann Kjellin, Torsten Wredmark, Li Felländer-Tsai
Surg Endosc. 2006 Aug; 20(8):1275-80.

Objective assessment of visuospatial, psychomotor ability, and flow of residents and senior endoscopists in simulated gastroscopy.
Lars Enochsson, Bo Westman, E. Matt Ritter, Leif Hedman, Ph.D., Ann Kjellin, M.D, Torsten Wredmark, Li Felländer-Tsai
Surg Endosc. 2006 Jun; 20(6):895-9.

Visuospatial Abilities Correlate with Performance of Senior Endoscopists in Simulated Colonoscopy
Bo Westman, Matt Ritter, Ann Kjellin, Leif Törkvist, Torsten Wredmark, Li Felländer-Tsai, Lars Enochsson
J Gastrointest Surg. 2006 Apr; 10(4):593-9.

Training trauma teams in the Nordic countries: An overview and present status.
T Wisborg, M Castrén, A Lippert, F Valsson, C-J Wallin
Acta Anaest Scand 2005; 49: 1004-1009.

Visuospatial skills improve the performance of senior endoscopists in virtual colonoscopy.
Enochsson L, Westman B, Kjellin A, Wredmark T, Felländer-Tsai L.
Gastroenterology 2005; 128: A816-A.

Visuospatial skills improve the performance of senior endoscopists in virtual colonoscopy.
Enochsson L, Westman B, Kjellin A, Wredmark T, Felländer-Tsai L.
Computer Assisted Radiology and Surgery. Volume 1281, 2005: 1367-.

Virtual reality colonoscopy simulation: a compulsory practice for the future colonoscopist?
Ahlberg G, Hultcrantz R, Jaramillo E, Lindblom A, Arvidsson D.
Endoscopy. 2005 Dec; 37(12):1198-204.

Human Factors in Image Guided Surgical Simulator Training: components, visual-spatial and haptic aspects.
Ström, Pär
Dissertation Oct 2005.

Is the learning curve for laparoscopic fundoplication determined by the teacher or the pupil?
Ahlberg G, Kruuna O, Leijonmarck CE, Ovaska J, Rosseland A, Sandbu R, Stromberg C, Arvidsson D
Am J Surg. 2005 Feb; 189(2):184-9.

Training in tasks with different visual-spatial components does not improve virtual arthroscopy performance.
Ström P, Kjellin A, Hedman L, Wredmark T, Felländer-Tsai L.
Surg Endosc. 2004, 18:115-20.

Visiospatial testing and computer experience influence the performance of virtual endoscopy.
Enochsson L, Isaksson B, Kjellin A, Tour R, Wredmark T, Felländer-Tsai L.
Gastroenterology 2004; 126: A771-A.

Evaluating instruction of medical students with a haptic surgical simulator – the importance of coordinating students’ perspectives.
Ericka Johnson, Pär Ström, Ann Kjellin, Torsten Wredmark, Li Felländer-Tsai
J Information Technology in Healthcare, 2004; 2(3): 155-163.

Basic accreditation for invasive image guided intervention
– a shift of paradigm in high technological education embedding performance criterion levels in advanced medical simulators in a modern educational curriculum
Li Felländer-Tsai, Ann Kjellin, Gunnar Ahlberg, Bo Anderberg, Lars Enochsson, Ericka Johnson, Kai Mäkinen, Pär Ström, Lars Särnå, Stig Ramel, Bo Westman, Leif Hedman and Torsten Wredmark
J Information Technology in Healthcare 2004; 3(2): 165-173.

Visuospatial skills and computer game experience influence the performance of virtual endoscopy.
Enochsson L, Isaksson B, Tour R, Kjellin A, Hedman L, Wredmark T, Tsai-Felländer L
J Gastrointest Surg. 2004 Nov; 8(7):876-82; discussion 882.

Image Guided Surgical Simulation – a Proven Improvement
Li Felländer-Tsai and Torsten WredmarkActa Orthop Scand, 2004 Oct; 75(5):511-5.

Simulators in medical education spare patients from unskilled personnel.
Wredmark T.
Läkartidningen 2003; 100 (35): p 2662-3.

Validation and learning in the Procedicus KSA Virtual Reality surgical simulator: implementing a new safety culture in medical school.
P Ström, A Kjellin, L Hedman, E Johnsson, T Wredmark, L Felländer-Tsai.
Surgical Endoscopy 2003 Feb; 17(2):227-31.

Simulator endoscopic training should be included in medical education.
Kjellin A. et al.
Läkartidningen 2002; 99 (3): p 207.

Does training in a virtual reality simulator improve surgical performance?
Ahlberg G, Heikkinen T, Iselius L, Leijonmarck CE, Rutqvist J, Arvidsson D.
Surg Endosc. 2002 Jan; 16(1):126-9.

Advanced virtual reality (VR) simulators in medicine. Teaching a concern for safety.
E Johnson, A Kjellin, T Wredmark L Felländer-Tsai.
Eur J Sports Traumatol Rel Res, 2001, 23:183-184.

Simulator training in medicine and healthcare. A new pedagogic model for good patient safety.
Felländer-Tsai L. et al.
Läkartidningen 2001; 98 (36): p 3772-6.