​​​What is Telesimulation?

Telesimulation is a novel teaching process that uses surgical simulators, internet connections and laptops, to connect with healthcare professionals around the world. In addition to surgeons having access to Temerty-Chang's world-leading training program, other medical professions and specialties including nursing and anaesthesia have benefited from telesimulation. Some exciting projects using telesimulation are highlighted below.

Fundamentals of Laparoscopic Surgery

Leads – Dr. Allan Okrainec and Dr. Oscar Henao

Surgeons are taught minimal invasive laparoscopic skills training on site and remotely through Telesimulation. 5 key surgical tasks are taught, such as suture tying, peg transfers using both hands, pattern cutting and knot tying to perform and improve their minimal invasive surgical procedures and skills. Specialties include general surgery, urology and gynecology. Certification is done and completed through SAGES (Society of American Gastrointestinal and Endoscopic Surgery)​. The objective is to teach surgeons laparoscopic approaches to improve their surgical abilities and improve outcomes of procedures done.


Leads – Dr. Adriana Lopez Rios, Dr. James Drake, Dr. James T. Rutka and Dr. Fred Gentili​

Using both physical models and the NeuroTouch virtual reality simulator, neurosurgeons at Temerty-Chang are able to teach fundamental neurosurgical skills. These include procedural skills involved in ventriculostomy, endoscopy, hemostasis, and tumour debulking and resection. Telesimulation training is currently underway for the Endoscopic Third Ventriculostomy (ETV) procedure, used for the treatment of hydrocephalus.


Lead – Dr. Ahtsham Niazi

Under the guidance and expertise of Dr. Ahtsham Niazi and Vincent Chan, Temerty-Chang offers ultrasound-guided regional anesthesia (UGRA) Telesimulation training using high-fidelity simulation models. Particular emphasis is placed upon training brachial plexus blocks using interscalene and supraclavicular approaches.


Temerty-Chang offers training in minimally invasive surgical (MIS) nursing skills. Developed by expert MIS nurses for nursing staff, this course can be taught on site at UHN or remotely using telesimulation. The goals of this course are to teach the basic operative nursing skills required for someone working in a minimally invasive surgical operating theatre.

Emergency Medicine

Lead – Dr. Meghan Landes​ (Global Emergency Medicine - GEM)

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