penn medicine
penn surgery
penn surgery home penn surgery clinical penn surgery education penn surgery research penn surgery administration

Rajesh Aggarwal, MD, PhD, MA, FRCS
Gastrointestinal Surgery

 
  • Profile Home
  • Appointments
  • Education
  • Memberships
  • Research
  • Publications

Administrative Office:
Hospital of the University of Pennsylvania
3400 Spruce Street
4 Silverstein Pavilion
Philadelphia, PA 19104
Administrative Assistant: Shakira Tucker
Administrative Telephone: 662-2029
Administrative Fax: 215-349-8195
Patient Appointments: 215-662-2626

Clinical Office:
Perelman Center for Advanced Medicine
GI Surgery, West Pavilion, 4th Floor
3400 Civic Center Boulevard
Philadelphia, PA 19104
Clinical Telephone: 662-2029
Clinical Fax: 215-349-8195
Patient Appointments: 215-662-2626

Penn Presbyterian Medical Center
266 Wright Saunders Building
39th & Market Streets
Philadelphia, PA 19104
Clinical Telephone: 215-662-9200

Contact Information (internal use only)

rajesh.aggarwal@uphs.upenn.edu

 

Rajesh Aggarwal commenced medical training at Selwyn College, Cambridge University and completed clinical studies at The Royal Free Hospital School of Medicine, London, graduating with Honours. Subsequently he has completed basic surgical training in London teaching hospitals, and a PhD thesis at Imperial College London entitled ‘A Proficiency-Based Technical Skills Curriculum for Laparoscopic Surgery’. His work has been published in over 140 peer-reviewed papers, including Annals of Surgery, British Medical Journal, British Journal of Surgery and New England Journal of Medicine. In 2010 he has been elected to the prestigious National Institute of Health Research Clinician Scientist Fellowship, awarded by the Department of Health, U.K.

Dr. Aggarwal’s clinical practice is based at the Hospital of the University of Pennsylvania, focused upon upper gastrointestinal surgery. This includes oesophagogastric cancer with extended lymphadenectomy, bariatrics (gastric band, sleeve gastrectomy and Roux-en-Y gastric bypass) and benign oesophagogastric procedures (Nissen fundoplication). The focus is upon delivery of minimally invasive surgical techniques. Expanding areas of clinical interest are the development of minimally invasive techniques for oesophagogastric cancer resection, including robotic assisted surgery. With regard to bariatric surgery, there is an evolving focus upon revision cases, together with the emerging fields of metabolic and adolescent surgery.

 
Appointments
09/01/12 - present  Instructor in Surgery, Perelman School of Medicine
University of Pennsylvania
Philadelphia, Pennsylvania
 
 
 
 
 
 
 
 
Education/Training
June 1996    Selwyn College, University of Cambridge –  Intercalated BA (Cantab)
Social & Political Sciences (2:1 Honours)
   
July 1999   The Royal Free Hospital School of Medicine, University of London – MB, BS (Honours)
Distinction in Obstetrics & Gynaecology
Distinction in Pathology
Merit in Clinical Pharmacology
Esther Frances White Memorial Prize for Distinction in Final MBBS
   
May 2000 Selwyn College, University of Cambridge – Honorary MA (Cantab)
   
August 1999 – July 2000 House Officer, Dept. of Surgery, Royal Free Hospital, London
   
August 2000 - January 2001 Senior House Officer, Accident & Emergency Department
St. Thomas’ Hospital, London.
   
February 2001 – July 2001 Demonstrator in Anatomy, Guy’s, King’s & St. Thomas’ Medical School
University of London
   
August 2001 – July 2003 Basic Surgical Training Rotation
University College London Hospitals NHS Trust, London
 
February 2003   Royal College of Surgeons of England – MRCS
 
August 2003 – March 2006  Clinical Research Fellow, Department of Biosurgery & Surgical Technology Imperial College London
   
April 2006 – March 2012  Specialist Registrar Training Programme
North West London region, London Deanery
   
April 2007 – February 2010 Clinical Lecturer in Surgery, Division of Surgery
Imperial College London
   
April 2008  University of London – PhD
   
June 2010 Royal College of Surgeons of England – FRCS (Gen Surg)
   
April 2012 Certificate of Completion of Training (CCT)
Joint Commission for Higher Surgical Training
Royal College of Surgeons of England
 
Memberships/Societies
Sep 2003 – June 2007 Member of the Educational Board of the CATT (Centres of Advanced Technology & Training) Project, Tyco Healthcare
 
Jun 2004 – Jun 2009 Member of Work Group for Evaluation and Implementation of Simulators and Skills Training Programmes, European Association of Endoscopic Surgeons
 
Sep 2004 – Nov 2007 Member of the Intercollegiate Selection into Surgery Working Party, The Royal College of Surgeons of England
 
Jun 2005 – Jan 2011  Board member of the International Club of Young Laparoscopic Surgeons
   
Nov 2005 – Jan 2011 Member of Research Committee, European Association of Endoscopic Surgeons
   
Nov 2005 – Dec 2007 Member of Surgery & Assessment Working Group, General Medical Council
   
Jul 2007 – Feb 2008 Member of Chief Medical Officer’s Working Party on Medical Revalidation, Department of Health, U.K.
   
Oct 2007 – June 2011 Member of Continuing Education Committee, Society of American Gastrointestinal and Endoscopic Surgeons
   
Oct 2007 – Present  Member of Educational Resources Committee, Society of American Gastrointestinal and Endoscopic Surgeons
   
Jan 2008 – Jun 2011 Member of Selection Sub-Committee, Joint Committee on Surgical Training
   
Nov 2008 – Present  Member of Genomics and Health Initiative (GHI) Advisory Committee on Surgical Simulation, Industrial Materials Institute, National Research Council, Canada
   
Sep 2009 – Present Member of Advisory Board, Helen Hamlyn Centre
   
Nov 2009 – Present Member of Research & Development Committee, Consortium of Accredited Education Institutes, Division of Education, American College of Surgeons
   
Oct 2010 – Present Advisory Board for SAFROS European Project (Patient Safety in Robotic Surgery)
   
Jul 2011 – Present Program Advisory Board for 3rd International Conference on Surgical Education and Training (ICOSET), Royal College of Surgeons & Physicians of Canada
   
Aug 2011 – Present Member of Fellowship Committee, Consortium of Accredited Education Institutes, Division of Education, American College of Surgeons
   
Dec 2011 – Present Member of Fundamentals of Robotic Surgery (FRS) Committee
   
Mar 2012 – Present Member of Advanced Training in Laparoscopic Abdominal Surgery (ATLAS) Group
   
Jun 2012 – Present   Committee member of Utstein Meeting on Healthcare Simulation, Utstein Abbey, Stavanger, Norway
 
Research

Dr. Aggarwal is committed to a career in academic surgery. His clinical focus is to work in advanced laparoscopy, with respect to upper gastrointestinal disease.

He completed his PhD thesis, entitled ‘A Proficiency-Based Technical Skills Curriculum for Laparoscopic Surgery’ in 2006. The aim was to develop training curricula for basic, intermediate and advanced laparoscopic surgery, utilizing innate, virtual reality and cadaveric porcine simulations. Acquisition of skills was objectively assessed with video-based and hand-motion analysis, both of which were validated on a number of tasks developed during the research period.

Dr. Aggarwal was appointed in March 2010 to the prestigious position of NIHR Clinician Scientist, and has previously been in the position of Clinical Lecturer since April 2007. He has been at Imperial College since August 2003. Since this time, he has developed his own research agenda, and through substantial grant awards, appointed and supervised clinical PhD research students.

His current position at the University of Pennsylvania is a challenging and exciting position to be in. He aims to provide leadership, support and direction to young academics. He relishes this challenge which provides him with opportunities to foster young talent, but also to drive forward a research agenda with contributory parts.

His research began within the field of surgical education, and more specifically with respect to simulation for enhancement of laparoscopic technical skills. This has now widened to the following research areas:

  1. Cognitive enhancement – mental practice; deliberate practice; warm-up; procedure rehearsal
  2. Technical skills assessment – for selection, credentialing and revalidation
  3. Surgical teams – multi-factorial assessment tools (i.e. technical, communication and leadership); outcomes measurement
  4. Virtual worlds – strategies for education
  5. Design and Patient Safety – a novel resuscitation platform; medical error in the elective surgical pathway
  6. Curriculum development for other surgical domains – endovascular; microsurgery; orthopaedics

The development of a wide research agenda at an early stage in his career is a reflection of his efforts toward innovation and collaboration both within and outside the medical field. He has been fortunate to work with world renowned individuals who have provided support, direction and a commitment to expand the current medical research agenda. His focus is on enhancing surgical performance, and he firmly believes that this research agenda has significant potential to improve care for the surgical patient. The work is feasible, timely and important. There is also extensive potential for the outcomes of this proposal to be implemented internationally.

Dr. Aggarwal firmly believes that his research has the potential for widespread implementation through local and national guidelines for delivery of surgical expertise, and to become a driver for health policy change at an international level. This together with my clinical application through advanced laparoscopy will enable him to become a tour de force within the field of academic medicine, and thus continue to drive an agenda based upon clinical outcomes which is underpinned by the factors of patient safety and highest quality of care for patients.

 
Publications
Papers
  1. Shah S, Dooley J, Aggarwal R, Patch D, Burroughs AK, Rolles K, Davidson BR. Routine endoscopic retrograde cholangiography in the detection of early biliary complications after liver transplantation. Liver Transpl 2002; 8(5): 491-4.
  2. Aggarwal R, Hance J, Darzi A. Robotics and surgery – a long-term relationship? Int J Surg 2004; 2(2): 106-109. 
  3. Aggarwal R, Undre S, Moorthy K, Vincent C, Darzi A. The simulated operating theatre: comprehensive training for surgical teams. Qual Saf Health Care 2004 Oct; 13(S1): i27-i32. 
  4. Aggarwal R, Hance J, Darzi A. Surgical education and training in the new millenium. Surg Endosc 2004; 18(10): 1409-1410. 
  5. Aggarwal R, Moorthy K, Darzi A. Laparoscopic skills training and assessment. Br J Surg 2004; 91(12):1549-1558.Undre S, Moorthy K, Munz Y, Aggarwal R, Hance J, Rockall T, Darzi A. Robotic-assisted laparoscopic Heller’s cardiomyotomy for symptomatic achalasia cardia – an initial experience. Dig Surg 2004; 21(5-6): 396-400.
  6. Hance J, Aggarwal R, Undre S, Darzi A. Skills training in telerobotic surgery. Int J Medical Robotics and Computer Assisted Surgery 2005; 1(2): 7-12.
  7. Aggarwal R, Hance J, Darzi A. The development of a surgical education program. Cir Esp 2005; 77(1): 1-2.
  8. Dosis A, Bello F, Gillies D, Undre S, Aggarwal R, Darzi A. Laparoscopic task recognition using Hidden Markov Models. Stud Health Tech Inform 2005; 111: 115-122.
  9. Dosis A, Aggarwal R, Bello F, Moorthy K, Munz Y, Gillies D, Darzi A. Synchronized video and motion analysis for the assessment of procedures in the operating theater. Arch Surg 2005; 140: 293-299.
  10. Hance J, Aggarwal R, Stanbridge R, Blauth C, Munz Y, Darzi A, Pepper J. Objective assessment of technical skills in cardiac surgery. Eur J Cardiothorac Surg 2005; 28(1): 157-62.
  11. Aggarwal R, Darzi A. Training in laparoscopy – which model to choose? Ind J Gastroenterol 2005; 24(3): 95-96.
  12. Hance J, Aggarwal R, Moorthy K, Munz Y, Undre S, Darzi A. Assessment of psychomotor skills acquisition on laparoscopic cholecystectomy courses. Am J Surg 2005; 190(3): 507-511.
  13. Aggarwal R, Darzi A. Organising a surgical simulation centre. Min Inv Ther 2005; 14(4-5): 275-279.
  14. Carter FJ, Schijven MP, Aggarwal R, Grantcharov T, Francis NK, Hanna GB, Jakimowicz JJ. Consensus guidelines for validation of virtual reality surgical simulators. Surg Endosc 2005; 19(12): 1523-1532.
  15. Aggarwal R, Darzi A. Compression anastomoses revisited. J Am Coll Surg 2005 Dec; 201(6): 965-71.
  16. Aggarwal R, Brough H, Ellis H. Medical students’ participation in surface anatomy classes. Clin Anat 2006 Oct;19(7):627-31.
  17. Nocca D, Gagner M, Aggarwal R, Deneve E, Millat B, Pourquier D, Fabre JM. Is collagen a good banding material for outlet control of vertical gastroplasty? Preliminary study in pigs. Obes Surg 2006; 16(1): 39-44.
  18. Aggarwal R, Black SA, Hance JR, Darzi A, Cheshire NJW. Virtual reality simulation training can improve inexperienced surgeons’ endovascular skills. Eur J Vasc Endovasc Surg 2006 Jun;31(6):588-93.
  19. Aggarwal R, Grantcharov T, Moorthy K, Hance J, Darzi A. A competency-based virtual reality training curriculum for the acquisition of laparoscopic psychomotor skill. Am J Surg 2006; 191(1): 128-133.
  20. Aggarwal R, Darzi A. Training in the operating theatre – is it safe? Thorax 2006; 61(4): 278-279.
  21. Deeba S, Aggarwal R, Sains P, Martin S, Athanasiou T, Casula R, Darzi A. Cardiac robotics: a review and St. Mary’s experience. Int J Med Robotics Comput Assist Surg 2006 Mar; 2: 16–20.
  22. Aggarwal R, Grantcharov TP, Eriksen JR, Blirup D, Kristiansen V, Funch-Jensen P, Darzi A. An evidence-based virtual reality training program for laparoscopic surgery. Ann Surg 2006 Aug; 244(2): 310-4.
  23. Aggarwal R, Hance J, Undre S, Ratnasothy J, Moorthy K, Chang A, Darzi A. Training junior residents in laparoscopic suturing skills is feasible and efficacious. Surgery 2006 Jun; 139(6): 729-34.
  24. Larsen CR, Grantcharov T, Aggarwal R, Tully A, Sorensen JL, Dalsgaard T, Ottesen B. Objective assessment of gynaecological laparoscopic skills using the LapSim Gyn virtual reality simulator. Surg Endosc 2006 Sep; 20(9): 1460-6.
  25. Bhattacharjya S, Aggarwal R, Davidson BR. Intensive follow up following liver resection for colorectal metastases: results of combined serial tumour marker estimations and CT of the chest and abdomen – a prospective study. Br J Cancer 2006 Jul 3; 95(1): 21-6.
  26. Datta V, Bann S, Aggarwal R, Mandalia M, Hance J, Darzi A. Technical skills examination for general surgical trainees. Br J Surg 2006 Sep; 93(9): 1139-46.
  27. Leff DR, Koh P, Aggarwal R, Leong J, Deligiani F, Elwell C, Delpy DT, Yang GZ, Darzi AW. Optical mapping of the left frontal cortex during a surgical knot tying task. Lect Notes Comput Sci 2006; 4091: 140-147.
  28. Kneebone R, Nestel D, Wetzel C, Black S, Jacklin R, Aggarwal R, Yadollahi F, Wolfe J, Vincent C, Darzi A. The human face of simulation. Acad Med 2006 Oct; 81(10): 919-924.
  29. Lamata P, Gomez EJ, Bello F, Kneebone RL, Aggarwal R, Lamata F. Conceptual framework for laparoscopic VR simulators. IEEE Comput Graph Appl 2006 Nov-Dec; 26(6): 69-79.
  30. Aggarwal R, Tully A, Grantcharov T, Larsen C, Miskry T, Farthing A, Darzi A. Virtual reality simulation training can improve technical skills during laparoscopic salpingectomy for ectopic pregnancy. Br J Obs Gynae 2006; 113: 1382–1387.
  31. Mayer EK, Winkler MH, Aggarwal R, Karim O, Ogden C, Hrouda D, Darzi AW, Vale JW. Robotic prostatectomy: the first UK experience. Int J Med Robotics Comput Assist Surg 2006; 2: 321–328.
  32. Aggarwal R, Darzi A. Technical skills training in the 21st century. N Engl J Med 2006; 355: 2695-2697.
  33. Aggarwal R, Dosis A, Bello F, Darzi A. Construct validation of the ProMIS simulator using a novel laparoscopic suturing task. Letter to the Editor. Surg Endosc 2007; 21(2): 339.
  34. Aggarwal R, Cheshire NJW. Virtual reality simulation training can improve inexperienced surgeons’ endovascular skills. Letter to the Editor. Eur J Vasc Endovasc Surg 2007; 33: 260.
  35. Aggarwal R, Boza C, Hance J, Leong JJ, Lacy A, Darzi A. Training in laparoscopic Roux-en-Y gastric bypass – an evidence-based approach. Obes Surg 2007; 17(1): 19-27.
  36. Aggarwal R, Grantcharov TP, Darzi A. A framework for systematic training and assessment of technical skills – STATS. J Am Coll Surg 2007; 204(4): 697-705.
  37. Neequaye SK, Aggarwal R, Brightwell R, Van Herzeele I, Darzi A, Cheshire NJW. Identification of skills common to renal and iliac endovascular procedures performed on a virtual reality simulator. Eur J Vasc Endovasc Surg 2007; 33(5): 525-32.
  38. Aggarwal R, Grantcharov T, Moorthy K, Milland T, Papasavas P, Dosis A, Bello F, Darzi A. An evaluation of the feasibility, validity and reliability of laparoscopic skills assessment in the operating room. Ann Surg 2007 Jun; 245(6): 992-999.
  39. Aggarwal R, Warren O, Darzi A. Mental training in surgical education: a randomized controlled trial. Letter to the Editor. Ann Surg 2007 Jun; 245(6): 1002.
  40. Aggarwal R, Darzi A. Competency-based training and practice – what does it really mean? J Am Coll Surg 2007; 205(1): 192-193.
  41. Nocca D, Aggarwal R, Blanc P, Gallix B, Millat B, De Seguin des Hons C, Deneve E, Rodier JG, Tincani G, Pierredon MA, Fabre JM. Laparoscopic vertical banded gastroplasty: a multicenter prospective study of 200 procedures. Surg Endosc 2007; 21: 870-874.
  42. Nocca D, Aggarwal R, Mathieu A, Blanc PM, Denève E, Salsano V, Figueira G, Sanders G, Domergue J, Millat B, Fabre JM. Laparoscopic surgery and corticoadrenalomas. Surg Endosc 2007; 21: 1373-1376.
  43. Aggarwal R, Ward J, Balasundaram I, Sains P, Athanasiou T, Darzi A. Proving the effectiveness of virtual reality simulation for training in laparoscopic surgery. Ann Surg 2007; 246(5): 771-9.
  44. Van Herzeele I, Aggarwal R, Choong A, Brightwell R, Vermassen F, Cheshire NJ. Virtual reality simulation objectively differentiates level of carotid stent experience in experienced interventionalists. J Vasc Surg 2007; 46(5): 855-863.
  45. Neequaye SK, Aggarwal R, Van Herzeele I, Darzi A, Cheshire NJ. Endovascular skills training and assessment.  J Vasc Surg 2007; 46(5): 1055-1064.
  46. Aggarwal R, Grantcharov T, Moorthy K, Milland T, Darzi A. Toward feasible, valid and reliable video-based assessments of technical surgical skills in the operating room. Ann Surg 2008; 247(2): 372-379.
  47. Aggarwal R, Balasundaram I, Darzi A. Training opportunities and the role of virtual reality simulation in acquisition of basic laparoscopic skills. J Surg Res 2008; 145(1): 80-6.
  48. Aggarwal R, Leong JJ, Leff D, Warren O, Yang GZ, Darzi A. New technologies for the surgical curriculum. World J Surg 2008; 32(2): 213-216.
  49. Aggarwal R, Darzi A. Symposium on surgical simulation for training and certification. World J Surg 2008; 32(2): 139-140.
  50. Leff DR, Leong J, Aggarwal R, Yang GZ, Darzi A. Could variations in technical skills acquisition in surgery be explained by differences in cortical plasticity?  Ann Surg 2008; 247(3): 540-543.
  51. Leff DR, Aggarwal R, Rana M, Nakhjavani B, Purkayastha S, Khullar V, Darzi A. Laparoscopic skills suffer on the first shift of sequential night shifts: Program directors beware and residents prepare. Ann Surg 2008; 247(3): 530-539.
  52. Aggarwal R, Hodgson L, Rao C, Ashrafian H, Chow A, Zacharakis E, Athanasiou T, Johnston D, Darzi A. Surgical management of morbid obesity: current status. Brit J Hosp Med 2008; 69(2): 95-100.
  53. Smith A, Kinross J, Bailey M, Aggarwal R, Toresen D, Vincent C. Re-stocking the resuscitation trolley: how good is compliance with checking procedures? Clin Risk 2008; 14(1): 4-7. 
  54. Van Herzeele I, Aggarwal R, Neequaye S, Hamady M, Cleveland T, Darzi A, Gaines P, Cheshire N. Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses. Eur J Vasc Endovasc Surg 2008; 35(5): 541-50.
  55. Balasundaram I, Aggarwal R, Darzi A. Short phase training on a virtual reality simulator improves technical performance in tele-robotic surgery. Int J Med Robot 2008; 4(2):139-145.
  56. Leong JJH, Leff DR, Das A, Aggarwal R, Reilly P, Atkinson HDE, Emery RJ, Darzi AW. Validation of orthopaedic bench models for trauma surgery. J Bone Joint Surg Br 2008; 90(7): 958-65.
  57. del Genio G, Gagner M, Nocca D, Cuenca-Abente F, Biertho L, Waage A, Faife B, del Genio F, Boza C, Aggarwal R, del Genio A. Endoscopic cervical bariatric surgery: follow-up study in a porcine model. Obes Surg 2008; 18(9): 1188-91.
  58. Zacharakis E, Hettige R, Purkayastha S, Aggarwal R, Darzi A, Ziprin P. Laparoscopic parastomal hernia repair. A description of the technique and initial results. Surg Innov 2008; 15(2): 85-9.
  59. Aggarwal R, Grantcharov T. Laparoscopic colorectal surgical training: a curricular approach. Sem Colon Rect Surg 2008; 19(2): 115-121.
  60. Gurusamy K, Aggarwal R, Palanivelu L, Davidson BR. Systematic review of randomised controlled trials on the effectiveness of virtual reality training for laparoscopic surgery. Br J Surg 2008; 95(9):1088-1097.
  61. Aggarwal R, Cheshire N, Darzi A. Endovascular simulation-based training. Surgeon 2008; 6(4): 196-7.
  62. Aggarwal R, Darzi A, Grantcharov T. A systematic review of skills transfer after surgical simulation training. Ann Surg 2008 Oct; 248(4): 690-1.
  63. Van Herzeele I, Aggarwal R on behalf of the European Virtual Reality Endovascular Research Team (EVEREST) researchers. Virtual reality in the endovascular field. US Cardiology 2008; 5(1): 41-45.
  64. Van Herzeele I, Aggarwal R, Neequaye S, Darzi A, Vermassen F, Cheshire NJ. Cognitive training improves clinically relevant outcomes during simulated endovascular procedures. J Vasc Surg 2008; 48(5): 1223-1230.
  65. del Genio G, Tolone S, del Genio F, Aggarwal R, d'Alessandro A, Allaria A, Rossetti G, Brusciano L, del Genio A. Prospective assessment of patient selection for antireflux surgery by combined multichannel intraluminal impedance pH monitoring. J Gastrointest Surg. 2008; 12(9): 1491-6.
  66. Van Herzeele I, Aggarwal R on behalf of the European Virtual reality Endovascular RESearch Team. Virtual reality simulation: prepared for training and assessment of endovascular skills? Italian Journal of Vascular and Endovascular Surgery 2008; 15(3): 155-65.
  67. Aggarwal R, Darzi A. From scalpel to simulator: a surgical journey. Surgery 2009; 145(1): 1-4.
  68. Smith AJ, Aggarwal R, Warren OJ, Paraskeva P. Surgical training and certification in the United kingdom. World J Surg. 2009; 33(2): 174-9.
  69. Gurusamy KS, Aggarwal R, Palanivelu L, Davidson BR. Virtual reality training for surgical trainees in laparoscopic surgery. Cochrane Database Syst Rev 2009; (1): CD006575.
  70. Nocca D, Aggarwal R, Deneve E, Picot MC, Sanders G, Pourquier D, Taillade H, Millat B, Gagner M, Fabre JM. Use of collagen wrap from bovine origin for the management of colic perforation. Preliminary study in a pig model. J Laparoendosc Adv Surg Tech A 2009; 19(1): 79-83.
  71. Ezra DG, Aggarwal R, Michaelides M, Okhravi N, Verma S, Benjamin L, Bloom P, Darzi A, Sullivan P. Skills acquisition and assessment after a microsurgical skills course for ophthalmology residents. Ophthalmology 2009; 116(2): 257-62.
  72. Nestel D, Van Herzeele I, Aggarwal R, Odonoghue K, Choong A, Clough R, Eades C, Lau J, Neequaye S, Ahluwalia G, Darzi A. Evaluating training for a simulated team in complex whole procedure simulations in the endovascular suite. Med Teach 2009; 31(1): e18-23.
  73. Patel V, Aggarwal R, Kinross J, Taylor D, Davies R, Darzi A. Improving informed consent of surgical patients using a multimedia-based program: results of a prospective randomized multicenter study of patients before cholecystectomy. Ann Surg 2009; 249(3): 546-7.
  74. Van Herzeele I, Aggarwal R, Malik I. Use of simulators in vascular training. Heart 2009; 95(8): 613-4.
  75. Aggarwal R, Crochet P, Dias A, Misra A,  Ziprin P, Darzi A. Development of a virtual reality training curriculum for laparoscopic cholecystectomy. Br J Surg 2009; 96(9):1086-1093.
  76. Van Herzeele I, Aggarwal R, Malik I, Gaines P, Hamady M, Darzi A, Cheshire N, Vermassen F; (European Virtual Reality Endovascular Research Team EVEResT). Validation of video-based skill assessment in carotid artery stenting. Eur J Vasc Endovasc Surg 2009 Jul;38(1):1-9.
  77. Kroeze SGC, Mayer EK, Chopra S, Aggarwal R, Darzi A, Vale J. Assessment of laparoscopic suturing skills of urology residents: a pan European study. Eur Urol 2009; 56(5): 865-873.
  78. Kneebone R, Aggarwal R. Surgical training using simulation. BMJ 2009; 338: 1220-1.
  79. Arora S, Aggarwal R, Sevdalis N, Moran A, Sirimanna P, Kneebone R, Darzi A. Development and validation of mental practice as a training strategy for laparoscopic surgery. Surg Endosc 2010; 24(1):179-87.
  80. Ahmed K, Keeling AN, Fakhry M, Ashrafian H, Aggarwal R, Naughton PA, Darzi A, Cheshire N, Athanasiou T, Hamady M. Role of virtual reality simulation in teaching and assessing technical skills in endovascular intervention. J Vasc Interv Radiol 2010; 21(1): 55-66.
  81. Kneebone R, Arora S, King D, Bello F, Sevdalis N, Kassab E, Aggarwal R, Darzi A, Nestel D. Distributed simulation – accessible immersive training. Med Teach 2010; 32(1): 65-70.
  82. Sugden C, Aggarwal R, Darzi A. Sleep deprivation, fatigue, medical error and patient safety. Am J Surg 2010; 199(3): 433–434.
  83. Van Herzeele I, O'Donoghue KG, Aggarwal R, Vermassen F, Darzi A, Cheshire NJ. Visuospatial and psychomotor aptitude predicts endovascular performance of inexperienced individuals on a virtual reality simulator. J Vasc Surg 2010; 51(4): 1035-42.
  84. Calatayud D, Arora S, Aggarwal R, Kruglikova I, Schulze S, Funch-Jensen P, Grantcharov T. Warm-up in a virtual reality environment improves performance in the operating room. Ann Surg 2010; 251(6): 1181-1185.
  85. Sugden C, Aggarwal R. Assessment and feedback in the skills laboratory and operating room. Surg Clin North Am 2010; 90(3): 519-533.
  86. Willaert WI, Aggarwal R, Nestel DF, Gaines PA, Vermassen FE, Darzi AW, Cheshire NJ; (on behalf of the European Virtual Reality Endovascular Research Team, EVEResT). Patient-specific simulation for endovascular procedures: qualitative evaluation of the development process. Int J Med Robot 2010; 6(2): 202-10.
  87. Debes AJ, Aggarwal R, Balasundaram I, Jacobsen MB. A tale of two trainers: virtual reality versus a video trainer for acquisition of basic laparoscopic skills. Am J Surg 2010; 199: 840–845.
  88. Spiteri A, Aggarwal R, Kersey T, Benjamin L, Darzi A, Bloom P. Phacoemulsification skills training and assessment. Br J Ophthalmol 2010; 94(5): 536-41.
  89. Paice AG, Aggarwal R, Darzi A. Safety in surgery. Is selection the missing link? World J Surg 2010; 34(9): 1993-2000.
  90. Arora S, Tierney T, Sevdalis N, Aggarwal R, Nestel D, Woloshynowych M, Darzi A, Kneebone R. The Imperial Stress Assessment Tool (ISAT): A feasible, reliable and valid approach to measuring stress in the operating room. World J Surg 2010; 34(8): 1756-63.
  91. Sugden C, Aggarwal R, Housden C, Sahakian BJ, Darzi A. Pharmacological enhancement of performance in doctors. BMJ 2010; 341: 261-2.
  92. Aggarwal R, Mytton OT, Greaves F, Vincent C. Technology as applied to patient safety: an overview. Qual Saf Health Care 2010 ; 19 Suppl 2: i3-8.
  93. Newton RC, Mytton OT, Aggarwal R, Runciman WB, Free M, Fahlgren B, Akiyama M, Farlow B, Yaron S, Locke G, Whittaker S. Making existing technology safer in healthcare. Qual Saf Health Care 2010; 19 Suppl 2: i15-24.
  94. Aggarwal R, Mytton OT, Derbrew M, Hananel D, Heydenburg M, Issenberg B, MacAulay C, Mancini ME, Morimoto T, Soper N, Ziv A, Reznick R. Training and simulation for patient safety. Qual Saf Health Care 2010; 19 Suppl 2: i34-43.
  95. Arora S, Sevdalis N, Aggarwal R, Sirimanna P, Darzi A, Kneebone R. Stress impairs psychomotor performance in novice laparoscopic surgeons. Surg Endosc 2010; 24: 2588–2593.
  96. Palter VN, Orzech N, Aggarwal R, Okrainec A, Grantcharov TP. Resident perceptions of advanced laparoscopic skills training. Surg Endosc 2010; 24:2830-4.
  97. Balasundaram I, Aggarwal R, Darzi LA. Development of a training curriculum for microsurgery. Br J Oral Maxillofac Surg 2010; 48(8): 598-606.
  98. Willaert W, Aggarwal R, Bicknell C, Hamady M, Darzi A, Vermassen F, Cheshire N (on behalf of the European Virtual Reality Endovascular Research Team EVEResT). Patient specific simulation in carotid artery stenting. J Vasc Surg. 2010; 52(6): 1700-5.
  99. Desender LM, Van Herzeele I, Aggarwal R, Vermassen FE, Cheshire NJ. Training with simulation versus operative room attendance. J Cardiovasc Surg (Torino) 2011; 52(1): 17-37.
  100. Arora S, Aggarwal R, Sirimanna P, Sevdalis N, Grantcharov T, Moran A, Kneebone R, Darzi A. Mental practice enhances surgical technical skills: a randomised controlled study. Ann Surg 2011; 253(2): 265-70.
  101. Arora S, Aggarwal R, Moran A, Sirimanna P, Crochet P, Darzi A, Kneebone R, Sevdalis N. Mental practice: effective stress management training for novice surgeons. J Am Coll Surg 2011; 212: 225–233.
  102. Nestel D, Walker K, Simon R, Aggarwal R, Andreatta P. Nontechnical Skills. An inaccurate and unhelpful descriptor? Simul Healthc 2011; 6(1): 2-3.
  103. Naughton PA, Aggarwal R, Wang TT, Van Herzeele I, Keeling AN, Darzi AW Cheshire NJW. Skills training following night-shift work enables acquisition of endovascular technical skills on a virtual reality simulator. J Vasc Surg 2011; 53(3): 858-66.
  104. Taylor D, Patel V, Cohen D, Aggarwal R, Kerr K, Sevdalis N, Batrick N, Darzi A. Single and multi-user virtual patient design in the virtual world. Stud Health Technol Inform. 2011; 163: 650-652.
  105. Patel V, Aggarwal R, Taylor D, Darzi A. Implementation of virtual online patient simulation. Stud Health Technol Inform. 2011; 163: 440-446.
  106. Willaert WI, Aggarwal R, Van Herzeele I, O'Donoghue K, Gaines PA, Darzi AW, Vermassen FE, Cheshire NJ (on behalf of European Virtual Reality Endovascular Research Team EVEResT). Patient-specific endovascular simulation influences Interventionalists performing carotid artery stenting procedures. Eur J Vasc Endovasc Surg 2011; 41(4): 492-500.
  107. Aggarwal R, Darzi A. Innovation in surgical education – A driver for change. The Surgeon 2011; 9:S30-S31.
  108. Crochet P, Aggarwal R, Dubb SS, Ziprin P, Rajaretnam N, Grantcharov T, Ericsson KA, Darzi. Deliberate practice on a virtual reality laparoscopic simulator enhances the quality of surgical technical skills. Ann Surg 2011; 253(6): 1216–1222.
  109. Nocca D, Guillaume F, Noel P, Picot MC, Aggarwal R, El Kamel M, Schaub R, de Seguin de Hons C, Renard E, Fabre JM. Impact of laparoscopic sleeve gastrectomy and laparoscopic gastric bypass on HbA1c blood level and pharmacological treatment of type 2 diabetes mellitus in severe or morbidly obese patients. Results of a multicenter prospective study at 1 year. Obes Surg 2011; 21: 738–743.
  110. Tsang C, Aggarwal R, Bonanomi G. Dercum's Disease as a cause of weight loss failure after gastric bypass. Surg Obes Relat Dis 2011; 7(2): 243-5.
  111. Willaert W, Aggarwal R, Harvey K, Cochennec F, Nestel D, Darzi A, Vermassen F, Cheshire N. (On behalf of the European Virtual Reality Endovascular Research Team EVEResT). Efficient implementation of patient-specific simulated rehearsal for the carotid artery stenting procedure: part-task rehearsal. Eur J Vasc Endovasc Surg 2011; 42(2): 158-166.
  112. Aggarwal R, Grantcharov T. Education, innovation and safe practice in surgical oncology. Surg Oncol 2011; 20(3): 127-8.
  113. Lewis TM, Aggarwal R, Rajaretnam N, Grantcharov T P, Darzi A. Training in surgical oncology – the role of VR simulation. Surg Oncol. 2011 Sep;20(3):134-9.
  114. Sharma B, Mishra A, Aggarwal R, Grantcharov TP. Non-technical skills assessment in surgery. Surg Oncol. 2011 Sep;20(3):169-77.
  115. Arora S, Miskovic D, Hull L, Moorthy K, Aggarwal R, Johannsson H, Gautama S, Kneebone R, Sevdalis N. Self versus expert assessment of technical and non-technical skills in high fidelity simulation. Am J Surg 2011; 202: 500–506.
  116. Arora S, Russ S, Petrides KV, Sirimanna P, Aggarwal R, Darzi A, Sevdalis A. Emotional intelligence and stress in medical students.   Acad Med 2011; 86(10): 1311-1317.
  117. Gogalniceanu P, Jarral OA, Purkayastha S, Aggarwal R, Zacharakis E. Chest wall metastasis from oesophageal adenocarcinoma: a rare presentation. Updates Surg (2011) 63:223–226
  118. Aggarwal R, Darzi A. Simulation to enhance patient safety – Why aren’t we there yet? Chest 2011; 140(4): 854-8.
  119. Aggarwal R, Mishra A, Crochet P, Sirimanna P, Darzi A. Effect of caffeine and taurine on simulated laparoscopy performed in sleep deprivation. Brit J Surg 2011; 98: 1666–1672.
  120. Sugden C, Housden CR, Aggarwal R, Sahakian BJ, Darzi A. Effect of pharmacological enhancement on the cognitive and clinical psychomotor performance of sleep deprived doctors: randomised controlled trial. Ann Surg 2012; 255(2): 222–227.
  121. Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. The impact of non-technical skills on technical performance in surgery: a systematic review. J Am Coll Surg 2012; 214: 214–230.
  122. Patel V, Aggarwal R, Osinibi E, Taylor D, Arora S, Darzi A. Operating room introduction for the novice. Am J Surg 2012; 203: 266–275.
  123. del Genio G, Tolone S, del Genio F, D’Alessandro A, Brusciano L, Aggarwal R, Conzo G, Orditura M, Docimo L, del Genio A. Impact of total fundoplication on esophageal transit: analysis by combined multichannel intraluminal impedance and manometry. J Clin Gastroenterol. 2012; 46(1): e1-5.
  124. Patel V, Lee H, Taylor D, Aggarwal R, Kinross J, Darzi A. Virtual worlds are an innovative tool for medical device training in a simulated environment. Stud Health Technol Inform 2012; 173: 338-43.
  125. Orzech N, Palter VN, Reznick RK, Aggarwal R, Grantcharov TP. A comparison of two ex-vivo training curricula for advanced laparoscopic skills: a randomized controlled trial. Ann Surg 2012; 255(5) :833-9.
  126. Lewis T, Aggarwal R, Kwasnicki R, Darzi A, Paraskeva P. Does previous laparoscopic experience improve ability to perform single-incision laparoscopic surgery? Surg Endosc 2012; 26(5): 1214-9.
  127. Willaert WI, Aggarwal R, Daruwalla F, Van Herzeele I, Darzi AW, Vermassen FE, Cheshire NJ (on behalf of the European Virtual Reality Endovascular Research Team EVEREST). Simulated procedure rehearsal is more effective than a preoperative generic warm-up for endovascular procedures. Ann Surg 2012; 255(6): 1184-1189.
  128. Debes AJ, Aggarwal R, Balasundaram I, BM Jacobsen. Construction of an evidence based, graduated training curriculum for D-Box; a web-cam based laparoscopic basic skills trainer box. Am J Surg 2012; 203(6): 768–775.
  129. Lewis TM, Aggarwal R, Kwasnicki RM, Rajaretnam N, Moorthy K, Ahmed A, Darzi A. Can virtual reality simulation be used for bariatric surgical training? Surgery 2012; 151(6): 779-84.
  130. Zevin B, Aggarwal R, Grantcharov TP. Simulation-based training and learning curves in laparoscopic Roux-en-Y gastric bypass. Br J Surg 2012; 99(7): 887-895.
  131. Sugden C, Aggarwal R, Banerjee A, Haycock A, Thomas-Gibson S, Williams CW, Darzi A. The development of a virtual reality training curriculum for colonoscopy. Ann Surg 2012; 256: 188–192.
  132. Zevin B, Aggarwal R, Grantcharov TP. Volume-outcome association in bariatric surgery: a systematic review. Ann Surg 2012; 256: 60–71.
  133. Willaert W, Aggarwal R, Van Herzeele I, Cheshire NJ, Vermassen FE. Recent advancements in medical simulation: patient-specific virtual reality simulation. World J Surg 2012; 36: 1703–1712.
  134. Lewis T, Aggarwal R, Sugden C, Darzi A. The adoption of advanced surgical techniques. Are surgical masterclasses enough? Am J Surg 2012; 204(1): 110-4.
  135. Willaert W, Cheshire N, Aggarwal R, van Herzeele I, Stansby G, Macdonald S, Vermassen F (on behalf of the European Virtual reality Endovascular Research Team, EVEResT). Improving results for carotid artery stenting: validation of the scoring system for anatomic suitability for carotid artery stenting with patient-specific simulated rehearsal. Accepted for publication in Journal of Vascular Surgery.
  136. Willaert W, Aggarwal R, Van Herzeele I, Plessers M, Stroobant N, Nestel D, Cheshire N, Vermassen F (on behalf of the European Virtual Reality Endovascular Research Team EVEResT). Patient-specific simulated rehearsal: from virtual reality to clinical practice.Accepted for publication in British Journal of Surgery.
  137. Varas J, Mejía R, Riquelme A, Maluenda F, Buckel E, Salinas J, Martínez J, Aggarwal R, Jarufe N, Boza C. Significant transfer of surgical skills obtained with an advanced laparoscopic training program to a laparoscopic jejunojejunostomy in a live porcine model: feasibility of learning advanced laparoscopy in a general surgery residency.Accepted for publication in Surgical Endoscopy.
  138. Maan ZN, Mann IN, Darzi AW, Aggarwal R. Systematic review of predictors of surgical performance.   Accepted for publication in British Journal of Surgery.
Book Chapters
  1. Aggarwal R, Undre S, Darzi A. Complications of minimally invasive surgery. In Surgical Complications: Diagnosis and Treatment, Hakim N & Paplois V (Eds.), Imperial College Press, London, UK.
  2. Aggarwal R. Operative techniques for minor surgical procedures. In A Guide to Performing Minor Surgical Procedures for Nurses & Allied Health Professionals, Martin S (Ed), Imperial College Press, London, UK.
  3. Aggarwal R, Harrison R, Darzi A. Assessment and standards in surgical training. In Endoscopic Surgery, Yerevan, Armenia.
  4. Aggarwal R, Darzi A. Laparoscopic resection of colon cancer. In Endoscopic Surgery, Yerevan, Armenia.
  5. Aggarwal R, Darzi A. Measurement of Surgical Performance for Delivery of a Competency-Based Training Curriculum. In Key Topics in Surgical Research Methodology. Darzi A, Athanasiou T & Debas H (Eds.), Imperial College Press, London, UK (2010).
  6. Van Herzeele I, Aggarwal R on behalf of the EVEREST team and A. Darzi, S. Dawson. The Place and Future of Virtual Reality Simulation in Endovascular Training. 31th International symposium Charing Cross – Vascular and Endovascular Controversies Update. Roger M. Greenhalgh – BIBA Publishing, 2009; 1-16.
  7. Aggarwal R. Roundtable on Research.    In Best Practices in Surgical Education: Innovations in Skills Training. Saltzmann PD (Ed.), Ethicon Endo-Surgery Inc., Cincinatti, USA (2010).
  8. Lewis T, Aggarwal R. Virtual Reality Curricula. In Textbook of Simulation: Skills and Team Training. Tsuda ST, Scott DJ & Jones DB (Eds.) Cine-Med Publishing, Inc., Woodbury, CT, USA (2012).
  9. Mitchell EL, Van Herzeele I, Aggarwal R. Vascualr Surgery. In Textbook of Simulation: Skills and Team Training. Tsuda ST, Scott DJ & Jones DB (Eds.) Cine-Med Publishing, Inc., Woodbury, CT, USA (2012).
  10. Harryson I, Aggarwal R, Darzi A. The future for simulation: Horizon scanning – impact of technological change. Accepted for publication in Essential Simulation in Clinical Education. Edgar S, Forrest K, McKimm J (Eds.) Wiley-Blackwell Publishing.

Dr. Rajesh Aggarwal

 
footer Terms of Use Legal Disclaimer Site Map Contact Us Financial Assistance About Penn Medicine Privacy Statement
penn medicine