A Facial Plastic and Reconstructive Surgery Training Module Using Surgical Simulation for Capacity Building

Fuller, Jennifer C.; Justicz, Natalie; Kim, Jennifer; Cheney, Mack L.; Castrillón, Rodrigo; Hadlock, Tessa

doi:10.1016/j.jsurg.2018.06.027

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…Our synthesis of the data demonstrated that participation in introductory boot camps appears to improve trainee confidence [ 16 , 84 , 87 , 93 ], immediate knowledge acquisition [ 82 , 85 , 92 , 93 ], and immediate improvement in procedural skills [ 83 , 91 ] (Table 1 ). Studies utilizing prospective cohorts and randomized controlled trials (RCTs) revealed an improvement in immediate didactic knowledge (as demonstrated by multiple choice examination), technical skills (based on blinded faculty assessment), and self-perceived confidence which was maintained up to 6 months [ 82 , 87 , 91 , 93 ].…”

Section: Resultsmentioning

confidence: 99%

“…Multidisciplinary staff including faculty from anesthesia, emergency medicine, thoracic surgery along with OHNS may provide added expertise and allow for more focus on interdisciplinary teamwork which is integral for trainee development. Didactic-based curriculum leads to improvements in knowledge retention and comprehension post course [ 82 ] while simulation improves confidence, competence, skill performance, and adds value to the learners’ overall experience with specific emphasis on teamwork / collaboration [ 1 , 82 , 85 , 87 , 91 , 94 ]. Therefore, a curriculum with both didactic and simulation-based learning is advised.…”

Section: Resultsmentioning

confidence: 99%

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The Otolaryngology boot camp: A scoping review evaluating commonalities and appraisal for curriculum design and delivery

Bondzi-Simpson

Lindo

Hoy

et al. 2022

Journal of Otolaryngology - Head & Neck Surgery

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Objective Surgical boot camps are becoming increasingly popular in Otolaryngology–Head and Neck Surgery (OHNS) residency programs. Despite pioneering virtual reality and simulation-based surgical education, these boot camps have lacked critical appraisal. The objective of this article was to examine the adoption and utility of surgical boot camps in OHNS residency training programs around the world. Data Sources Ovid Medline and PubMed databases were systematically searched in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for scoping reviews. Additionally, a grey literature search was performed. Review Methods Inclusion criteria were peer-reviewed publications and grey literature sources that reported on OHNS boot camps for the novice learner. The search was restricted to human studies published in English. Studies were excluded if they were not examining junior trainees. Results A total of 551 articles were identified. Following removal of duplicates, screening, and full text review, 16 articles were included for analysis. Seven major boot camps were identified across various academic sites in the world. Most boot camps were one-day intensive camps incorporating a mixture of didactic, skill specific, and simulation sessions using an array of task trainers and high-fidelity simulators focusing on OHNS emergencies. Studies measuring trainee outcomes demonstrated improvement in trainee confidence, immediate knowledge, and skill acquisition. Conclusion Surgical boot camps appear to be an effective tool for short term knowledge and skill acquisition. Further studies should examine retention of skill and maintenance of confidence over longer intervals, as little is known about these lasting effects.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Otolaryngology boot camp: A scoping review evaluating commonalities and appraisal for curriculum design and delivery

Bondzi-Simpson

Lindo

Hoy

et al. 2022

Journal of Otolaryngology - Head & Neck Surgery

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“…3,4 Surgical simulation could potentially avert the barriers associated with building capacity and, in addition, optimize learning by providing patient-safe preoperative training platforms. [5][6][7] Hospital and academic institutions with low annual epilepsy surgery case counts, in particular, could theoretically benefit from implement-ing surgical simulation. Surgical fields that saw the early adaptation of surgical simulators reported improved intraoperative performance attributable to simulator training.…”

mentioning

confidence: 99%

Design and validation of a hemispherectomy simulator for neurosurgical education

Thiong’o

Looi

Rutka

et al. 2023

Journal of Neurosurgery

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OBJECTIVE Early adaptors of surgical simulation have documented a translation to improved intraoperative surgical performance. Similar progress would boost neurosurgical education, especially in highly nuanced epilepsy surgeries. This study introduces a hands-on cerebral hemispheric surgery simulator and evaluates its usefulness in teaching epilepsy surgeries. METHODS Initially, the anatomical realism of the simulator and its perceived effectiveness as a training tool were evaluated by two epilepsy neurosurgeons. The surgeons independently simulated hemispherotomy procedures and provided questionnaire feedback. Both surgeons agreed on the anatomical realism and effectiveness of this training tool. Next, construct validity was evaluated by modeling the proficiency (task-completion time) of 13 participants, who spanned the experience range from novice to expert. RESULTS Poisson regression yielded a significant whole-model fit (χ2 = 30.11, p < 0.0001). The association between proficiency when using the training tool and the combined effect of prior exposure to hemispherotomy surgery and career span was statistically significant (χ2 = 7.30, p = 0.007); in isolation, pre-simulation exposure to hemispherotomy surgery (χ2 = 6.71, p = 0.009) and career length (χ2 = 14.21, p < 0.001) were also significant. The mean (± SD) task-completion time was 25.59 ± 9.75 minutes. Plotting career length against task-completion time provided insights on learning curves of epilepsy surgery. Prediction formulae estimated that 10 real-life hemispherotomy cases would be needed to approach the proficiency seen in experts. CONCLUSIONS The cerebral hemispheric surgery simulator is a reasonable epilepsy surgery training tool in the quest to increase preoperative practice opportunities for neurosurgical education.

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“…In response to this call, one aspect of global surgery has shifted to in-country training of local surgeons [ 3 ]. Some global surgery groups have only recently started to formally incorporate these goals in their trips overseas.…”

mentioning

confidence: 99%

“…Some global surgery groups have only recently started to formally incorporate these goals in their trips overseas. Fuller et al [ 3 ] employed a surgical curriculum in Ecuador focused on short lecture didactics, live surgery participation, and a surgical simulator to teach skills on various aspects of rhinoseptoplasty surgery. Vyas et al [ 4 ] report a curriculum based on virtual augmented reality to remotely proctor and guide surgical training of cleft-lip surgery for plastic surgeons in Peru.…”

mentioning

confidence: 99%

Advancing global medical education in otolaryngology through hands-on skills training and simulation-based learning

Cao

Feintuch

et al. 2021

J Glob Health

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A Facial Plastic and Reconstructive Surgery Training Module Using Surgical Simulation for Capacity Building

Cited by 5 publications

References 11 publications

The Otolaryngology boot camp: A scoping review evaluating commonalities and appraisal for curriculum design and delivery

The Otolaryngology boot camp: A scoping review evaluating commonalities and appraisal for curriculum design and delivery

Design and validation of a hemispherectomy simulator for neurosurgical education

Advancing global medical education in otolaryngology through hands-on skills training and simulation-based learning

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