Creation and validation of a simulator for corneal rust ring removal

Mednick, Zale; Tabanfar, Reza; Alexander, Ashley; Simpson, Sarah; Baxter, Stephanie

doi:10.1016/j.jcjo.2017.02.024

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…Zirkle and colleagues found that, when performing cortical mastoidectomy in a cadaveric simulation setting, FPA did not correlate with trainee experience, but GRS and TBC scores did. Mednick and co‐workers also found that, when performing corneal rust ring removal, FPA did not correlate with trainee experience, although procedure time did. Mackenzie et al .…”

Section: Resultsmentioning

confidence: 99%

“…Fifty‐one studies were included in the review, of which 47 were full‐text original research articles and four were conference posters. The main characteristics of studies, including OCEBM and mean MERSQI scores are shown in Tables S2 – S5 (supporting information).…”

Section: Resultsmentioning

confidence: 99%

“…Various score‐based methods were also used, including procedure scores, global rating scale (GRS), OSATS (Objective Structured Assessment of Technical Skills in Surgery) and the GOALS (Global Operative Assessment of Laparoscopic Skills) scale. Seven of the 23 studies were RCTs and 16 were cohort studies. Of the seven RCTs, three compared cadaveric simulation with no simulation training, and four compared cadaveric simulation with low‐fidelity simulation.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 16 cohort studies measuring change in learner behaviour, five were comparative in design. Three studies compared inexperienced versus experienced performance, one compared behaviour change in cadaveric simulation‐trained versus low‐fidelity simulation‐trained cohorts, and one compared within‐subject performance change after cadaveric simulation training. Eleven were non‐comparative descriptive studies.…”

Section: Resultsmentioning

confidence: 99%

“…Fresh cadavers were used in 12 of the reviewed studies. These offer the most authentic tissue‐handling fidelity, but have the significant disadvantage of rapid deterioration, and therefore a short time‐window for their potential use.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of the current status of cadaveric simulation for surgical training

James

Chapman

Pattison

et al. 2019

British Journal of Surgery

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BackgroundThere is growing interest in and provision of cadaveric simulation courses for surgical trainees. This is being driven by the need to modernize and improve the efficiency of surgical training within the current challenging training climate. The objective of this systematic review is to describe and evaluate the evidence for cadaveric simulation in postgraduate surgical training.MethodsA PRISMA‐compliant systematic literature review of studies that prospectively evaluated a cadaveric simulation training intervention for surgical trainees was undertaken. All relevant databases and trial registries were searched to January 2019. Methodological rigour was assessed using the widely validated Medical Education Research Quality Index (MERSQI) tool.ResultsA total of 51 studies were included, involving 2002 surgical trainees across 69 cadaveric training interventions. Of these, 22 assessed the impact of the cadaveric training intervention using only subjective measures, five measured impact by change in learner knowledge, and 23 used objective tools to assess change in learner behaviour after training. Only one study assessed patient outcome and demonstrated transfer of skill from the simulated environment to the workplace. Of the included studies, 67 per cent had weak methodology (MERSQI score less than 10·7).ConclusionThere is an abundance of relatively low‐quality evidence showing that cadaveric simulation induces short‐term skill acquisition as measured by objective means. There is currently a lack of evidence of skill retention, and of transfer of skills following training into the live operating theatre.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Systematic review of the current status of cadaveric simulation for surgical training

James

Chapman

Pattison

et al. 2019

British Journal of Surgery

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Human body donation and surgical training: a narrative review with global perspectives

Zdilla

Balta

2022

Anat Sci Int

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Utilization of human material in surgical simulation training has been well-established as an effective teaching method. Despite the value of donor-based surgical simulation training, its application may be hampered by difficulties regarding access to donated bodies. Therefore, the aim of this review is to assess body donation and body acquisition practices with regard to surgical simulation training programs around the world. The results of this review highlight discrepancies regarding body donation practices and surgical simulation programs among continents and countries. The utilization of donor bodies in surgical simulation appears to mirror body donation practices. In countries that rely mostly or exclusively upon unclaimed bodies or executed criminals, there are scant reports of donor-based surgical simulation programs. In countries where willed-body donation is the principal source of human material, there tend to be many surgical simulation programs that incorporate human material as part of surgical training. This review suggests that, in anatomical and surgical education, the utilization of active willed-body donation programs, as opposed to the utilization of unclaimed human bodies, positively corresponds with the development of beneficial donor-based surgical simulation programs. Likewise, donor-based surgical simulation training programs may have an influence on the perpetualization of willed-body donations.

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