Designing, developing and implementing a 2-year, simulation-embedded curriculum for junior surgical residents

Yiasemidou, Marina; Kordowicz, Andrew; Siqueira, Jullyana de Souza; Gough, Michael

doi:10.1102/2051-7726.2017.0003

Cited by 2 publications

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“…This is because most of the participants were PGY2, who rotate through different surgical specialties, and therefore only a small percentage would be practicing in general surgery and using the skills taught during the course in a real clinical environment immediately after the completion of the course. 41 Nevertheless, having the assertion that this model is valid, in the future we can proceed to work with regional educational authorities and introducing it into a curriculum addressed to trainees undertaking general surgery clinical placements. Such a step will assist greatly in evaluating the transferability of skills from the simulated to the clinical environment.…”

Section: Discussionmentioning

confidence: 99%

Validation of a cost-effective appendicectomy model for surgical training

et al. 2020

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Background Appendicitis is a commonly occurring condition worldwide. The gold standard treatment is appendicectomy. Although training models are commercially available for this procedure, they are often associated with high cost. Here we present a cost-effective model. Aim To establish construct validity of a cost-effective laparoscopic appendicectomy simulation model. Methods Three groups of surgeons were recruited; novices ( n = 31), of intermediate expertise ( n = 13) and experts ( n = 5) and asked to perform a simulated laparoscopic appendicectomy using the new model. Their performance was assessed by a faculty member and compared between the three groups using a validated scoring system (Global Operative Assessment of Laparoscopic Skills [GOALS] score). Results One-way ANOVA test showed a significant difference in task performance between groups ( p < 0.0001). Post-hoc comparisons after the application of Bonferroni correction (statistically significant p value <0.017) demonstrate a significant difference in performance between all groups for all GOALS categories as well as the total score. Effect size calculations showed that experience level had moderate (Eta-squared >0.5 and <0.8) and significant (>0.8) impact on the performance of the simulated procedure. Conclusion The model described in this study is cost-effective, valid and can adequately simulate appendicectomy. The authors recommend inclusion of this model to postgraduate surgical training.

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Section: Discussionmentioning

confidence: 99%

Validation of a cost-effective appendicectomy model for surgical training

et al. 2020

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Cadaveric simulation: a review of reviews

et al. 2017

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Background Traditional surgical training, largely based on the Halstedian model Bsee one, do one, teach one^is not as effective in the era of working time restrictions and elaborate shiftpatterns. As a result, contemporary surgeons turned to educational methods outside the operating theatre such as simulation. Cadavers are high fidelity models but their use has ethical and cost implications and their availability may be limited. In this review, we explore the role of cadaveric simulation in modern surgical education. Methods All the Evidence-Based Medicine databases were searched for relevant reviews. The resulting studies were assessed for inclusion to this review, according to predetermined criteria. Data extraction was performed using a custom-made spreadsheet, and the quality of included reviews was assessed using a validated scoring system (AMSTAR). Results The literature review yielded 33 systematic reviews; five of which matched the inclusion criteria and were included in this review of reviews. Cadaveric simulation was found to have good face (subjective assessment of usefulness) and content validity (whether a specific element adds or retracts to the educational value) while trainees improved their surgical skills after practicing on cadavers. However, concerns have been raised about ethical issues, high cost and availability. Conclusion Cadavers are an effective medium for surgical teaching, and it may be appropriate for them to be used whenever surrounding conditions such cost and availability allow. Further research is required to provide evidence on whether there is equivalence between cadavers and other educational media which may not bear the same shortcomings.

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Designing, developing and implementing a 2-year, simulation-embedded curriculum for junior surgical residents

Cited by 2 publications

References 0 publications

Validation of a cost-effective appendicectomy model for surgical training

Validation of a cost-effective appendicectomy model for surgical training

Cadaveric simulation: a review of reviews

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