High-Fidelity Cleft Simulation Maintains Improvements in Performance and Confidence: A Prospective Study

Rogers-Vizena, Carolyn R.; Saldanha, Francesca Y.L.; Sideridis, Georgios D.; Allan, Catherine K.; Livingston, Katie A.; Nussbaum, Lisa; Weinstock, Peter H.

doi:10.1016/j.jsurg.2023.08.010

Cited by 2 publications

(1 citation statement)

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“…The current work is a secondary analysis of cleft lip simulation data prospectively collected for a previous institutional review board-exempt (IRB-P00035608) educational study. 11 In that investigation, plastic surgery trainees from rotating residency programs and from the craniofacial/ pediatric plastic surgery fellowship at our hospital were videotaped while performing up to three unilateral cleft lip repairs (UCLRs) on a high-fidelity simulator without instruction or guidance during the operation (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

Gender Differences in Plastic Surgery Trainee Confidence: A Pilot Analysis During Cleft Lip Simulation

Stanek,

Phillips,

Staffa

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Underrepresentation of women in plastic surgery remains a concern. This study investigates gender-related differences in self-confidence and surgical ability among plastic surgery trainees in an effort to work toward gender parity. Methods: Residents and fellows were recorded performing up to three cleft lip repairs on a high-fidelity simulator. Demographic information was collected, and two questionnaires were completed to assess self-confidence after each simulation. Videos were rated blindly using the objective structured assessment of technical skills and unilateral cleft lip repair competency assessment tool. Differences between participants were estimated using generalized estimating equations modeling, and correlation between overall self-confidence and performance was examined using Pearson correlation (r). Results: Twenty-six participants (six self-identified women and 20 self-identified men) completed 73 simulated procedures. There was no gender-related difference in training level, volume of prior experience, speed with which participants completed each simulated procedure, or objective performance. However, a significant difference was found in overall procedural self-confidence, with women rating their confidence lower (mean = 16.9, SD = 4.3) than men (mean = 19.4, SD = 3.8); P = 0.021. Further analysis revealed that confidence scores correlated more strongly with objective performance for women (r = 0.83) than for men (r = 0.45). Conclusions: Women plastic surgery trainees overall reported lower self-confidence than their male counterparts, despite demonstrating at least as much skill. Confidence and skill were more closely related for women, suggesting that mentorship focused on concrete skill building may help close the confidence gap.

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Section: Methodsmentioning

confidence: 99%