Resident Knowledge, Surgical Skill, and Confidence in Transobturator Vaginal Tape Placement: The Value of a Cadaver Laboratory

Chong, Woojin; Downing, Keith; Leegant, Ava; Banks, Erika; Fridman, Dmitry; Downie, Sherry A.

doi:10.1097/spv.0000000000000458

Cited by 11 publications

(9 citation statements)

References 19 publications

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“…Compared with no simulation training, cadaveric simulation‐trained learners showed significant improvement in most of the tested skill domains. When comparing behaviour change after training in low‐fidelity simulation‐trained and cadaveric simulation‐trained learners, the results were mixed.…”

Section: Resultsmentioning

confidence: 93%

“…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%

“…There is evidence from three RCTs that cadaveric simulation training is superior to no training, yet the important question remains whether it is superior to low‐fidelity simulation training. This is of interest because cadaveric simulation training is expensive, and therefore needs to have demonstrable superiority over less expensive alternatives.…”

Section: Discussionmentioning

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: 93%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

James

Chapman

Pattison

et al. 2019

British Journal of Surgery

View full text Add to dashboard Cite

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“…High-and low-fidelity surgical simulation have been similarly well-studied as a means to develop muscle memory and practice surgical decision making in a nonclinical setting. In gynecology, effective simulation models have been described for a variety of advanced procedures including laparoscopic ureteral dissection (19), vaginal hysterectomy (37), trans-vaginal tape placement (38), sacrospinous ligament fixation, and radical hysterectomy (29,39). Use of brief, intensive surgical boot camps has been validated to prepare medical students for an OBGYN residency (40) and to reinforce basic procedural skills for junior residents (39,41) but has yet to be described for advanced reproductive surgery.…”

Section: Discussionmentioning

confidence: 99%

Surgical simulation supplements reproductive endocrinology and infertility fellowship training

et al. 2020

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Objective: To assess if a surgical boot camp improves laparoscopic skill among reproduction endocrinology and infertility (REI) fellows and increases fellow desire to incorporate surgical skills into practice and to examine whether fellowship in vitro fertilization (IVF) volume correlates with surgical efficiency. Design: Prospective evaluation. Setting: Simulation Center. Patient(s): Forty REI fellows. Intervention(s): Fellows were timed before and after training in laparoscopic suturing and knot tying and while using virtual simulators. Fellows were surveyed before boot camp on prior experience with IVF and reproductive surgery, and immediately and 1 month after boot camp on their desire to incorporate surgical skills into practice. Main Outcome Measure(s): Efficiency of laparoscopic suturing and knot tying before and after boot camp; likelihood and persistence of incorporating surgical skills into practice immediately and 1 month after boot camp; and correlation between fellowship IVF volume and fellow surgical efficiency. Result(s): Fellows experienced significant improvement in laparoscopic suturing (44 sec), intracorporeal knot tying (82 sec), and extracorporeal knot tying (71 sec). Fellows reported being more likely to incorporate operative hysteroscopy (89%), operative laparoscopy (87%), and laparoscopic suturing (84%) into practice immediately following boot camp with no difference 1 month later. Fifty-four percent of fellows reported being more likely to perform robotic surgery after the boot camp, increasing to 70% 1 month later. There were weak correlations between IVF case volume and efficiency in laparoscopic suturing or hysteroscopic polypectomy (Spearman correlation coefficients,-0.14 and-0.03). Conclusion(s): An intensive surgical boot camp enhances surgical skill among REI fellows.

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Surgical education in urogynecology from low fidelity to virtual reality: Systematic review

Patel

Cyrus

Siff

2023

Neurourology and Urodynamics

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ImportanceIncrease dissemination of educational tools in urogynecology.ObjectiveDescribe the effectiveness and public availability of published educational tools for urogynecologic surgery.Study designA systematic review was conducted by searching MEDLINE, EMBASE, Cochrane Library, and Web of Science from 1946 to 2023 for articles describing educational tools in urogynecology. There were no restrictions on study design or language. Data were extracted in duplicate using a standardized piloted extraction form, and outcomes were combined descriptively.Results2997 titles, 457 abstracts, and 97 full‐text articles were analyzed. Of the 97 interventions included, 43 were manuscripts and 54 were conference abstracts. The median study quality was low, with a moderate risk of bias. Six intervention categories were identified: didactics, animal models, cadavers, static models, extended reality (XR), and multimodal workshops. Didactics were subjectively useful for teaching pelvic anatomy and diseases and improving surgical techniques. If good quality, animal models and cadavers provided visual and tactile learning and assessed performance in real‐time. Animal models were also anatomically realistic and useful at half the cost of cadavers. Static models and XR improved confidence, knowledge, skills, and error rates despite lack of realism and accurate tissue texture in some models and steep learning curve with XR. Only four models were commercially accessible. Most studies did not assess long‐term (>6 months) retention.ConclusionAll educational modalities for urogynecologic surgery are largely realistic and increase participant satisfaction, preparedness, knowledge, skills, and likelihood of use. But only 40% advanced to manuscripts, and even fewer (<5%) were widely available.

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Resident Knowledge, Surgical Skill, and Confidence in Transobturator Vaginal Tape Placement: The Value of a Cadaver Laboratory

Cited by 11 publications

References 19 publications

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

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

Surgical simulation supplements reproductive endocrinology and infertility fellowship training

Surgical education in urogynecology from low fidelity to virtual reality: Systematic review

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