What Is the Cost Associated with the Implementation and Maintenance of an ACS/APDS-Based Surgical Skills Curriculum?

Danzer, Enrico; Dumon, Kristoffel R.; Kolb, Gretchen; Pray, Lori; Selvan, Ben; Resnick, Andrew S.; Morris, Jon B.; Williams, Noel N.

doi:10.1016/j.jsurg.2011.06.004

Cited by 44 publications

(36 citation statements)

References 26 publications

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“…If the facility has a space allocation committee, the SSSC implementation project needs to be presented to the committee as early as possible [31]. The physical space for the SSSC may need to be developed, entailing renovating existing spaces, new construction, or temporary facilities [31,48].…”

Section: Spacementioning

confidence: 99%

“…Given a USD 4.204 million capital investment for a 800 to 1,200 square feet SSSC renovation with initial capital equipment stocking, and USD 476,000 annual operating budget in 2011, all health care facility departments that could benefit from the SSSC need to be onboard to share SSSC implementation and operating costs [48]. The annual operating budget for 75% of teaching hospital and 43% of medical school SSSC is less than USD 500,000 [47].…”

Section: Spacementioning

confidence: 99%

“…Low and high-fidelity simulation equipment, mannequins, ultrasound machines, and other capital equipment, and disposables have to be procured [48]. The facility and equipment should be sufficient to provide each resident with 40 hours of simulation training per 3 months or about 80 hours in the intern year before clinical procedural exposure [48,49].…”

Section: Systemsmentioning

confidence: 99%

“…The facility and equipment should be sufficient to provide each resident with 40 hours of simulation training per 3 months or about 80 hours in the intern year before clinical procedural exposure [48,49]. Equipment electrical, network, and internet needs should be considered [31].…”

Section: Systemsmentioning

confidence: 99%

“…Equipment electrical, network, and internet needs should be considered [31]. Equipment warranties and maintenance, which may cost up to 15% of capital equipment costs, must be included in the annual operating budget [48].…”

Section: Systemsmentioning

confidence: 99%

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Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

Nwanodi¹

2017

Health Sci J

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In the United States, upon resident work hour restriction implementation, obstetrics and gynaecology residents' gynaecologic surgery volume decreased and operative time per caesarean delivery increased. High volume surgeons can have clinically significantly lower complication rates than low volume surgeons, p<0.001. Decreasing surgical volumes and increasing operative time raise the question of procedural patient safety in teaching institutions. Some institutions are turning to international rotations in resource-limited nations to increase residents' surgery volume, possibly doubling monthly surgical volume. As resource-limited nations need to train and increase their indigenous health care workforce, surgical skills simulation is ethically preferable to training high-resource nation residents in resourcelimited nations. A medical and surgical skills simulation center (SSSC) implementation is a workplace continuous quality improvement (CQI) project that can benefit multiple facility departments and community organizations. Stakeholder preparedness must be evaluated before embarking on a CQI project. Anonymous brainstorming contributes to CQI project selection. There is a preferred strategy for incorporating a SSSC into an obstetrics and gynecology department. Staff, space, systems, supplies, science, success, support, and sustainability will come into play at different stages of SSSC implementation. Once operational, the SSSC must undergo CQI to optimize effectiveness. Continuous quality improvement plan-do-study-act cycles are recommended at least as frequently as equipment upgrades.

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Section: Spacementioning

confidence: 99%

Section: Spacementioning

confidence: 99%

Section: Systemsmentioning

confidence: 99%

Section: Systemsmentioning

confidence: 99%

Section: Systemsmentioning

confidence: 99%

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Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

Nwanodi¹

2017

Health Sci J

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Cadaveric Simulation Training in Cardiothoracic Surgery: A Systematic Review

Robinson

Piekut

Hasman

et al. 2019

Anatomical Sciences Ed

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Simulation training has become increasingly relevant in the educational curriculum of surgical trainees. The types of simulation models used, goals of simulation training, and an objective assessment of its utility and effectiveness are highly variable. The role and effectiveness of cadaveric simulation in cardiothoracic surgical training has not been well established. The objective of this study was to evaluate the current medical literature available on the utility and the effectiveness of cadaveric simulation in cardiothoracic surgical residency training. A literature search was performed using PubMed, Cochrane Library, Embase, Scopus, and CINAHL from inception to February 2019. Of the 362 citations obtained, 23 articles were identified and retrieved for full review, yielding ten eligible articles that were included for analysis. One additional study was identified and included in the analysis. Extraction of data from the selected articles was performed using predetermined data fields, including study design, study participants, simulation task, performance metrics, and costs. Most of these studies were only descriptive of a cadaveric or perfused cadaveric simulation model that could be used to augment clinical operative training in cardiothoracic surgery. There is a paucity of evidence in the literature that specifically evaluates the utility and the efficacy of cadavers in cardiothoracic surgery training. Of the few studies that have been published in the literature, cadaveric simulation does seem to have a role in cardiothoracic surgery training beyond simply learning basic skills. Additional research in this area is needed. Anat Sci Educ 13: 406-418.

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Teaching Technical and Procedural Skills

Ali

2016

Trauma Team Dynamics

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What Is the Cost Associated with the Implementation and Maintenance of an ACS/APDS-Based Surgical Skills Curriculum?

Cited by 44 publications

References 26 publications

Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

Cadaveric Simulation Training in Cardiothoracic Surgery: A Systematic Review

Teaching Technical and Procedural Skills

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