An evidence-based algorithm for the design, validation and implementation of a simulation-based surgical training curriculum

2012 ◽  
Vol 215 (3) ◽  
pp. S120-S121
Author(s):  
Boris Zevin ◽  
Jeffrey S. Levy ◽  
Richard M. Satava ◽  
Teodor P. Grantcharov
Keyword(s):  
Surgical Training ◽  
Evidence Based ◽  
Training Curriculum ◽  
Design Validation ◽  
Simulation Based

scholarly journals Challenges to the Practice of Evidence-Based Medicine during Residents’ Surgical Training: A Qualitative Study Using Grounded Theory

2003 ◽  
Vol 78 (11) ◽  
pp. 1183-1190 ◽  
Author(s):  
Mohit Bhandari ◽  
Victor Montori ◽  
P J. Devereaux ◽  
Sonia Dosanjh ◽  
Sheila Sprague ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Qualitative Study ◽  
Surgical Training ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Based Medicine

Piloting the ISCP Surgical Skills Assessment: The Wales Deanery Experience

2013 ◽  
Vol 95 (1) ◽  
pp. 1-4
Author(s):  
G Shingler ◽  
J Ansell ◽  
S Goddard ◽  
N Warren ◽  
J Torkington
Keyword(s):  
Systematic Review ◽  
Surgical Training ◽  
Surgical Skills ◽  
Operating Theatre ◽  
Skills Assessment ◽  
Surgical Simulators ◽  
Simulation Based

The evidence for using surgical simulators in training and assessment is growing rapidly. A systematic review has demonstrated the validity of different simulators for a range of procedures. Research suggests that skills developed on simulators can be transferred to the operating theatre. The increased interest in simulation comes as a result of the need to streamline surgical training. This is reflected by the numerous simulation-based courses that have become an essential part of modern surgical training.

Impact of a simulation-based ergonomics training curriculum on work-related musculoskeletal injury risk in colonoscopy

2020 ◽  
Vol 92 (5) ◽  
pp. 1070-1080.e3 ◽  
Author(s):  
Rishad Khan ◽  
Michael A. Scaffidi ◽  
Joshua Satchwell ◽  
Nikko Gimpaya ◽  
Woojin Lee ◽  
...  
Keyword(s):  
Injury Risk ◽  
Musculoskeletal Injury ◽  
Training Curriculum ◽  
Work Related ◽  
Simulation Based

Incentivising practice with take-home laparoscopic simulators in two UK Core Surgical Training programmes

2016 ◽  
Vol 2 (4) ◽  
pp. 112-117 ◽  
Author(s):  
Laura G Nicol ◽  
Kenneth G Walker ◽  
Jennifer Cleland ◽  
Roland Partridge ◽  
Susan J Moug
Keyword(s):  
Surgical Training ◽  
First Year ◽  
Laparoscopic Skills ◽  
Performance Improvements ◽  
Surgical Trainees ◽  
Confounding Variables ◽  
Simulation Based ◽  
Higher Cognitive Functions ◽  
Training Programmes ◽  
Training Modules

IntroductionPractice using simulators has been validated as a mean for surgical trainees to improve basic laparoscopic skills and free their attention for higher cognitive functions. However, mere provision of equipment does not result in frequent practice. This study assesses one approach to incentivising practice within core surgical training programmes and leads to further recommendations.Methods30 core surgical trainees (CST) starting laparoscopic-based specialties were recruited from East and West of Scotland CST programmes and given take-home laparoscopic simulators, with six training modules. Attainment of target metric scores generated an eCertificate, to be rewarded by progression in the live theatre. Questionnaires assessed confounding variables and explored CSTs’ anxieties about laparoscopy.Results27 trainees (90%) agreed to participate (mean age 28 years, range 24–25; 17 males). 13 CSTs (48%) were in the first year of surgical training. 11 (41%) had no previous simulation experience and 7 (32%) CSTs played video games >3 hours/week. 12 of 27 trainees (44%) completed ≥1 task and 7 completed all (26%).Performances improved in some participants, but overall engagement with the programme was poor. Reasons given included poor internet connectivity, busy rotations and examinations. CSTs who engaged in the study significantly reduced their anxiety (mean 4.96 vs 3.56, p<0.05).ConclusionsThe provision of take-home laparoscopic simulators with accompanying targets did not successfully incentivise CSTs to practise. However, the subgroup who did engage with the project reported performance improvements and significantly reduced anxiety. Proposals to overcome barriers to practising in simulation, including obligatory simulation-based assessments, are discussed.

Validation evidence of the paediatric Objective Structured Assessment of Debriefing (OSAD) tool

2016 ◽  
Vol 2 (3) ◽  
pp. 61-67 ◽  
Author(s):  
Jane Runnacles ◽  
Libby Thomas ◽  
James Korndorffer ◽  
Sonal Arora ◽  
Nick Sevdalis
Keyword(s):  
Assessment Tool ◽  
Learning Experience ◽  
Pearson Correlation ◽  
Phase 1 ◽  
Evidence Based ◽  
Validity Evidence ◽  
Multiple Sources ◽  
Simulation Based ◽  
Expert Input

IntroductionDebriefing is essential to maximise the simulation-based learning experience, but until recently, there was little guidance on an effective paediatric debriefing. A debriefing assessment tool, Objective Structured Assessment of Debriefing (OSAD), has been developed to measure the quality of feedback in paediatric simulation debriefings. This study gathers and evaluates the validity evidence of OSAD with reference to the contemporary hypothesis-driven approach to validity.MethodsExpert input on the paediatric OSAD tool from 10 paediatric simulation facilitators provided validity evidence based on content and feasibility (phase 1). Evidence for internal structure validity was sought by examining reliability of scores from video ratings of 35 postsimulation debriefings; and evidence for validity based on relationship to other variables was sought by comparing results with trainee ratings of the same debriefings (phase 2).ResultsSimulation experts’ scores were significantly positive regarding the content of OSAD and its instructions. OSAD's feasibility was demonstrated with positive comments regarding clarity and application. Inter-rater reliability was demonstrated with intraclass correlations above 0.45 for 6 of the 7 dimensions of OSAD. The internal consistency of OSAD (Cronbach α) was 0.78. Pearson correlation of trainee total score with OSAD total score was 0.82 (p<0.001) demonstrating validity evidence based on relationships to other variables.ConclusionThe paediatric OSAD tool provides a structured approach to debriefing, which is evidence-based, has multiple sources of validity evidence and is relevant to end-users. OSAD may be used to improve the quality of debriefing after paediatric simulations.

Simulation-Based Mock-Up Evaluation of a Universal Operating Room

2019 ◽  
Vol 13 (1) ◽  
pp. 68-80
Author(s):  
Jonas Shultz ◽  
David Borkenhagen ◽  
Emily Rose ◽  
Brendan Gribbons ◽  
Hannah Rusak-Gillrie ◽  
...  
Keyword(s):  
Physical Environment ◽  
Care Center ◽  
Tertiary Care ◽  
Evidence Based ◽  
Equipment And Supplies ◽  
Design Changes ◽  
Complex Process ◽  
Simulation Based ◽  
Enhance Patient Safety ◽  
Renewal Project

Designing or renovating a physical environment for healthcare is a complex process and is critical for both the staff and the patients who rely on the environment to support and facilitate patient care. Conducting a simulation-based mock-up evaluation as part of the design process can enhance patient safety, staff efficiency, as well as user experience, and can yield financial returns. A large urban tertiary care center located in Vancouver, Canada followed a framework to evaluate the proposed design template for 28 universal operating rooms (ORs) included within the OR Renewal Project scope. Simulation scenarios were enacted by nursing staff, surgeons, anesthesiologists, residents, radiology techs, and anesthesia assistants. Video and debriefing data were used to conduct link analyses, as well as analyses of observed behaviors including congestions and bumps to generate recommendations for evidence-based design changes that were presented to the project team. Recommendations incorporated into the design included relocating doors, booms, equipment, and supplies, as well as reconfigurations to workstations. These recommendations were also incorporated into the mock-up and retested to iteratively develop and evaluate the design. Findings suggest that incorporating the recommended design changes resulted in better room utilization, decreased congestion, and enhanced access to equipment.

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