scholarly journals Expanding the Spectrum of Surgical Simulation Training

2021 ◽  
Vol 233 (6) ◽  
pp. 708-709
Author(s):  
Susan Miller Briggs
Keyword(s):  
Simulation Training ◽  
Surgical Simulation

scholarly journals Hyper-realistic and immersive surgical simulation training environment will improve team performance

2020 ◽  
Vol 5 (1) ◽  
pp. e000393 ◽  
Author(s):  
Tuan N Hoang ◽  
Anthony J LaPorta ◽  
John D Malone ◽  
Roland Champagne ◽  
Kit Lavell ◽  
...  
Keyword(s):  
Surgical Training ◽  
Team Performance ◽  
Trauma Care ◽  
Simulation Training ◽  
Surgical Simulation ◽  
Healthcare Team ◽  
Surgical Trauma ◽  
Training Environment ◽  
Total N ◽  
Leadership Quality

BackgroundSurgical trauma care requires excellent multidisciplinary team skills and communication to ensure the highest patient survival rate. This study investigated the effects of Hyper-realistic immersive surgical team training to improve individual and team performance. A Hyper-realistic surgical training environment is defined as having a high degree of fidelity in the replication of battlefield conditions in a training environment, so participants willingly suspend disbelief that they become totally immersed and eventually stress inoculated in a way that can be measured physiologically.MethodsSix multispecialty member US Navy Fleet Surgical/US Army Forward Surgical Teams (total n=99 evaluations) underwent a 6-day surgical training simulation using movie industry special effects and role players wearing the Human Worn Surgical Simulator (Cut Suit). The teams were immersed in trauma care scenarios requiring multiple complex interventions and decision making in a realistic, fast-paced, intensive combat trauma environment.ResultsHyper-realistic immersive simulation training enhanced performance between multidisciplinary healthcare team members. Key efficacy quantitative measurements for the same simulation presented on day 1 compared with day 6 showed a reduction in resuscitation time from 24 minutes to 14 minutes and critical error decrease from 5 to 1. Written test scores improved an average of 21% (Medical Doctors 11%, Registered Nurses 25%, and Corpsman/Medics 26%). Longitudinal psychometric survey results showed statistically significant increases in unit readiness (17%), combat readiness (12%), leadership quality (7%), vertical cohesion (7%), unit cohesion (5%), and team communication (3%). An analysis of salivary cortisol and amylase physiologic biomarkers indicated an adaptive response to the realistic environment and a reduction in overall team stress during performance evaluations.ConclusionsHyper-realistic immersive simulation training scenarios can be a basis for improved military and civilian trauma training.Level of evidenceLevel III.

Efficacy of Surgical Simulation Training in a Low-Income Country

2016 ◽  
Vol 40 (11) ◽  
pp. 2643-2649 ◽  
Author(s):  
Gavin Tansley ◽  
Jonathan G. Bailey ◽  
Yuqi Gu ◽  
Michelle Murray ◽  
Patricia Livingston ◽  
...  
Keyword(s):  
Low Income ◽  
Simulation Training ◽  
Surgical Simulation ◽  
Income Country ◽  
Low Income Country

scholarly journals Patients and hospital managers want laparoscopic simulation training to become mandatory before live operating: a multicentre qualitative study of stakeholder perceptions

2018 ◽  
Vol 5 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Jessica Preshaw ◽  
Dimitrios Siassakos ◽  
Mark James ◽  
Timothy Draycott ◽  
Sanjay Vyas ◽  
...  
Keyword(s):  
Patient Safety ◽  
Laparoscopic Surgery ◽  
Qualitative Study ◽  
Human Error ◽  
Simulation Training ◽  
Surgical Simulation ◽  
Successful Implementation ◽  
Hospital Managers ◽  
Initial Learning ◽  
Competency Based

BackgroundSurgical procedures are complex and susceptible to human error. Individual surgical skill correlates with improved patient outcomes demonstrating that surgical proficiency is vitally important for patient safety. Evidence demonstrates that simulation training improves laparoscopic surgical skills; however, projects to implement and integrate laparoscopic simulation into core surgical curricula have had varied success. One barrier to successful implementation has been the lack of awareness and prioritisation of simulation initiatives by key stakeholders.ObjectiveTo determine the knowledge and perceptions of patients and hospital managers on laparoscopic surgery and simulation training in patient safety and healthcare.MethodA qualitative study was conducted in the Southwest of England. 40 semistructured interviews were undertaken with patients attending general gynaecology clinics and general surgical and gynaecology hospital managers.ResultsSix key themes identified included: positive expectations of laparoscopic surgery; perceptions of problems and financial implications of laparoscopic surgery; lack of awareness of difficulties with surgical training; desire for laparoscopic simulation training and competency testing for patient benefit; conflicting priorities of laparoscopic simulation in healthcare; and drawbacks of surgical simulation training. Patients and managers were largely unaware of the risks of laparoscopic surgery and challenges for training. Managers highlighted conflicting financial priorities when purchasing educational equipment. Patients stated that they would have greater confidence in a surgeon who had undertaken mandatory surgical simulation training and perceived purchasing simulation equipment to be a high priority in the National Health Services. Most patients and hospital managers believed trainees should pass an examination on a simulator prior to live operating.ConclusionsCompetency-based mandatory laparoscopic simulation was strongly supported by the majority of stakeholders to augment the initial learning curve of surgeons.

scholarly journals Simulation training in pancreatico-jejunostomy using an inanimate biotissue model improves the technical skills of hepatobiliary-pancreatic surgical fellows

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0244915
Author(s):  
Ryuji Yoshioka ◽  
Hiroshi Imamura ◽  
Hirofumi Ichida ◽  
Yu Gyoda ◽  
Tomoya Mizuno ◽  
...  
Keyword(s):  
Learning Curve ◽  
Simulation Training ◽  
Surgical Simulation ◽  
Technical Skills ◽  
Summary Score ◽  
The Other ◽  
Actual Operating ◽  
Technical Proficiency ◽  
Time Required ◽  
Safe Performance

Background Technical proficiency of the operating surgeons is one of the most important factors in the safe performance of pancreaticoduodenectomy. The objective of the present study was to investigate whether surgical simulation of pancreatico-jejunostomy (PJ) using an inanimate biotissue model could improve the technical proficiency of hepato-biliary pancreatic (HBP) surgical fellows. Methods The biotissue drill consisted of sewing biotissues to simulate PJ. The drill was repeated a total of five times by each of the participant surgical fellows. The improvement of the surgical fellows’ technical proficiency was evaluated by the supervisor surgeons using the Objective Structured Assessment of Technical Skills (OSATS) scale. Results Eight HBP surgical fellows completed all the 5 drills. Both the OSATS 25 score and OSATS summary score, assessed by the two supervisor surgeons, improved steadily with repeated execution of the PJ drill. The average OSATS score, as assessed by both the supervisor surgeons, improved significantly from the first to the final drill, with a P value of 0.003 and 0.014 for the assessment by the two surgeons, respectively. On the other hand, no chronological alteration was observed in time of procedure (P = 0.788). Conclusion Repeated execution of a biotissue PJ drill improved the HBP surgical fellows’ technical proficiency, as evaluated by OSATS. The present study lends support to the evidence that simulation training can contribute to shortening of the time required to negotiate the learning curve for the technique of PJ in the actual operating room.

scholarly journals Medical Students Immersed in a Hyper-Realistic Surgical Training Environment Leads to Improved Measures of Emotional Resiliency by Both Hardiness and Emotional Intelligence Evaluation

2020 ◽  
Vol 11 ◽  
Author(s):  
Allana White ◽  
Isain Zapata ◽  
Alissa Lenz ◽  
Rebecca Ryznar ◽  
Natalie Nevins ◽  
...  
Keyword(s):  
Emotional Intelligence ◽  
Medical Students ◽  
Simulation Training ◽  
Surgical Simulation ◽  
The United States ◽  
Mass Casualty ◽  
Assessment Tools ◽  
Training Environment ◽  
Training Course ◽  
Intelligence Scores

BackgroundBurnout is being experienced by medical students, residents, and practicing physicians at significant rates. Higher levels of Hardiness and Emotional Intelligence may protect individuals against burnout symptoms. Previous studies have shown both Hardiness and Emotional IntelIigence protect against detrimental effects of stress and can be adapted through training; however, there is limited research on how training programs affect both simultaneously. Therefore, the objective of this study was to define the association of Hardiness and Emotional Intelligence and their potential improvement through hyper realistic immersion simulation training in military medical students.MethodsParticipants in this study consisted of 68 second year medical students representing five medical schools who were concurrently enrolled in the United States military scholarship program. During a six day hyper-realistic surgical simulation training course, students rotated through different roles of a medical team and responded to several mass-casualty scenarios. Hardiness and Emotional Intelligence were assessed using the Hardiness Resilience Gauge (HRG) and the Emotional Quotient Inventory (EQ-I 2.0) respectively, at two time points: on arrival (pre-event) and after completion of the course (post-event).ResultsHardiness and Emotional Intelligence scores and sub scores consistently improved from pre-event to post-event assessments. No difference in training benefit was observed between genders but differences were observed by age where age was more often associated with Emotional Intelligence. In addition, factor analysis indicated that the HRG and EQ-I 2.0 assessment tools measured predominately different traits although they share some commonalities in some components.ConclusionThis study indicates that Hardiness and Emotional Intelligence scores can be improved through immersion training in military medical students. Results from this study support the use of training course interventions and prompt the need for long term evaluation of improvement strategies on mitigating burnout symptoms.

scholarly journals P.102 Simulation-based training for surgical instrument recognition

2017 ◽  
Vol 44 (S2) ◽  
pp. S39-S40
Author(s):  
DB Clarke ◽  
M Hong ◽  
N Kureshi ◽  
L Fenerty ◽  
G Thibault-Halman ◽  
...  
Keyword(s):  
Simulation Training ◽  
Surgical Simulation ◽  
Surgical Instruments ◽  
Perioperative Nurses ◽  
Instrument Recognition ◽  
Simulation Based ◽  
Group A ◽  
Repeated Use ◽  
Instrument Identification ◽  
Group B

Background: Surgical simulation training offers trainees the opportunity to practice surgical skills before entering the operating room. The objectives of this study were to determine the effect of simulation for learning instruments for burr hole surgery and whether this learning is translated to real instrument recognition with retention. Methods: Randomized trials of PGY1 neurosurgery residents and perioperative nurses were conducted, using PeriopSim™ for instrument recognition, as well as real instruments. Group A performed simulation tasks using PeriopSim™ prior to identifying real instruments, whereas Group B identified real instruments prior to performing simulation tasks. Nurses’ recall was assessed at seven days. Results: Sixteen residents and 100 nurses were recruited. All participants showed significant overall improvement in their scores for simulated tasks. Group A demonstrated enhanced accuracy and speed of identifying real instruments compared with Group B (p<0.001). Furthermore, knowledge recall testing at one week demonstrated retained learning, shown by 97% accuracy in instrument identification. Conclusions: Our results demonstrate that recognition of surgical instruments improves with repeated use of the PeriopSim™ platform. Instrument knowledge acquired through simulation training results in improved identification and retained recognition of real instruments.

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