Simulation in urological training and Education (SIMULATE): A randomised controlled clinical and educational trial to determine the effect of simulation-based surgical training

2021 ◽  
Vol 79 ◽  
pp. S1353-S1354
Author(s):  
A. Aydin ◽  
K. Ahmed ◽  
T. Abe ◽  
N. Raison ◽  
M. Van Hemelrijck ◽  
...  
Keyword(s):  
Surgical Training ◽  
Training And Education ◽  
Simulation Based ◽  
Randomised Controlled ◽  
Urological Training

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.

Non-technical skills and otolaryngology: systematic review

2020 ◽  
Vol 134 (5) ◽  
pp. 415-418 ◽  
Author(s):  
R Bannon ◽  
K E Stewart ◽  
M Bannister
Keyword(s):  
Systematic Review ◽  
Assessment Tool ◽  
Controlled Trial ◽  
Technical Skills ◽  
Neck Surgery ◽  
Future Research ◽  
Skill Levels ◽  
Simulated Environments ◽  
Simulation Based ◽  
Randomised Controlled

AbstractObjectivesThis study aimed to assess the published literature on non-technical skills in otolaryngology surgery and examine the applicability of any research to others’ practice, and to explore how the published literature can identify areas for further development and guide future research.MethodsA systematic review was conducted using the following key words: ‘otolaryngology’, ‘otorhinolaryngology’, ‘ENT’, ‘ENT surgery’, ‘ear, nose and throat surgery’, ‘head and neck surgery’, ‘thyroid surgery’, ‘parathyroid surgery’, ‘otology’, ‘rhinology’, ‘laryngology’ ‘skull base surgery’, ‘airway surgery’, ‘non-technical skills’, ‘non technical skills for surgeons’, ‘NOTSS’, ‘behavioural markers’ and ‘behavioural assessment tool’.ResultsThree publications were included in the review – 1 randomised, controlled trial and 2 cohort studies – involving 78 participants. All were simulation-based studies involving training otolaryngology surgeons.ConclusionLittle research has been undertaken on non-technical skills in otolaryngology. Training surgeons’ non-technical skill levels are similar across every tested aspect. The research already performed can guide further studies, particularly amongst non-training otolaryngology surgeons and in both emergency and elective non-simulated environments.

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.

A low-cost alternative for nasolaryngoscopy simulation training equipment: a randomised controlled trial

2015 ◽  
Vol 129 (11) ◽  
pp. 1101-1107 ◽  
Author(s):  
D I Johnston ◽  
V Selimi ◽  
A Chang ◽  
M Smith
Keyword(s):  
Randomised Controlled Trial ◽  
Simulation Training ◽  
Cost Model ◽  
Low Cost ◽  
Controlled Trial ◽  
Endoscopy Training ◽  
Patient Discomfort ◽  
Simulation Based ◽  
Model Training ◽  
Randomised Controlled

AbstractObjectives:Flexible nasolaryngoscopy is a key diagnostic procedure used in many specialities. Simulation-based teaching is beneficial for endoscopy training, but it is expensive. This study assessed whether an inexpensive simulation model is an effective training method for flexible nasolaryngoscopy.Methods:A three-armed, randomised, controlled trial was performed. One group received no simulation training, while two others were trained with either a high-cost or a low-cost model. All candidates then performed flexible nasolaryngoscopy on a volunteer. Their ability to perform this task was assessed by the patient discomfort score and time taken by a blinded expert.Results:Simulation-based teaching reduced patient discomfort and improved candidate skill level. Low-cost model training did not have a negative effect when compared with high-cost model training.Conclusion:Simulated flexible nasolaryngoscopy training may be more accessible with the use of an effective low-cost model.

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