Surgical Residents’ Perception of Simulation Training

2006 ◽  
Vol 72 (6) ◽  
pp. 521-524 ◽  
Author(s):  
K. Brian Boyd ◽  
Jake Olivier ◽  
J.R. Salameh
Keyword(s):  
General Surgery ◽  
Simulation Training ◽  
Surgical Simulation ◽  
Response Rate ◽  
Laparoscopic Skills ◽  
Surgical Residency ◽  
Training Tool ◽  
Surgical Residents ◽  
Simulation Center ◽  
Junior Residents

Laparoscopic surgical simulation is a valuable and validated training tool. We examined its perception and use among general surgery residents at our institution. Questionnaires were sent to all 29 general surgery residents with a 93 per cent response rate. Residents were divided into junior residents (JR; PGY 1–2) and senior residents (SR; PGY 3–5). JR spent more hours in the simulation center and completed their assigned tasks faster than SR (14 vs 52 days). Thirty-three per cent of SR felt that simulation training should be limited to JR in contrast to only 8 per cent of JR. However, 93 per cent of residents agreed that the program improved their laparoscopic skills. Most residents feel that simulation training is essential and mandatory in current surgical residency (75% of JR and 67% of SR) and needs to be extended to open surgery (67% JR and 60% SR). Seventy-five per cent of JR, but only 13 per cent of SR, feel that residents’ involvement in procedures should be based on performance in surgical simulation. JR ranked simulation training first in useful ways to learn new skills, whereas SR ranked proctorship highest. JR have a higher use of simulation training and a higher perception of its utility.

The Resource Costs of Maintaining Learner Utilization of a Simulation Center During the COVID-19 Pandemic

2021 ◽  
pp. 000313482110586
Author(s):  
Anastasios T. Mitsakos ◽  
Eftechios Xanthoudakis ◽  
William Irish ◽  
Walter C. Robey ◽  
Rebecca M. Gilbird ◽  
...  
Keyword(s):  
Medical Students ◽  
Online Education ◽  
Subgroup Analysis ◽  
Simulation Training ◽  
Surgical Simulation ◽  
Negative Impact ◽  
The Third ◽  
Contact Hours ◽  
Simulation Center ◽  
Academic Year

Background Despite advances in online education during the COVID-19 pandemic, its impact on surgical simulation remains unclear. The aim of this study was to compare the costs and resources required to maintain simulation training in the pandemic and to evaluate how it affected exposure of medical students to simulation during their surgical clerkship. Methods The number of learners, contact hours, staff hours, and costs were collected from a multi-departmental simulation center of a single academic institution in a retrospective fashion. Utilization and expenditure metrics were compared between the first quarter of academic years 2018-2020. Statistical analysis was performed to evaluate potential differences between overall resource utilization before and during the pandemic, and subgroup analysis was performed for the resources required for the training of the third-year medical students. Results The overall number of learners and contact hours decreased during the first quarter of the academic year 2020 in comparison with 2019 and 2018. However, the staff hours increased. In addition, the costs for PPE increased for the same periods of time. In the subgroup analysis of the third-year medical students, there was an increase in the number of learners, as well as in the staff hours and in the space required to perform the simulation training. Discussion Despite an increase in costs and resources spent on surgical simulation during the pandemic, the utilization by academic entities has remained unaffected. Further studies are required to identify potential solutions to lower simulation resources without a negative impact on the quality of surgical simulation.

scholarly journals Medical Student Mentorship in a University Setting as a Strategy for a Career in Surgery

2011 ◽  
Vol 77 (11) ◽  
pp. 1432-1434 ◽  
Author(s):  
Parul N. Barry ◽  
Mary E. Fallat
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Medical School ◽  
General Surgery ◽  
Residency Programs ◽  
Surgical Residency ◽  
Gender Balance ◽  
Surgical Residents ◽  
School Of Medicine ◽  
Surgical Subspecialty

Gender balance in surgery is a respectable and necessary goal. At the University of Louisville (UL) School of Medicine, we have compared percentages of UL medical student applicants to general surgery or surgical subspecialty residency programs, surgical residents, and surgical faculty with the rest of the nation. Although UL has at times paralleled or exceeded the nation in many of these categories, there is room for improvement and the comparison data allow for strategic planning initiatives. To promote gender balance among future generations of surgeons at UL, we recently implemented a mentoring program that pairs medical students with residents and faculty in surgery. We plan to track the success over time and correct any shortcomings of this program. Virginia Commonwealth University's commitment to gender balance in surgery is exemplary. As part of a more comprehensive vision to create a mentorship program for female medical students at the UL School of Medicine, we have recently recruited female surgical residents and faculty, whom we hope will provide the type of inspiration and guidance that will increase the number of women from UL who decide to train in general surgery and the surgical specialties. To understand why women across the nation are not generally at numerical parity in these fields, it is important to consider the length and intensity of the surgical residency programs in the context of the other goals and objectives that a woman might have for her future. This article does not address this broad topic but provides a perspective of how a medical school can evaluate and perhaps intervene to mentor medical students more effectively about the satisfaction derived from a career in surgery. As part of this project, we have evaluated each step of the path through medical school and a surgical residency by comparing data for our students, residency programs, and faculty with national data.

Promoting Surgical Residents’ Basic Skills via the Design and Implementation of a Simulation Training Tool

2019 ◽  
Vol 50 (4) ◽  
pp. 436-447 ◽  
Author(s):  
Minna Ruoranen ◽  
Teuvo Antikainen ◽  
Anne Mattila ◽  
Raija H. Hämäläinen ◽  
Anneli Eteläpelto
Keyword(s):  
Professional Learning ◽  
Simulation Training ◽  
Basic Skills ◽  
Surgical Skills ◽  
Fine Tuning ◽  
Training Period ◽  
Training Design ◽  
Negative Effects ◽  
Training Tool ◽  
Surgical Residents

Background. Surgical training in authentic work environments needs guidance practices, including simulation training within a competence-based framework. The use of simulators may actually have negative effects on professional learning if there is a lack of competence-based goals, tools, and guidance, integrated with work practices, and applied by trainers. Intervention. We designed simulation training tools to promote the surgical residents’ abilities to perform competently in basic surgical skills. Our educational and surgical team worked together and (i) specified the goals for the tasks, (ii) specified the skills to be achieved, (iii) and analyzed the learning outcomes. The assumption was that after completing the simulation training, the resident would gain precise basic skills. Methods. Eight (8) licensed doctors, starting their specialization in surgery or gynecology, participated in the study. In accordance with the training design the residents were asked to self-assess their achieved skills by completing questionnaires, before and after the training period. In addition, the skills achieved were assessed individually by the trainer at the end of the training period. All the assessments were carried out on a scale based on OSATS (Objective Structured Assessment of Technical Skills) and modified specifically for this study. Results. The residents and their trainers evaluated the simulation training design as effective, and as beneficial for learning basic surgical skills. However, it proved difficult for the residents to achieve the targets consistently and to assess their own skills. Some fine-tuning is needed to enhance the integration of simulation training tools with practical learning. Discussion. The simulation training appeared to motivate the trainees. Overall, there is a need for discussion on the implications for competence-based theories and simulation practices. Limitations. The small number of participants limited the possibilities for statistical analysis. The analyses and results should be seen as merely indicative. Further studies are needed.

scholarly journals O52: THE IMPACT OF STUDENT BACKGROUND ON PERFORMANCE AND STRESS DURING SURGICAL SIMULATION

2021 ◽  
Vol 108 (Supplement_1) ◽  
Author(s):  
A Soualhi ◽  
MSA Amin ◽  
A Aydin ◽  
MS Khan ◽  
P Dasgupta ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Perceived Stress ◽  
Surgical Simulation ◽  
Demographic Factors ◽  
Skills Acquisition ◽  
Laparoscopic Skills ◽  
Student Background ◽  
Simulation Performance ◽  
The Impact

Abstract Introduction Early exposure of medical students to surgical skills has been associated with an increased interest in pursuing a career in surgery. This study aimed to investigate the impact of student background on basic laparoscopic skills acquisition and perceived stress to workload during simulation. Method Students were recruited to a course modelled on the European Basic Laparoscopic Urological Skills (E-BLUS) programme. Students filled out a pre-course demographic survey, and a post-course survey that evaluated perceived stress to workload (SURG-TLX). Pre- and post-course confidence in laparoscopic skills, performance in the course, as well as SURG-TLX parameters were statistically compared for all demographic factors. Result Twenty-three participants completed the course, fifteen (65%) of which were female. Ten students were junior (first and second year), and thirteen were senior (third year and above). Hobbies were grouped into either requiring hand-eye coordination (n=9), manual dexterity (n=9), or no relevance to surgery (n=5). No significant differences were found in demographic factors for course performance or pre- and post-course confidence. No significant differences were found between male and female students, and between different hobby groups, in all SURG-TLX parameters. Senior students reported a significantly higher Physical Demand of the SURG-TLX compared to juniors (p=0.042). No differences were found in other parameters. Conclusion Our study showed no correlation between student background (notably sex and stage of medical school) and basic laparoscopic skills acquisition or stress during simulation. We therefore suggest that medical students are provided with more exposure to acquire basic laparoscopic skills regardless of their background. Take-home message Medical student background is not a discriminator in surgical simulation performance and stress. All medical students, regardless of their sex or stage of medical school, should be given the opportunity to practice laparoscopic skills.

scholarly journals Attitudes and experiences during training and professional expectations in generation-y surgical residents

2019 ◽  
Vol 65 (3) ◽  
pp. 348-354 ◽  
Author(s):  
Fernanda M. Lafraia ◽  
Fernando A.M. Herbella ◽  
Julia R. Kalluf ◽  
Francisco Schlottmann ◽  
Marco G. Patti
Keyword(s):  
Generation Y ◽  
Residency Program ◽  
Surgical Volume ◽  
Teaching Techniques ◽  
Future Expectations ◽  
Program Satisfaction ◽  
Residency Programs ◽  
Surgical Residency ◽  
Surgical Residents ◽  
Professional Expectations

SUMMARY BACKGROUND: Residency programs, especially in surgery, have been undergoing constant changes. The profile of residents in surgical fields is changing too since residents are now part of the Generation Y (Millenials). This change in profile mandates a re-evaluation to adapt surgical residency programs. Six years ago, we carried out a study evaluating attitudes and experiences during training, and the professional expectations of residents. This study aims to survey surgical residents to evaluate current attitudes, experiences, and expectations. METHODS: We surveyed 50 residents to determine professional satisfaction, residency-program satisfaction, future expectations, financial expectations, and correct attitude towards patients. RESULTS: Our results show that half of the residents are satisfied with the residency program. However, dissatisfaction reaches 40% on surgical volume and 80% on mentorship; 62% of the residents are not confident to perform operations after the residency, the majority believes a specialization is necessary; most residents believe financial compensation will decrease with time, but concerns with reimbursement are low; and most residents are worried about injuring patients, but only two thirds are satisfied working with patients. CONCLUSIONS: Current residents present lower job satisfaction and more criticism of teaching techniques. These changes compared to previous results match the profile of Generation Y, who is more iconoclastic when compared to previous generations.

The General Surgery Residency at Maine Medical Center

2010 ◽  
Vol 76 (11) ◽  
pp. 1185-1188
Author(s):  
Ajita S. Prabhu ◽  
Jonathan F. Dreifus ◽  
James F. Whiting
Keyword(s):  
General Surgery ◽  
Medical Center ◽  
Surgical Residency ◽  
Community Program ◽  
General Surgery Residency ◽  
Maine Medical ◽  
Operative Experience ◽  
University Affiliation

The surgical residency at Maine Medical Center is the only surgical residency in Maine. Established in 1947, it presently graduates four categorical residents/year. The residency is a classic example of a “hybrid” residency, retaining the benefits of a community program in terms of large operative experience in a wide variety of procedures, while at the same time allowing for academic exposure through a university affiliation.

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