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

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.

Effect of 3D-Printed Models on Cadaveric Dissection in Temporal Bone Training

Objective Mastoidectomy is a cornerstone in the surgical management of middle and inner ear diseases. Unfortunately, training is challenged by insufficient access to human cadavers. Three-dimensional (3D) printing of temporal bones could alleviate this problem, but evidence on their educational effectiveness is lacking. It is largely unknown whether training on 3D-printed temporal bones improves mastoidectomy performance, including on cadavers, and how this training compares with virtual reality (VR) simulation. To address this knowledge gap, this study investigated whether training on 3D-printed temporal bones improves cadaveric dissection performance, and it compared this training with the already-established VR simulation. Study Design Prospective cohort study of an educational intervention. Setting Tertiary university hospital, cadaver dissection laboratory, and simulation center in Copenhagen, Denmark. Methods Eighteen otorhinolaryngology residents (intervention) attending the national temporal bone dissection course received 3 hours of mastoidectomy training on 3D-printed temporal bones. Posttraining cadaver mastoidectomy performances were rated by 3 experts using a validated assessment tool and compared with those of 66 previous course participants (control) who had received time-equivalent VR training prior to dissection. Results The intervention cohort outperformed the controls during cadaver dissection by 29% ( P < .001); their performances were largely similar across training modalities but remained at a modest level (~50% of the maximum score). Conclusion Mastoidectomy skills improved from training on 3D-printed temporal bone and seemingly more so than on time-equivalent VR simulation. Importantly, these skills transferred to cadaveric dissection. Training on 3D-printed temporal bones can effectively supplement cadaver training when learning mastoidectomy.

The Life of a Simulation Center in the Era of the Novel Coronavirus Infection Pandemic

A study was carried out among 76 students who took part in the Olympiad contests in practical medical skills in an innovative distance format. The data obtained testify to the effectiveness of distance simulation training, the assessment of which was carried out by students answering test questions before and after passing the test task, as well as by assessing the students' actions during the remote passage of the simulation scenario by experts.

Analysis of the structure of the main errors of ordinators in the specialty «anesthesiology-reseanimatology» by the results of the first specialized accreditation in 2021

The work proves the need for systematization of theoretical knowledge and regular training in a simulation center.

Vocational Guidance Work With Schoolchildren is an Integral Part of the Work of a Multi-Profile Accreditation and Simulation Center

Professional orientation is a generalized concept of one of the components of universal human culture, manifested in the form of society's concern for the professional development of the younger generation, support and development of natural talents, as well as a set of special measures to assist a person in professional self-determination and choosing the optimal type of employment, taking into account his needs and opportunities, socio-economic situation in the labor market. Simulation training is one of the brightest forms of vocational guidance work with schoolchildren.

Department of Simulation Education as a Structural Unit of a Multidisciplinary Accreditation and Simulation Center

For the first time, they started talking about virtual simulation technologies in our country in 2002, when at the Institute. Vishnevsky, a virtual simulator "LapSim" was presented at the Congress of Endosurgeons. Since then, there have been great changes in the development of simulators, mannequins and simulators, teaching methods in preclinical training of students. In this regard, there is a real need to give the simulation center the status of a department and to clearly define the tasks that must be solved in the preparation of students and residents at the preclinical stage.

Analysis of the structure of the main errors of ordinators on the specialty «anesthesiology-reseanimatology» by the results of the primary specialized accreditation in 2020

This work confirms the need for systematization of theoretical knowledge and regular training in a simulation center.

Problems of the station "Emergencies in anesthesiology and intensive care"

Until recently, in Russia, the training of residents in a simulation center was very limited. Since 2020, the procedure for primary specialized accreditation (PSA) has been approved with an assessment stage, which is designed to stimulate and develop this direction. Lack of detail, ignorance of possibilities, and limitation of simulation significantly reduces the potential of this costly exercise.

The Еffectiveness of Simulation Practical Training in Hospital Surgery in a Simulation Center

The main stages of the perioperative period in acute appendicitis were recreated in simulated conditions with 5th year students: differential diagnosis; preoperative preparation; diagnostic laparoscopy; laparoscopic appendectomy; suturing an operating wound; postoperative management. The entrance testing and the final questionnaire were carried out. The high efficiency of classes and high motivation of students to this format of training are shown, which gives grounds for a wider use of simulation classes in teaching clinical disciplines to senior students.

Experience in Organizing Teamwork During Treatment COVID - 19 in the Conditions of the Simulation Center

The aim was to study the development of increasing the effectiveness of treatment of patients with severe and common forms of coronavirus infection, through the optimization of simulation training methods.