A Randomized Cross-Over Trial Focused on Clinical Breast Exam Skill Acquisition Using High Fidelity versus Low Fidelity Simulation Models in Rwanda

Physical Realism of Simulation Training for Health Care in Low- and Middle-Income Countries—A Systematic Review

“…5 One study was conducted in a lower middle-income country 24 and 1 was conducted in a low-income country. 23 Participants included students and residents from both nursing and medicine. Higher physical realism was compared with lower physical realism training for a broad range of educational interventions including basic surgical skills, intramuscular injection skills, nurse training, life support awareness and skills, clinical examination skills, and more complex medical interventions (fiber optic bronchoscopy).…”

“…There were no differences in skills acquisition between higher and lower physical realism models for intramuscular injections, suturing, fiber optic intubation, and breast examination. [16][17][18][19]21,23 One study addressing teaching of intramuscular injection skills showed that the hybrid simulation model (intervention) group had better total General Self-Efficacy Scale scores than the standard (control) model group (91.1 ± 14.98 vs. 85.23 ± 12.05, P < 0.05). The mean score of the intervention group in the State-Trait Anxiety Inventory was lower than that of the control group (32.02 ± 8.81 vs. 35.12 ± 7.82, P < 0.05).…”

Education of the cancer surgical workforce: Gaps, priorities, and strategies

“…However, the field of simulation has grown tremendously over the past several years. Low‐fidelity and low‐cost simulators are expanding in number and scope for training in nearly all domains of surgery such as open, laparoscopic, endoscopic, and robotic surgery 29,30 . As there are increasing pressures on the health system and variable opportunities for trainees to develop their operative skills on live patients, simulation has developed as a field that can allow trainees to master and practice technical skills, improve confidence and competence 29 …”

“…Low-fidelity and low-cost simulators are expanding in number and scope for training in nearly all domains of surgery such as open, laparoscopic, endoscopic, and robotic surgery. 29,30 As there are increasing pressures on the health system and variable opportunities for trainees to develop their operative skills on live patients, simulation has developed as a field that can allow trainees to master and practice technical skills, improve confidence and competence. 29 Leveraging technologic innovations as a public good to build capacity and improve quality in various resources settings was accelerated by the COVID-19 pandemic.…”

“…29,30 As there are increasing pressures on the health system and variable opportunities for trainees to develop their operative skills on live patients, simulation has developed as a field that can allow trainees to master and practice technical skills, improve confidence and competence. 29 Leveraging technologic innovations as a public good to build capacity and improve quality in various resources settings was accelerated by the COVID-19 pandemic. Tumor boards, educational lectures, and international surgical conferences used to be in person before the pandemic.…”