A systematic review of methodological principles and delivery of surgical simulation bootcamps

Young, Matthew; Lewis, Chris; Kailavasan, Mithun; Satterthwaite, Lisa; Safir, Oleg; Tomlinson, James; Biyani, Chandra Shekhar

doi:10.1016/j.amjsurg.2021.10.044

Cited by 13 publications

(11 citation statements)

References 46 publications

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“…Increasingly, programs are integrating simulation into their bootcamp or regular curriculum, encompassing technical skills, nontechnical abilities, and emergency handling [52 ▪ ,53–57]. Young et al did a systematic review of surgical simulation bootcamp and identified five pillar principles, include: delivery at the time of transition (e.g., 1st to 2nd year urology resident); covering the accepted syllabus; simulation-based modality of delivery; deliberate practice with formative feedback; and 1 : 1 : 1 training (1 model : 1 trainee : 1 trainer) [58 ▪▪ ]. Another emerging way is gamification of simulation curriculum.…”

Section: Simulation In Bootcamps and Urology Curriculamentioning

confidence: 99%

Simulation training in urology

Knudsen,

Ma,

Hung

2023

Current Opinion in Urology

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Purpose of review This review outlines recent innovations in simulation technology as it applies to urology. It is essential for the next generation of urologists to attain a solid foundation of technical and nontechnical skills, and simulation technology provides a variety of safe, controlled environments to acquire this baseline knowledge. Recent findings With a focus on urology, this review first outlines the evidence to support surgical simulation, then discusses the strides being made in the development of 3D-printed models for surgical skill training and preoperative planning, virtual reality models for different urologic procedures, surgical skill assessment for simulation, and integration of simulation into urology residency curricula. Summary Simulation continues to be an integral part of the journey towards the mastery of skills necessary for becoming an expert urologist. Clinicians and researchers should consider how to further incorporate simulation technology into residency training and help future generations of urologists throughout their career.

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Section: Simulation In Bootcamps and Urology Curriculamentioning

confidence: 99%

Simulation training in urology

Knudsen,

Ma,

Hung

2023

Current Opinion in Urology

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“…Typically, trainees proceeded directly from classroom training to livesurgery training. This is in stark contrast to surgical-training programs in high-income-country settings where surgical simulation devices and other modes of repetitive skills training and enhancement have become commonplace prior to live surgery [11][12][13][14]. Taking lessons from these programs, we developed and tested a surgical simulation device to aid in training new TT surgeons.…”

Section: Introductionmentioning

confidence: 99%

The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries

Gower

Kello

Kollmann³

et al. 2023

PLoS Negl Trop Dis

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Background While surgical simulation is regularly used in surgical training in high-income country settings, it is uncommon in low- and middle-income countries, particularly for surgical training that primarily occurs in rural areas. We designed and evaluated a novel surgical simulator for improving trachomatous trichiasis (TT) surgery training, given that trichiasis is mostly found among the poorest individuals in rural areas. Methodology/Principal findings TT surgery programs were invited to incorporate surgical simulation with a new, high fidelity, low-cost simulator into their training. Trainees completed standard TT-surgery training following World Health Organization guidelines. A subset of trainees received three hours of supplemental training with the simulator between classroom and live-surgery training. We recorded the time required to complete each surgery and the number of times the trainer intervened to correct surgical steps. Participants completed questionnaires regarding their perceptions. We also assessed trainer and trainee perceptions of surgical simulation training as part of trichiasis surgery training. 22 surgeons completed standard training and 26 completed standard training plus simulation. We observed 1,394 live-training surgeries. Average time to first live-training surgery completion was nearly 20% shorter the simulation versus the standard group (vs 34.4 minutes; p = 0.02). Trainers intervened significantly fewer times during initial live-training surgeries in the simulation group (2.7 vs. 4.8; p = 0.005). All trainers indicated the simulator significantly improved training by allowing trainees to practice safely and to identify problem areas before performing live-training surgeries. Trainees reported that simulation practice improved their confidence and skills prior to performing live-training surgeries. Conclusions A single high-fidelity surgical simulation session can significantly improve critical aspects of initial TT surgeries.

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“…11 Simulation boot camps, as a means of providing concentrated training, have gained popularity in recent years. 12,13 There is limited data on the cost-effectiveness of the boot camp approach. However, Kabariti et al reported £460 saving per core surgical trainee (Year 1) with the introduction of a 3-day induction boot camp.…”

Section: Introductionmentioning

confidence: 99%

The need for a course to complete urological education for consultant practice using a simulated ‘boot camp’ structure at the end of specialist training: A survey-based study

et al. 2023

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Background and aims To obtain opinions from urology trainees and consultants regarding the need for, and structure of, a post-specialty training Urology Simulation Boot Camp (USBC) for consultant practice. Methods and results A survey-based study was conducted, and ‘Google Forms’ were distributed electronically via social media. Urology specialist trainees (ST) in years 5–7 (ST5-ST7), post-certification of completion of training (CCT) fellows and ST3 boot camp faculty consultants in practice for ≤5 years and >5 years were included. One hundred and seven responses were received. 97.2% of responders thought a pre-consultant USBC was worthwhile; 55.1% selected the course duration to be 2 days. 47.7% felt that the USBC should be delivered post-exam in ST7. 91.6%, 43.9%, 73.8%, 87.9% and 74.8% considered that modules in emergency operative procedures, novel uro-technologies, delivering multidisciplinary team (MDT) meetings, non-clinical consultant roles and responsibilities, stress and burnout to be important, respectively. 62.6% and 31.8% felt that the course should be wholly or part-funded by Health Education England (HEE). Conclusions A post-specialty training, pre-consultant, USBC delivered post-exam in ST7, is worthwhile and should include modules on emergency operative procedures, leading MDTs, non-clinical roles and responsibilities and managing stress and burnout in consultant careers. Ideally, it should be fully/part-funded by HEE.

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A systematic review of methodological principles and delivery of surgical simulation bootcamps

Cited by 13 publications

References 46 publications

Simulation training in urology

Simulation training in urology

The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries

The need for a course to complete urological education for consultant practice using a simulated ‘boot camp’ structure at the end of specialist training: A survey-based study

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