A Systematic Review of Surgical Skills Transfer After Simulation-Based Training

Abstract

Skills acquired by simulation-based training seem to be transferable to the operative setting for laparoscopic cholecystectomy and endoscopy. Future research will strengthen these conclusions by evaluating predetermined competency levels on the same simulators and using objective validated global rating scales to measure operative performance.

Long-term knowledge retention following simulation-based training for electrosurgical safety: 1-year follow-up of a randomized controlled trial

“…Simulationbased training provides the opportunity for immersive and experiential learning free of adverse consequences to patients, to recreate rare scenarios and to provide focused feedback on performance. Multiple studies, including several randomized-controlled trials and systematic reviews, support the use of simulations as effective teaching tools for the acquisition of surgical skills and to improve operative performance [5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Whereas most studies have focused on the development of technical skills, nontechnical skills such as knowledge, accurate judgment, effective decision-making and tactical/adaptive thinking are required for optimal performance and may also be modelled through simulation [22].…”

“…Simulation-based training provides learners the opportunity for both immersive and experiential learning free of adverse consequences to patients, as well as a forum to receive focused feedback on their performance, ultimately enhancing the educational experience. As a result, modern surgical skill laboratories contain a multitude of simulation environments with varying levels of fidelity, many of which have shown to be effective teaching tools for the acquisition of both technical and non-technical surgical skills [5][6][7][8][9][10][11][12][13][14][15][16][17][18].…”

An overview of self-adaptive technologies within virtual reality training

“…It has been demonstrated by a few studies that simulator learned skills can transfer into real life scenarios (Dawe et al, 2014). Overall there is a positive opinion and acceptance amongst surgeons that VR training does improve in-vivo skills, which is generally revealed by increasing use of VR training for a variety of surgical procedures.…”

Simulation for Teaching Orthopaedic Residents in a Competency-based Curriculum: Do the Benefits Justify the Increased Costs?

“…Simulation-based training allows trainees to practice skills in a low-pressure environment, without risk to patients, and allows trainees to make and learn from mistakes before they occur in surgery [13]. Previous research has shown that simulation can be highly effective for learning technical and nontechnical surgical skills [3,4,9,[14][15][16][17] and that the skills learned can transfer to clinical settings [5]. Furthermore, simulation-based training can shorten the learning curve, enhance later intraoperative learning [8,14], and improve patient outcomes [19].…”