Pediatric Surgery Simulation-Based Training for the General Surgery Resident

Skertich, Nicholas J.; Schimpke, Scott; Lee, Timothy J.; Wiegmann, Aaron Lee; Pillai, Srikumar; Rossini, C; Madonna, Mary Beth; Shah, Ami N.

doi:10.1016/j.jss.2020.05.038

Cited by 9 publications

(12 citation statements)

References 21 publications

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“…For pyloric stenosis silicone a raw sausage with a core of an inflated balloon was used, which was placed in a box trainer. They describe excellent face (96%) and content validity (82%), however, only trainees and no expert pediatric surgeons were included [47] . They do provide cost estimates for construction of the model, which are €290 per simulation model [47] ( Table 3 ).…”

Section: Pyloromyotomymentioning

confidence: 99%

“…They describe excellent face (96%) and content validity (82%), however, only trainees and no expert pediatric surgeons were included [47] . They do provide cost estimates for construction of the model, which are €290 per simulation model [47] ( Table 3 ).…”

Section: Pyloromyotomymentioning

confidence: 99%

“…Two simulation models for silo placement in gastroschisis were identified [47 , 52] . Skertich et al describe a simulation model for silo placement for gastroschisis, which can also be used for percutaneous drain placement for perforated NEC and laparoscopic pyloromyotomy [47] . This simulation model scored excellent for face (98%) and content validity (82%), however, no experts were included in this validation process and therefore validation was not established.…”

Section: Gastroschisismentioning

confidence: 99%

See 2 more Smart Citations

Validated simulation models in pediatric surgery: A review

Joosten¹,

Blaauw²,

Botden³

2022

Journal of Pediatric Surgery

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Section: Pyloromyotomymentioning

confidence: 99%

Section: Pyloromyotomymentioning

confidence: 99%

Section: Gastroschisismentioning

confidence: 99%

See 1 more Smart Citation

Validated simulation models in pediatric surgery: A review

Joosten¹,

Blaauw²,

Botden³

2022

Journal of Pediatric Surgery

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“…Development of incorporated surgical simulation-based training is an area of burgeoning interest in orthopaedics, with minimally invasive surgical skill acquisition reported to transfer well from the virtual platform in a multitude of specialties including general surgery [ 18 ] and gynaecology [ 17 ]. Performance demonstrated in expert and novice surgeons in simulated arthroscopic procedures has been evaluated to identify transfer validity of simulation-based modules into orthopaedic practice [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Hand dominance and experience improve bimanual performance on arthroscopic simulator task

Feeley

Gibbons

Feeley

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose The aim of this study was to identify if experience in arthroscopy confers ambidexterity to the operator and the role of baseline characteristics in arthroscopic simulator performance. Methods A prospective comparative study was carried out across four regional Orthopaedic training centres. Participants were divided into novice, intermediate or experienced groups based on arthroscopic experience. Baseline demographics including age, sex, handedness, and gaming history were also collected. Following familiarisation with the procedure, participants were asked to complete a simulated task requiring bimanual control consisting of visualisation with camera control and manipulation of highlighted objects using a grasping instrument. One attempt using camera control and grasping accuracy per hand was performed by each participant, with scores for each hand collected for analysis. Performance scores for camera alignment, camera path length, grasper path length and grasping efficiency were collected. Time taken to completion was also noted for each attempt. Results Fifty-six participants were recruited to the study. A significant difference in grasping efficiency between groups in the dominant hand was demonstrated (p = 0.013). Novices demonstrated laterality with superior performance in grasping efficiency in the dominant hand (p = 0.001). No significant difference was noted between dominant and non-dominant hand performance in the experienced group. Conclusion Arthroscopic simulation-based training is a valuable learning tool for orthopaedic training. This study demonstrated that experienced orthopaedic surgeons have a greater degree of ambidexterity than intermediate or novice groups, hypothesised by authors to be conferred through conventional orthopaedic training. Dedicated bimanual control tasks to reduce laterality in trainees should be incorporated in simulated surgical curricula. Level of evidence III.

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“…Simulation training has been proven effective in enhancing surgical skills, reducing the learning time to achieve competency and overall improving patient care (4). As such, interest in this field is currently rising in pediatric surgery training programs (1,(5)(6)(7). Ultra-realistic high-end surgical training units are evolving, but are often cost intensive and limited to wealthy clinical institutions.…”

Section: Introductionmentioning

confidence: 99%

The “chicken-leg anastomosis”: Low-cost tissue-realistic simulation model for esophageal atresia training in pediatric surgery

Palmisani

Sezen²,

Haag³

et al. 2022

Front. Pediatr.

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IntroductionShifting the training from the operating room (OR) to simulation models has been proven effective in enhancing patient safety and reducing the learning time to achieve competency and increase the operative efficiency. Currently the field of pediatric surgery only offers few low-cost trainers for specialized training and these feature predominantly artificial and often unrealistic tissue. The aim of this study was to develop an easy access low-cost tissue-realistic simulation model for open training of esophageal atresia and to evaluate the acceptance in trainees and junior pediatric surgeons.Materials and methodsThe model is fashioned using reconfigured chicken skin from a chicken leg. To create a model of esophageal atresia, the chicken skin is dissected off the muscle and reconfigured around a foley catheter balloon to recreate the proximal pouch and a feeding tube to recreate the distal pouch. Surrounding structures such as the tracheo-esophageal fistula and the azygos vein can be easily added, obtaining a realistic esophageal atresia (Type C) prototype. Evaluation of model construction, usage and impact on user were performed by both a self-assessment questionnaire with pre- and post-training questions as well as observer-based variables and a revised Objective Structured Assessment of Technical Skills (OSATS) score.ResultsA total of 10 participants were constructing and using the model at two different timepoints. OSATS score for overall performance was significantly higher (p = 0.005, z = −2.78) during the second observational period [median (MD): 4,95% confidence interval CI: 3.4, 5.1] compared to the first (MD: 3, 95% CI 2.4, 4.1). Self-reported boost in confidence after model usage for performing future esophageal atresia (EA) repair and bowel anastomosis (BA) in general was significantly higher (EA: U = 1, z = −2.3, p = 0.021, BA: U = 1, z = −2.41, p = 0.016) in participants with more years in training/attending status (EA MD:5, BA MD: 5.5) compared to less experienced participants (EA MD: 1.5, BA: 1).ConclusionOur easy access low-cost simulation model represents a feasible and tissue realistic training option to increase surgical performance of pediatric surgical trainees outside the OR.

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Pediatric Surgery Simulation-Based Training for the General Surgery Resident

Cited by 9 publications

References 21 publications

Validated simulation models in pediatric surgery: A review

Validated simulation models in pediatric surgery: A review

Hand dominance and experience improve bimanual performance on arthroscopic simulator task

The “chicken-leg anastomosis”: Low-cost tissue-realistic simulation model for esophageal atresia training in pediatric surgery

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