The ScanTrainer obstetrics and gynaecology ultrasound virtual reality training simulator: A cost model to determine the cost viability of replacing clinical training with simulation training

Carolan-Rees, Grace; Ray, Alistair

doi:10.1177/1742271x14567498

Cited by 8 publications

(8 citation statements)

References 3 publications

(5 reference statements)

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“…In quality assessment of the 27 primary research articles, 21 were scored as high quality (≥75/100 points), 14–34 3 as medium quality (50-74/100 points) 35–37 and 3 were scored as low quality (<50/100 points). 38–40 The detailed QHES evaluations are provided in online supplemental file 4 .…”

Section: Resultsmentioning

confidence: 99%

Costing the impact of interventions during pregnancy in the UK: a systematic review of economic evaluations

et al. 2020

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ObjectiveThe aim of this review was to summarise the current evidence on the costing of resource use within UK maternity care, in order to facilitate the estimation of incremental resource and cost impacts potentially attributable to maternity care interventions.MethodsA systematic review of economic evaluations was conducted by searching Medline, the Health Management Information Consortium, the National Health Service (NHS) Economic Evaluations Database, CINAHL and National Institute for Health and Care Excellence (NICE) guidelines for economic evaluations within UK maternity care, published between January 2010 and August 2019 in the English language. Unit costs for healthcare activities provided to women within the antenatal, intrapartum and postnatal period were inflated to 2018–2019 prices. Assessment of study quality was performed using the Quality of Health Economic Analyses checklist.ResultsOf 5084 titles or full texts screened, 37 papers were included in the final review (27 primary research articles, 7 review articles and 3 economic evaluations from NICE guidelines). Of the 27 primary research articles, 21 were scored as high quality, 3 as medium quality and 3 were low quality. Variation was noted in cost estimates for healthcare activities throughout the maternity care pathway: for midwife-led outpatient appointment, the range was £27.34–£146.25 (mean £81.78), emergency caesarean section, range was £1056.44–£4982.21 (mean £3508.93) and postnatal admission, range was £103.00–£870.10 per day (mean £469.55).ConclusionsWide variation exists in costs applied to maternity healthcare activities, resulting in challenges in attributing cost to maternity activities. The level of variation in cost calculations is likely to reflect the uncertainty within the system and must be dealt with by conducting sensitivity analyses. Nationally agreed prices for granular unit costs are needed to standardise cost-effectiveness evaluations of new interventions within maternity care, to be used either for research purposes or decisions regarding national intervention uptake.PROSPERO registration numberCRD42019145309.

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Section: Resultsmentioning

confidence: 99%

Costing the impact of interventions during pregnancy in the UK: a systematic review of economic evaluations

et al. 2020

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“…Of the 15 included studies, 11 were randomized trials [1,5,[15][16][17][18][19][20][21][22][23] and three were observational two group studies [24][25][26]. One study was a cost effectiveness study involving a questionnaire [27]. Participants in the included studies involved postgraduate trainees (n = 437 (69.7 %)), medical students (n = 154 (24.6 %)), and midwives/certified nurses (n = 36 (5.7 %)).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Moreover, the number of studies available for the metaanalysis was limited due to the poor quality of reporting of results in several studies. Finally, the study examining the cost-effectiveness of training on a specific ultrasound simulator [27] was initiated and sponsored by the manufacturer, which may result in some risks of bias.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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Simulation-Based Ultrasound Training in Obstetrics and Gynecology: A Systematic Review and Meta-Analysis

et al. 2020

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Objective The purpose of this systematic review and meta-analysis was to examine the effects of simulation-based ultrasound training (SIM-UT) in obstetrics and gynecology compared to non-SIM-UT on trainee learning, clinical performance, patient-relevant outcomes, and cost of training. Methods A systematic search was performed in June 2019 in PubMed, Embase, and Scopus using search terms for the topic and the intervention as well as certain MESH terms. Inclusion criteria were defined in accordance with the PICO question. Studies published in any language involving SIM-UT in obstetrics and gynecology compared to non-SIM-UT or no training were included. The outcomes included effects on health care provider learning and clinical performance, patient-relevant outcomes, and cost of training. Two authors evaluated the study quality with the MERSQI instrument and the Oxford Quality Scoring System. A meta-analysis was planned for the included randomized controlled trials. Results 15 studies were included, and 11 studies were eligible for meta-analysis. SIM-UT was significantly superior to clinical training only and theoretical teaching with standard mean differences (SMD) of 0.84 (0.08–1.61) and 1.20 (0.37–2.04), respectively. However, SIM-UT was not superior to live model training; SMD of 0.65 (–3.25–4.55). Of all studies included in the meta-analysis, 91 % favored SIM-UT over clinical training alone, theoretical teaching, or in some cases live model training. Conclusion In the field of obstetrics and gynecology, SIM-UT in addition to clinical training markedly improves trainee learning, clinical performance, as well as patient-perceived quality of care.

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“…Randomized controlled trials using a simulator demonstrated significant improvement in TVUS skills among 1st‐year residents as well as retention 2 months later . While cost‐effective, the cost of the simulator (approximately $32,000) may be prohibitive for many training institutions . Another study described the use of patient models to teach TVUS skills .…”

Section: Introductionmentioning

confidence: 99%

Transvaginal ultrasound training for the obstetrics and gynecology resident: A multisite randomized controlled trial of educational DVD

McCurdy

High

Schnatz

et al. 2018

J of Clinical Ultrasound

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Purpose: Residents in obstetrics and gynecology are deemed to be proficient in transvaginal ultrasound (TVUS) upon graduation, although TVUS education in residency is not standardized.The objective of this study is to assess for improvement in TVUS knowledge among residents after viewing an educational DVD.Methods: This is a multisite prospective randomized controlled trial using an educational DVD ("Gynecology: Beginners Only"), compared to routine education. All participants completed a pretest on TVUS images and principles. The intervention group repeated the test after DVD viewing. During the trial, performing and logging TVUS examinations were encouraged. All enrolled residents repeated the test 6-10 months later.Results: Fifty-seven residents completed the study with a mean pretest score of 9.7 (1st year resident 9.8, 2nd year resident 9.6, 3rd year resident 10.1, 4th year resident 9.4, P = .763), with a mean of 31.5 TVUS examinations logged prior to intervention. The mean score in the intervention group (n = 34) improved significantly after viewing (11.2, P < 0.003). This improvement did not persist 6-10 months later on a follow-up quiz (mean 10.7, P = .894). At completion of the study, participants logged an average of 56.7 TVUS examinations.Conclusion: An educational DVD is easily implemented and demonstrates short-term benefit. Exploration of different teaching modalities in development of a comprehensive training program may improve long-term retention. K E Y W O R D S randomized controlled trial, resident education, transvaginal ultrasound 1 | INTRODUCTION Current practice in obstetrics and gynecology (OB/GYN) requires competent use of transvaginal ultrasound (TVUS), yet formal training during residency is typically limited and not standardized. The Accreditation Council for Graduate Medical Education (ACGME) reported in the September 2012 National Resident Report that graduating OB/GYN residents completed an average of 119.9 TVUS examinations as "surgeon" by the completion of their residency (range 0-623, 95th percentile was 260). 1 While the ACGME advises a resident to perform 50 TVUS examinations before completing residency, there are typically no specific program requirements, nor are there any specific recommendations in regards to how a program might assess competency in TVUS skills. Physicians who have graduated from an ACGME approved OB/GYN residency after 1982 are deemed competent to perform TVUS. Unfortunately, various components of TVUS use, including equipment calibration and transducer reprocessing, may not be part of the residency education. 2 Additionally, the American College of Radiology requires that for a practice to be accredited, the supervising physician must have at least 2 years of US experience during which at least 500 US examinations were performed or supervised and interpreted. 3 This is more than almost all OB/GYN residents perform during their 4-year residency.A PubMed search using the MeSH terms "ultrasonography," "internship and residency," and "gynecology" identified 1...

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The ScanTrainer obstetrics and gynaecology ultrasound virtual reality training simulator: A cost model to determine the cost viability of replacing clinical training with simulation training

Cited by 8 publications

References 3 publications

Costing the impact of interventions during pregnancy in the UK: a systematic review of economic evaluations

Costing the impact of interventions during pregnancy in the UK: a systematic review of economic evaluations

Simulation-Based Ultrasound Training in Obstetrics and Gynecology: A Systematic Review and Meta-Analysis

Transvaginal ultrasound training for the obstetrics and gynecology resident: A multisite randomized controlled trial of educational DVD

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