Surgical skills simulation in trauma and orthopaedic training
Identifieur interne : 000E10 ( Main/Merge ); précédent : 000E09; suivant : 000E11Surgical skills simulation in trauma and orthopaedic training
Auteurs : Euan Rb Stirling ; Thomas L. Lewis ; Nicholas A. FerranSource :
- Journal of Orthopaedic Surgery and Research [ 1749-799X ] ; 2014.
Abstract
Changing patterns of health care delivery and the rapid evolution of orthopaedic surgical techniques have made it increasingly difficult for trainees to develop expertise in their craft. Working hour restrictions and a drive towards senior led care demands that proficiency be gained in a shorter period of time whilst requiring a greater skill set than that in the past. The resulting conflict between service provision and training has necessitated the development of alternative methods in order to compensate for the reduction in ‘hands-on’ experience. Simulation training provides the opportunity to develop surgical skills in a controlled environment whilst minimising risks to patient safety, operating theatre usage and financial expenditure. Many options for simulation exist within orthopaedics from cadaveric or prosthetic models, to arthroscopic simulators, to advanced virtual reality and three-dimensional software tools. There are limitations to this form of training, but it has significant potential for trainees to achieve competence in procedures prior to real-life practice. The evidence for its direct transferability to operating theatre performance is limited but there are clear benefits such as increasing trainee confidence and familiarity with equipment. With progressively improving methods of simulation available, it is likely to become more important in the ongoing and future training and assessment of orthopaedic surgeons.
Url:
DOI: 10.1186/s13018-014-0126-z
PubMed: 25523023
PubMed Central: 4299292
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgical skills simulation in trauma and orthopaedic training</title><author><name sortKey="Stirling, Euan Rb" sort="Stirling, Euan Rb" uniqKey="Stirling E" first="Euan Rb" last="Stirling">Euan Rb Stirling</name><affiliation><nlm:aff id="Aff1">Orthopaedic Department, Northampton General Hospital, Cliftonville, Northampton, NN1 5BD UK</nlm:aff><wicri:noCountry code="subfield">NN1 5BD UK</wicri:noCountry></affiliation></author><author><name sortKey="Lewis, Thomas L" sort="Lewis, Thomas L" uniqKey="Lewis T" first="Thomas L" last="Lewis">Thomas L. Lewis</name><affiliation><nlm:aff id="Aff2">General Surgery, Kingston Hospital, Galsworthy Road, Kingston-upon-Thames, KT2 7QB UK</nlm:aff><wicri:noCountry code="subfield">KT2 7QB UK</wicri:noCountry></affiliation></author><author><name sortKey="Ferran, Nicholas A" sort="Ferran, Nicholas A" uniqKey="Ferran N" first="Nicholas A" last="Ferran">Nicholas A. Ferran</name><affiliation><nlm:aff id="Aff3">Shoulder Fellow, Prince of Wales Private Hospital, Randwick, NSW 2031 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2031 Australia</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25523023</idno><idno type="pmc">4299292</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299292</idno><idno type="RBID">PMC:4299292</idno><idno type="doi">10.1186/s13018-014-0126-z</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000922</idno><idno type="wicri:Area/Pmc/Curation">000922</idno><idno type="wicri:Area/Pmc/Checkpoint">000926</idno><idno type="wicri:Area/Ncbi/Merge">003549</idno><idno type="wicri:Area/Ncbi/Curation">003549</idno><idno type="wicri:Area/Ncbi/Checkpoint">003549</idno><idno type="wicri:Area/Main/Merge">000E10</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Surgical skills simulation in trauma and orthopaedic training</title><author><name sortKey="Stirling, Euan Rb" sort="Stirling, Euan Rb" uniqKey="Stirling E" first="Euan Rb" last="Stirling">Euan Rb Stirling</name><affiliation><nlm:aff id="Aff1">Orthopaedic Department, Northampton General Hospital, Cliftonville, Northampton, NN1 5BD UK</nlm:aff><wicri:noCountry code="subfield">NN1 5BD UK</wicri:noCountry></affiliation></author><author><name sortKey="Lewis, Thomas L" sort="Lewis, Thomas L" uniqKey="Lewis T" first="Thomas L" last="Lewis">Thomas L. Lewis</name><affiliation><nlm:aff id="Aff2">General Surgery, Kingston Hospital, Galsworthy Road, Kingston-upon-Thames, KT2 7QB UK</nlm:aff><wicri:noCountry code="subfield">KT2 7QB UK</wicri:noCountry></affiliation></author><author><name sortKey="Ferran, Nicholas A" sort="Ferran, Nicholas A" uniqKey="Ferran N" first="Nicholas A" last="Ferran">Nicholas A. Ferran</name><affiliation><nlm:aff id="Aff3">Shoulder Fellow, Prince of Wales Private Hospital, Randwick, NSW 2031 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2031 Australia</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of Orthopaedic Surgery and Research</title><idno type="eISSN">1749-799X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Changing patterns of health care delivery and the rapid evolution of orthopaedic surgical techniques have made it increasingly difficult for trainees to develop expertise in their craft. Working hour restrictions and a drive towards senior led care demands that proficiency be gained in a shorter period of time whilst requiring a greater skill set than that in the past. The resulting conflict between service provision and training has necessitated the development of alternative methods in order to compensate for the reduction in ‘hands-on’ experience. Simulation training provides the opportunity to develop surgical skills in a controlled environment whilst minimising risks to patient safety, operating theatre usage and financial expenditure. Many options for simulation exist within orthopaedics from cadaveric or prosthetic models, to arthroscopic simulators, to advanced virtual reality and three-dimensional software tools. There are limitations to this form of training, but it has significant potential for trainees to achieve competence in procedures prior to real-life practice. The evidence for its direct transferability to operating theatre performance is limited but there are clear benefits such as increasing trainee confidence and familiarity with equipment. With progressively improving methods of simulation available, it is likely to become more important in the ongoing and future training and assessment of orthopaedic surgeons.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Philbert, I" uniqKey="Philbert I">I Philbert</name></author><author><name sortKey="Friedmann, P" uniqKey="Friedmann P">P Friedmann</name></author><author><name sortKey="Williams, Wt" uniqKey="Williams W">WT Williams</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aggarwal, R" uniqKey="Aggarwal R">R Aggarwal</name></author><author><name sortKey="Mytton, Ot" uniqKey="Mytton O">OT Mytton</name></author><author><name sortKey="Derbrew, M" uniqKey="Derbrew M">M Derbrew</name></author><author><name sortKey="Hananel, D" uniqKey="Hananel D">D Hananel</name></author><author><name sortKey="Heydenburg, M" uniqKey="Heydenburg M">M 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sortKey="Nehme, J" uniqKey="Nehme J">J Nehme</name></author><author><name sortKey="Darzi, A" uniqKey="Darzi A">A Darzi</name></author><author><name sortKey="Purkayastha, S" uniqKey="Purkayastha S">S Purkayastha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blyth, P" uniqKey="Blyth P">P Blyth</name></author><author><name sortKey="Stott, Ns" uniqKey="Stott N">NS Stott</name></author><author><name sortKey="Anderson, Ia" uniqKey="Anderson I">IA Anderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blyth, P" uniqKey="Blyth P">P Blyth</name></author><author><name sortKey="Stott, Ns" uniqKey="Stott N">NS Stott</name></author><author><name sortKey="Anderson, Ia" uniqKey="Anderson I">IA Anderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lewis, Tl" uniqKey="Lewis T">TL Lewis</name></author><author><name sortKey="Vohra, Rs" uniqKey="Vohra R">RS Vohra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leblanc, J" uniqKey="Leblanc J">J LeBlanc</name></author><author><name sortKey="Hutchison, C" uniqKey="Hutchison C">C Hutchison</name></author><author><name sortKey="Hu, Y" uniqKey="Hu Y">Y Hu</name></author><author><name sortKey="Donnon, T" uniqKey="Donnon T">T Donnon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Suinn, R" uniqKey="Suinn R">R Suinn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shiralkar, U" uniqKey="Shiralkar U">U Shiralkar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Decety, J" uniqKey="Decety J">J Decety</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kohls Gatzoulis, Ja" uniqKey="Kohls Gatzoulis J">JA Kohls-Gatzoulis</name></author><author><name sortKey="Regehr, G" uniqKey="Regehr G">G Regehr</name></author><author><name sortKey="Hutchison, C" uniqKey="Hutchison C">C Hutchison</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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