Evaluation of surgical training in the era of simulation
Identifieur interne : 003295 ( Ncbi/Merge ); précédent : 003294; suivant : 003296Evaluation of surgical training in the era of simulation
Auteurs : Shazrinizam Shaharan ; Paul NearySource :
- World Journal of Gastrointestinal Endoscopy [ 1948-5190 ] ; 2014.
Abstract
AIM: To assess where we currently stand in relation to simulator-based training within modern surgical training curricula.
METHODS: A systematic literature search was performed in PubMed database using keywords “simulation”, “skills assessment” and “surgery”. The studies retrieved were examined according to the inclusion and exclusion criteria. Time period reviewed was 2000 to 2013. The methodology of skills assessment was examined.
RESULTS: Five hundred and fifteen articles focussed upon simulator based skills assessment. Fifty-two articles were identified that dealt with technical skills assessment in general surgery. Five articles assessed open skills, 37 assessed laparoscopic skills, 4 articles assessed both open and laparoscopic skills and 6 assessed endoscopic skills. Only 12 articles were found to be integrating simulators in the surgical training curricula. Observational assessment tools, in the form of Objective Structured Assessment of Technical Skills (OSATS) dominated the literature.
CONCLUSION: Observational tools such as OSATS remain the top assessment instrument in surgical training especially in open technical skills. Unlike the aviation industry, simulation based assessment has only now begun to cross the threshold of incorporation into mainstream skills training. Over the next decade we expect the promise of simulator-based training to finally take flight and begin an exciting voyage of discovery for surgical trainees.
Url:
DOI: 10.4253/wjge.v6.i9.436
PubMed: 25228946
PubMed Central: 4163726
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PMC:4163726Le document en format XML
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<author><name sortKey="Neary, Paul" sort="Neary, Paul" uniqKey="Neary P" first="Paul" last="Neary">Paul Neary</name>
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<author><name sortKey="Neary, Paul" sort="Neary, Paul" uniqKey="Neary P" first="Paul" last="Neary">Paul Neary</name>
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<series><title level="j">World Journal of Gastrointestinal Endoscopy</title>
<idno type="ISSN">1948-5190</idno>
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<front><div type="abstract" xml:lang="en"><p>AIM: To assess where we currently stand in relation to simulator-based training within modern surgical training curricula.</p>
<p>METHODS: A systematic literature search was performed in PubMed database using keywords “simulation”, “skills assessment” and “surgery”. The studies retrieved were examined according to the inclusion and exclusion criteria. Time period reviewed was 2000 to 2013. The methodology of skills assessment was examined.</p>
<p>RESULTS: Five hundred and fifteen articles focussed upon simulator based skills assessment. Fifty-two articles were identified that dealt with technical skills assessment in general surgery. Five articles assessed open skills, 37 assessed laparoscopic skills, 4 articles assessed both open and laparoscopic skills and 6 assessed endoscopic skills. Only 12 articles were found to be integrating simulators in the surgical training curricula. Observational assessment tools, in the form of Objective Structured Assessment of Technical Skills (OSATS) dominated the literature.</p>
<p>CONCLUSION: Observational tools such as OSATS remain the top assessment instrument in surgical training especially in open technical skills. Unlike the aviation industry, simulation based assessment has only now begun to cross the threshold of incorporation into mainstream skills training. Over the next decade we expect the promise of simulator-based training to finally take flight and begin an exciting voyage of discovery for surgical trainees.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Gastrointest Endosc</journal-id>
<journal-id journal-id-type="publisher-id">WJGE</journal-id>
<journal-title-group><journal-title>World Journal of Gastrointestinal Endoscopy</journal-title>
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<issn pub-type="ppub">1948-5190</issn>
<issn pub-type="epub">1948-5190</issn>
<publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name>
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<article-id pub-id-type="other">jWJG.v6.i9.pg436</article-id>
<article-id pub-id-type="doi">10.4253/wjge.v6.i9.436</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Systematic Reviews</subject>
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<title-group><article-title>Evaluation of surgical training in the era of simulation</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Shaharan</surname>
<given-names>Shazrinizam</given-names>
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<contrib contrib-type="author"><name><surname>Neary</surname>
<given-names>Paul</given-names>
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<aff>Shazrinizam Shaharan, National Surgical Training Centre, Department of Surgical Affairs, Royal College of Surgeons Ireland, Dublin 2, Ireland</aff>
<aff>Paul Neary, Division Of Colorectal Surgery, Adelaide and Meath incorporating the National Children’s Hospital, Trinity College Dublin, Tallaght, Dublin 24, Ireland</aff>
</contrib-group>
<author-notes><fn><p>Author contributions: Shaharan S performed the literature search, analysis and wrote the manuscript; Neary P involved in analysis and editing the manuscript.</p>
<p>Correspondence to: Shazrinizam Shaharan, MB, BCh, BAO, BA, National Surgical Training Centre, Department of Surgical Affairs, Royal College of Surgeons Ireland, 121 St Stephen’s Green, Dublin 2, Ireland. <email>shazrinizamshaharan@rcsi.ie</email>
</p>
<p>Telephone: +353-1-4022704 Fax: +353-1-4022459</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><day>16</day>
<month>9</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>16</day>
<month>9</month>
<year>2014</year>
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<volume>6</volume>
<issue>9</issue>
<fpage>436</fpage>
<lpage>447</lpage>
<history><date date-type="received"><day>6</day>
<month>4</month>
<year>2014</year>
</date>
<date date-type="rev-recd"><day>30</day>
<month>4</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>27</day>
<month>8</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>©2014 Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><p>AIM: To assess where we currently stand in relation to simulator-based training within modern surgical training curricula.</p>
<p>METHODS: A systematic literature search was performed in PubMed database using keywords “simulation”, “skills assessment” and “surgery”. The studies retrieved were examined according to the inclusion and exclusion criteria. Time period reviewed was 2000 to 2013. The methodology of skills assessment was examined.</p>
<p>RESULTS: Five hundred and fifteen articles focussed upon simulator based skills assessment. Fifty-two articles were identified that dealt with technical skills assessment in general surgery. Five articles assessed open skills, 37 assessed laparoscopic skills, 4 articles assessed both open and laparoscopic skills and 6 assessed endoscopic skills. Only 12 articles were found to be integrating simulators in the surgical training curricula. Observational assessment tools, in the form of Objective Structured Assessment of Technical Skills (OSATS) dominated the literature.</p>
<p>CONCLUSION: Observational tools such as OSATS remain the top assessment instrument in surgical training especially in open technical skills. Unlike the aviation industry, simulation based assessment has only now begun to cross the threshold of incorporation into mainstream skills training. Over the next decade we expect the promise of simulator-based training to finally take flight and begin an exciting voyage of discovery for surgical trainees.</p>
</abstract>
<kwd-group><kwd>Simulation</kwd>
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<kwd>Surgery</kwd>
<kwd>Training</kwd>
<kwd>Objective Structured Assessment of Technical Skills</kwd>
<kwd>Observational tool</kwd>
<kwd>Surgical skills</kwd>
<kwd>Assessment</kwd>
<kwd>Skill assessment</kwd>
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<name sortKey="Shaharan, Shazrinizam" sort="Shaharan, Shazrinizam" uniqKey="Shaharan S" first="Shazrinizam" last="Shaharan">Shazrinizam Shaharan</name>
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