The Role and Validity of Surgical Simulation
Identifieur interne : 001358 ( Pmc/Curation ); précédent : 001357; suivant : 001359The Role and Validity of Surgical Simulation
Auteurs : Riaz A. Agha [Royaume-Uni] ; Alexander J. Fowler [Royaume-Uni]Source :
- International Surgery [ 0020-8868 ] ; 2015.
Abstract
In the last three decades, simulation has become a key tool in the training of doctors and the maintenance of patient safety. Simulation offers an immersive, realistic way of learning technical skills. Recent changes to the training schemes in many surgical specialities mean that the hours spent working between senior house officer and consultant have been reduced. This, combined with other pressures (such as reduced operating hours), means that surgery has moved away from its traditional apprenticeship model and toward a competency-based one. Simulation can be a standardized and safe method for training and assessing surgeons. Use of simulation for training has become significant alongside the development of laparoscopic techniques, and evidence suggests that skills obtained in simulation are applicable in real clinical scenarios. Simulation allows trainees to make mistakes, to ask the “what if?” questions, and to learn and reflect on such situations without risking patient safety. Virtual reality simulators have been used to allow experts to plan complicated operations and assess perioperative risks. Most recently, fully immersive simulations, such as those with whole theater teams involved, and patient-centered simulations allow development of other key skills aside from purely technical ones. Use of simulation in isolation from traditional teaching methods will furnish the surgeon in training with skills, but the best time and place to use such skills comes only with experience. In this article we examine the role of simulation in surgical training and its impact in the context of reduced training time.
Url:
DOI: 10.9738/INTSURG-D-14-00004.1
PubMed: 25692441
PubMed Central: 4337453
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PMC:4337453Le document en format XML
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<author><name sortKey="Agha, Riaz A" sort="Agha, Riaz A" uniqKey="Agha R" first="Riaz A." last="Agha">Riaz A. Agha</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Plastic Surgery, Pinderfields Hospital, Wakefield, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Plastic Surgery, Pinderfields Hospital, Wakefield</wicri:regionArea>
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<author><name sortKey="Fowler, Alexander J" sort="Fowler, Alexander J" uniqKey="Fowler A" first="Alexander J." last="Fowler">Alexander J. Fowler</name>
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<front><div type="abstract" xml:lang="en"><p>In the last three decades, simulation has become a key tool in the training of doctors and the maintenance of patient safety. Simulation offers an immersive, realistic way of learning technical skills. Recent changes to the training schemes in many surgical specialities mean that the hours spent working between senior house officer and consultant have been reduced. This, combined with other pressures (such as reduced operating hours), means that surgery has moved away from its traditional apprenticeship model and toward a competency-based one. Simulation can be a standardized and safe method for training and assessing surgeons. Use of simulation for training has become significant alongside the development of laparoscopic techniques, and evidence suggests that skills obtained in simulation are applicable in real clinical scenarios. Simulation allows trainees to make mistakes, to ask the “what if?” questions, and to learn and reflect on such situations without risking patient safety. Virtual reality simulators have been used to allow experts to plan complicated operations and assess perioperative risks. Most recently, fully immersive simulations, such as those with whole theater teams involved, and patient-centered simulations allow development of other key skills aside from purely technical ones. Use of simulation in isolation from traditional teaching methods will furnish the surgeon in training with skills, but the best time and place to use such skills comes only with experience. In this article we examine the role of simulation in surgical training and its impact in the context of reduced training time.</p>
</div>
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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">Int Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Int Surg</journal-id>
<journal-id journal-id-type="publisher-id">insu</journal-id>
<journal-title-group><journal-title>International Surgery</journal-title>
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<issn pub-type="ppub">0020-8868</issn>
<publisher><publisher-name>The International College of Surgeons, World Federation of General Surgeons and Surgical Specialists, Inc.</publisher-name>
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<article-meta><article-id pub-id-type="pmid">25692441</article-id>
<article-id pub-id-type="pmc">4337453</article-id>
<article-id pub-id-type="doi">10.9738/INTSURG-D-14-00004.1</article-id>
<article-id pub-id-type="sici">insu-100-03-12</article-id>
<article-id pub-id-type="other">INTSURG-D-14-00004</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Surgical Training and Education</subject>
</subj-group>
</article-categories>
<title-group><article-title>The Role and Validity of Surgical Simulation</article-title>
<alt-title alt-title-type="runhead">THE EXPANDING ROLE OF SURGICAL SIMULATION</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Agha</surname>
<given-names>Riaz A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fowler</surname>
<given-names>Alexander J.</given-names>
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<xref ref-type="aff" rid="aff2">2</xref>
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<aff id="aff1"><label>1</label>
Department of Plastic Surgery, Pinderfields Hospital, Wakefield, United Kingdom</aff>
<aff id="aff2"><label>2</label>
Barts and the London School of Medicine and Dentistry, London, United Kingdom</aff>
</contrib-group>
<author-notes><corresp id="cor1">Reprint requests: Alexander Fowler, Garrod Building, Turner Street, Whitechapel, London E1 2AD, United Kingdom. E-mail: <email>ha09410@qmul.ac.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>2</month>
<year>2015</year>
</pub-date>
<volume>100</volume>
<issue>2</issue>
<fpage>350</fpage>
<lpage>357</lpage>
<permissions><copyright-statement>Copyright 2015 by the International College of Surgeons</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract><p>In the last three decades, simulation has become a key tool in the training of doctors and the maintenance of patient safety. Simulation offers an immersive, realistic way of learning technical skills. Recent changes to the training schemes in many surgical specialities mean that the hours spent working between senior house officer and consultant have been reduced. This, combined with other pressures (such as reduced operating hours), means that surgery has moved away from its traditional apprenticeship model and toward a competency-based one. Simulation can be a standardized and safe method for training and assessing surgeons. Use of simulation for training has become significant alongside the development of laparoscopic techniques, and evidence suggests that skills obtained in simulation are applicable in real clinical scenarios. Simulation allows trainees to make mistakes, to ask the “what if?” questions, and to learn and reflect on such situations without risking patient safety. Virtual reality simulators have been used to allow experts to plan complicated operations and assess perioperative risks. Most recently, fully immersive simulations, such as those with whole theater teams involved, and patient-centered simulations allow development of other key skills aside from purely technical ones. Use of simulation in isolation from traditional teaching methods will furnish the surgeon in training with skills, but the best time and place to use such skills comes only with experience. In this article we examine the role of simulation in surgical training and its impact in the context of reduced training time.</p>
</abstract>
<kwd-group><title>Key words</title>
<kwd>Simulation</kwd>
<kwd>Surgical education</kwd>
<kwd>Surgical training</kwd>
<kwd>Laparoscopic surgery</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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