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Integrating simulation into a surgical residency program: is voluntary participation effective?

L Chang¹, J Petros, D T Hess

¹Department of Surgery, Boston University Medical Center, Boston, Massachusetts 02118, USA. lily.chang@bmc.org

Surgical Endoscopy

|December 21, 2006

Summary

Voluntary surgical simulation training had minimal resident participation. Making simulation training mandatory is recommended for effectiveness in residency curricula. Keywords: surgical simulation, residency training, curriculum integration.

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Area of Science:

Medical Education
Surgical Training
Simulation Technology

Background:

Surgical residency programs face challenges integrating simulation training due to work-hour restrictions.
The effectiveness of voluntary simulation lab use within surgical curricula needs evaluation.

Purpose of the Study:

To assess the effectiveness of voluntary simulation training in a general surgery residency program.
To evaluate resident participation and perceived benefits of a surgical simulation lab.

Main Methods:

A ProMIS simulator was introduced; residents received a 2-hour introductory session.
Post-introduction, simulator use was voluntary and tracked over 3 months.
Participation was defined as ≥3 simulator uses; surveys assessed user experience and barriers.

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Main Results:

Only 31% of eligible residents used the simulator at least once; 14% met participation criteria (≥3 uses).
Usage varied by postgraduate year (PGY1: 80%, PGY2: 40%, PGY3: 60%, PGY4/5: 0%).
Residents found the simulator useful for skill improvement but not a substitute for operative experience; barriers included off-site rotations and lack of time.

Conclusions:

Voluntary surgical simulation lab use resulted in low participation within the residency curriculum.
Mandatory participation is likely necessary for simulation training to be an effective component of surgical residency.