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Simulation in surgery: what's needed next?

Dimitrios Stefanidis1, Nick Sevdalis, John Paige

  • 1*Department of Surgery and Carolinas Simulation Center, Carolinas Healthcare System, Charlotte, NC †Department of Surgery and Cancer, St Mary's Hospital, Imperial College of London, London, UK ‡Department of Surgery, LSU Health New Orleans School of Medicine, New Orleans, LA §Department of Surgery, University of Toronto, Ontario, Canada ¶Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia PA ‖Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA.

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|September 23, 2014
PubMed
Summary
This summary is machine-generated.

Simulation-based training (SBT) in surgery effectively transfers skills to the operating room, but implementation lags due to resource and integration challenges. Future research should focus on cost-effectiveness and patient outcomes.

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Healthcare Training

Background:

  • Simulation-based training (SBT) in surgery has rapidly expanded.
  • Despite new simulators and curricula, optimization and integration into surgical training are delayed.

Purpose of the Study:

  • To review the current use of simulation in surgery.
  • To identify challenges and propose solutions for widespread adoption.
  • To guide future research and evidence-based implementation.

Main Methods:

  • Literature review by experts from the Association for Surgical Education Simulation Committee.
  • Analysis of current status, challenges, and solutions for surgical simulation.
  • Focus on research and implementation of existing knowledge.

Main Results:

  • Skills learned on simulators consistently transfer to operating room performance.
  • Proficiency-based training enhances skill transfer.
  • Implementation of curricula is hindered by resource limitations, integration difficulties, and logistical barriers.
  • Research requires improvements in coordination, study design, validation, and skill retention.

Conclusions:

  • Future research must demonstrate the cost-effectiveness and patient outcome impact of SBT.
  • Developing effective implementation strategies is crucial for incorporating best practices and curricula into surgical training.