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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Teaching communication and supporting autonomy with a team-based operative simulator.

Mackenzie R Cook1, Shanley B Deal2, Jessica M Scott1

  • 1Department of Surgery, ​Oregon Health and Science University, Mail Code L611, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.

American Journal of Surgery
|July 6, 2016
PubMed
Summary

Senior surgical learners (SLs) can teach junior learners (JLs) technical skills while developing leadership and teaching abilities through a multi-learner simulation. This approach enhances operative simulation training for residents.

Keywords:
Inguinal herniaSurgical educationSurgical simulationTeam training

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Team Leadership Training

Background:

  • Residency program changes necessitate formal training in team leadership and intraoperative teaching.
  • High-fidelity, multi-learner surgical simulation offers a platform for senior learners (SLs) to teach junior learners (JLs).

Purpose of the Study:

  • To evaluate a low-cost, multi-learner surgical simulation model for resident training.
  • To assess the effectiveness of senior learners teaching junior learners in a simulated surgical environment.

Main Methods:

  • A low-cost inguinal hernia model was developed for paired junior learners (JLs) and senior learners (SLs).
  • The model was tested in three pilot simulations.
  • Participant feedback was analyzed using qualitative methods.

Main Results:

  • Junior learners reported senior learners provided effective guidance and allowed autonomy.
  • Senior learners focused feedback on technical aspects like mechanics, knowledge, and flow.
  • Both groups emphasized the importance of communication and professionalism.

Conclusions:

  • Multi-learner simulation effectively addresses the technical learning needs of junior learners and the teaching/communication needs of senior learners.
  • This resident-driven simulation model presents a viable future direction for operative simulation training.