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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
Comprehensive simulation-enhanced training curriculum for an advanced minimally invasive procedure: a randomized
Boris Zevin1, Nicolas J Dedy2, Esther M Bonrath2
1Department of Surgery, University of Toronto, Toronto, Canada.
Summary
A new simulation-enhanced training (SET) curriculum improved surgical residents' psychomotor and nontechnical skills for advanced minimally invasive procedures compared to conventional training.
Area of Science:
- Surgical Education
- Medical Simulation
- Minimally Invasive Surgery
Background:
- Lack of comprehensive training curricula for advanced minimally invasive procedures.
- Need to address cognitive, psychomotor, and nontechnical skills in surgical training.
Purpose of the Study:
- Develop and validate a simulation-enhanced training (SET) curriculum.
- Assess skill transfer from simulation to live models.
- Compare SET outcomes with conventional training and chief resident performance.
Main Methods:
- Prospective randomized controlled trial with 20 intermediate surgery residents.
- SET curriculum included cognitive, psychomotor, and nontechnical modules.
- Outcomes measured: psychomotor skills (porcine model, OR), knowledge, and nontechnical skills.
Main Results:
- SET group showed superior psychomotor and nontechnical skills vs. conventional training.
- SET and conventional groups had equivalent knowledge.
- SET group had equivalent psychomotor skills to chief residents but inferior knowledge and superior nontechnical skills.
Conclusions:
- SET curriculum leads to superior training outcomes compared to conventional methods.
- SET can standardize training and ensure proficiency before patient exposure.
- SET enhances critical nontechnical skills essential for advanced procedures.
