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Barriers to the implementation and uptake of simulation-based training programs in general surgery: a multinational
Shady G Hosny1, Maximilian J Johnston1, Philip H Pucher1
1Department of Academic Surgery, Imperial College London, London, UK.
The Journal of Surgical Research
|August 29, 2017
Summary
Financial cost and limited access are major barriers to surgical simulation training. Mandatory programs and skill assessments are key facilitators for widespread adoption in surgical education.
Area of Science:
- Medical Education
- Surgical Training
- Simulation Technology
Background:
- Simulation training offers proven benefits for general surgery education.
- Despite advantages, simulation training is not universally adopted in global surgical programs.
Purpose of the Study:
- To identify barriers hindering the implementation of surgical simulation training.
- To identify facilitators that promote the uptake of simulation training in surgery.
Main Methods:
- A multinational qualitative study involving semi-structured interviews.
- 37 general surgery residents and experts from five countries were interviewed.
- Data were transcribed, anonymized, and analyzed using emergent theme analysis.
Main Results:
- Key barriers included financial cost (89%) and access (76%).
- Facilitators identified were mandatory training (78%) and ongoing skill assessment (78%).
- Participants believed simulation could improve patient outcomes (76%) but noted a lack of evidence (38%).
Conclusions:
- Multiple barriers impede surgical simulation training implementation.
- Targeted use of facilitators can overcome these barriers.
- Simulation training holds potential for improving patient outcomes in surgery.
