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The Case for Simulation-Based Mastery Learning Education Courses for Practicing Surgeons.

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Short simulation courses for pediatric surgeons boost confidence in minimally invasive surgery (MIS) skills. However, mastery learning with deliberate practice is crucial for safe skill implementation in complex neonatal procedures.

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Area of Science:

  • Surgical Education
  • Pediatric Surgery
  • Minimally Invasive Surgery

Background:

  • Pediatric surgeons use simulation courses to gain skills in minimally invasive surgery (MIS) for complex congenital anomalies.
  • Current training often involves short "exposure courses" at conferences with limited data on their effectiveness for skill implementation.

Purpose of the Study:

  • To determine the impact of an advanced neonatal MIS exposure course on surgeons' self-perceived comfort levels with independent performance of complex procedures.

Main Methods:

  • A 4-hour hands-on neonatal MIS course was conducted.
  • Participants completed pre- and post-training surveys on comfort levels with thoracoscopic esophageal atresia with tracheoesophageal fistula (tTEF) repair, thoracoscopic left upper lobe pulmonary lobectomy (tLobe), and laparoscopic duodenal atresia (lapDA) repair.

Main Results:

  • Seventeen surgeons participated; most lacked prior experience in tLobe (59%), lapDA (53%), and tTEF (35%) repair.
  • Post-course, the majority felt "likely to perform" these advanced procedures within 6 months, despite low baseline experience and comfort.

Conclusions:

  • Exposure courses enhance perceived skills and confidence immediately.
  • These courses lack deliberate practice elements essential for expert performance.
  • Future training should adopt mastery learning with skill assessments and ample practice time before clinical application.