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A Facial Plastic and Reconstructive Surgery Training Module Using Surgical Simulation for Capacity Building.

Jennifer C Fuller1, Natalie S Justicz1, Jennifer Kim2

  • 1Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.

Journal of Surgical Education
|August 11, 2018
PubMed
Summary

This study introduced 3 intensive facial plastic and reconstructive surgery modules for surgical capacity building in Ecuador. The program significantly improved resident skills and knowledge, showing promise for global surgical education.

Keywords:
Patient Carecapacity buildingeducationlow-middle income countriessurgical simulation

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Area of Science:

  • Medical Education
  • Surgical Training
  • Global Health

Background:

  • Surgical capacity building is crucial in low-middle income countries.
  • Limited access to specialized training hinders plastic and reconstructive surgery development.
  • Innovative teaching methods are needed to address these gaps.

Purpose of the Study:

  • To introduce novel intensive facial plastic and reconstructive surgery teaching modules.
  • To enhance surgical capacity through simulation-based training.
  • To evaluate the effectiveness of the modules in a low-middle income country.

Main Methods:

  • Prospective cohort study involving first- and second-year otolaryngology residents in Quito, Ecuador.
  • An intensive 3-day program included didactic lectures, simulation workshops, and live surgery.
  • Pre- and postmodule testing (written, oral, practical) and feedback surveys were administered.

Main Results:

  • Significant improvement in resident performance across all 3 subject areas (microtia, nasoseptal abnormalities, facial paralysis).
  • High resident satisfaction with the program, with average feedback scores ranging from 8.9 to 9.8.
  • Simulation workshops received the highest ratings, indicating their effectiveness.

Conclusions:

  • An intensive surgical training module combining didactics, simulation, and live surgery effectively transferred skills and knowledge.
  • This training model shows potential as a valuable tool for surgical capacity building in developing regions.
  • Further long-term evaluation is needed to determine the full impact of the program.