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Simulation-based training in maxillofacial surgery: are we going to be left behind?

N Ahmed1, I H McVicar1, D A Mitchell2

  • 1Queens Medical Centre, Nottingham University Hospital NHS Trust.

The British Journal of Oral & Maxillofacial Surgery
|January 1, 2019
PubMed
Summary

Simulation-based training is beneficial for maxillofacial surgery trainees, especially for emergencies. However, course costs were a barrier for UK trainees, despite its proven benefits in other surgical fields.

Keywords:
competencecoursessimulationtraining

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Area of Science:

  • Medical Education
  • Surgical Training
  • Maxillofacial Surgery

Background:

  • Simulation optimizes learning time and reduces patient morbidity.
  • Maxillofacial surgery has limited adoption of formal simulation compared to other specialties.
  • Trainee feedback indicates a need for simulation in maxillofacial surgery training.

Purpose of the Study:

  • To review the current use of simulation in maxillofacial surgery training.
  • To assess trainees' opinions on simulation-based training.
  • To identify areas where simulation can be beneficial in maxillofacial surgery.

Main Methods:

  • A web-based survey of maxillofacial surgery trainees was conducted in February 2018.
  • Survey data was disseminated via Junior and Fellows in Training group mailing lists.
  • Popular simulation courses were reviewed for availability and cost.

Main Results:

  • 45 out of 57 trainees agreed simulation-based training would be beneficial, particularly for surgical emergencies.
  • 54 out of 57 trainees found simulation a useful adjunct to clinical training.
  • Most available simulation courses were unaffordable for UK trainees prior to April 2018 funding changes.

Conclusions:

  • Maxillofacial surgery should increase the use of simulation, as trainees support its benefits.
  • Simulation training enhances skill transfer to the operating room, improving satisfaction and reducing morbidity.
  • Addressing cost barriers is crucial for wider adoption of simulation in maxillofacial surgery education.