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Evaluation methods and impact of simulation-based training in pediatric surgery: a systematic review
Shinichiro Yokoyama1, Kenichi Mizunuma1, Yo Kurashima2,3,4
1Department of Gastrointestinal Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Pediatric Surgery International
|August 10, 2019
Summary
Simulation-based training (SBT) in pediatric surgery primarily uses simulators for technical skill assessment, but few studies link this training to improved clinical outcomes. Further research is needed to demonstrate the educational impact of simulators.
Area of Science:
- Medical Education
- Surgical Training
- Pediatric Surgery
Background:
- Simulation-based training (SBT) is increasingly utilized in pediatric surgery.
- Evaluating the effectiveness of SBT and the methods used is crucial for optimizing surgical education.
Purpose of the Study:
- To identify skill evaluation methods in pediatric surgery SBT.
- To determine how the effects of SBT were assessed in pediatric surgery.
Main Methods:
- A systematic literature search was conducted across PubMed, Cochrane Library, and Web of Science (2000-2017).
- Search terms included "surgery," "pediatrics," "simulation," and "training, evaluation."
- 43 studies were included out of 5858 identified publications.
Main Results:
- Simulators were used as assessment tools in 20 studies, with scoring systems (45%) and checklists (25%) differentiating experts from trainees.
- Simulators served as training tools in 23 studies, with effectiveness measured by performance scales (52%) and surveys (43%).
- No studies investigated the impact of SBT on clinical outcomes.
Conclusions:
- Laparoscopic skills evaluation in pediatric surgery SBT commonly employs scoring, time, and motion analysis.
- Few SBT programs in pediatric surgery demonstrate clear clinical effects.
- Future research should focus on the educational impact of simulators on clinical outcomes in pediatric surgery SBT.
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