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Advancing Simulation-Based Orthopaedic Surgical Skills Training: An Analysis of the Challenges to Implementation.
Kivanc Atesok1, Shepard Hurwitz2, Donald D Anderson3
1Harvard University, Beth Israel Deaconess Medical Center, Department of Neurosurgery, Boston, MA, USA.
Advances in Orthopedics
|October 1, 2019
Summary
Simulation-based surgical skills training needs rigorous assessment and clear objectives for effective integration into surgical education and board certification. Addressing these challenges will enhance training quality and prevent redundant efforts.
Area of Science:
- Medical Education
- Surgical Training
- Simulation Technology
Background:
- Simulation-based surgical skills training is crucial for improving trainee performance.
- Meaningful integration into surgical education requires addressing several key areas.
Purpose of the Study:
- To identify obstacles to comprehensive integration of simulation-based surgical skills training.
- To propose solutions for overcoming these integration challenges.
- To inform curriculum development and board certification standards.
Main Methods:
- Focused review of current literature and practices in surgical simulation.
- Analysis of barriers to widespread adoption and standardization.
- Synthesis of recommendations for improvement.
Main Results:
- Obstacles include the need for validated, feasible, and cost-effective simulators.
- Lack of clear objectives, outcome measures, and metrics for simulation courses.
- Inadequate assessment of problem-solving, decision-making, and remediation strategies.
Conclusions:
- Rigorous assessment of simulators and clear course objectives are essential.
- Standardization of simulation courses for curriculum and board certification is needed.
- Addressing these issues will improve training quality and reduce duplicative efforts.
