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Simulation Based Training and Assessment in Open Vascular Surgery: A Systematic Review
Jonathan Lawaetz1, Joachim S Skovbo Kristensen2, Leizl J Nayahangan3
1Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark; Copenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Simulation-based training (SBT) effectively enhances technical skills in open vascular surgery trainees. Future research should focus on standardized reporting, skills transfer, and contemporary validity evidence for assessments.
Area of Science:
- Surgical Education
- Medical Simulation
- Vascular Surgery Training
Background:
- Simulation-based training (SBT) is increasingly utilized in surgical education.
- Standardized assessment methods are crucial for evaluating training efficacy.
Purpose of the Study:
- To systematically review literature on SBT and assessment in open vascular surgery.
- To provide evidence-based recommendations for future training initiatives.
Main Methods:
- Systematic review of PubMed, Embase, and Cochrane Library up to March 2020.
- Evaluation of training efficacy using Kirkpatrick's levels.
- Assessment of validity evidence following Messick's framework.
Main Results:
- 51 studies included; high heterogeneity in reporting and simulation types.
- Vascular anastomosis was the most simulated skill (43%).
- Objective Structured Assessment of Technical Skills (OSATS) was common (55%); validity evidence often outdated.
Conclusions:
- Structured SBT improves technical skills, particularly for less experienced trainees.
- Lack of homogeneity in reporting and simulation types necessitates standardization.
- Future studies should focus on pass/fail standards, skills transfer, and contemporary validity evidence.
