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Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

Procedural training models among emergency medicine residency programs.

Leslie Bilello¹, Andrew Ketterer¹, Shaked Yarza²

¹Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Clinical and Experimental Emergency Medicine

|April 12, 2021

Summary

Live anesthetized animal models (LAA) are declining in civilian emergency medicine training despite ongoing debate. Programs cite ethical and logistical issues, with differing views on optimal procedural training methods.

Keywords:

Education, medical Models, animal Simulation training

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Area of Science:

Medical Education
Emergency Medicine Training
Surgical Simulation

Background:

Optimal training methods for rare emergency procedures are debated.
Live anesthetized animal models (LAA) lack proven superiority over other training modalities.
Data on LAA use is primarily from military contexts, with limited information for civilian emergency medicine (EM).

Purpose of the Study:

To determine the prevalence of LAA use in civilian EM residency programs.
To identify reasons for LAA adoption or discontinuation.
To understand attitudes towards LAA versus alternative procedural training models.

Main Methods:

A survey study was conducted among program directors of Accreditation Council for Graduate Medical Education-accredited EM residency programs.
A 16-item electronic questionnaire assessed program characteristics, LAA usage history, and opinions on training modalities.
Response rate was 46.4% (83 out of 179 recipients).

Main Results:

14.3% of programs currently use LAA, and 20.5% have used it previously.
Reasons for discontinuing LAA include ethical concerns, cost, logistics, political pressure, and availability of superior alternatives.
Programs using LAA favored it as the most preferable modality, while non-users preferred human cadavers.

Conclusions:

LAA use is decreasing in civilian EM residencies, irrespective of demonstrated educational outcome differences.
Disagreement persists regarding the most effective procedural training methods between programs using and not using LAA.
Further research may be needed to establish evidence-based guidelines for emergency procedure training.