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A Systematic Review of Simulation-Based Training in Vascular Surgery
Alexander Haiser1, Abdullatif Aydin2, Basir Kunduzi3
1Guy's, King's and St Thomas' School of Medical Education, King's College London, London, UK.
The Journal of Surgical Research
|July 15, 2022
Summary
Simulation-based training for vascular surgery is growing, with the ANGIO Mentor showing high validity and effectiveness. Further research is needed on skill retention and cost-effectiveness for curriculum integration.
Area of Science:
- Surgical Education
- Medical Simulation
- Vascular Surgery Training
Background:
- The COVID-19 pandemic accelerated simulation-based training in surgery.
- Increased endovascular procedures necessitate high-fidelity simulators with comprehensive feedback.
- Simulation models require validation and effectiveness assessment for curriculum integration.
Purpose of the Study:
- To identify vascular surgery simulation models.
- To assess the validity and levels of effectiveness (LoE) of these models.
- To guide the successful implementation of simulators into training curricula.
Main Methods:
- Searched PubMed and EMBASE for English studies on vascular surgery simulators (up to January 1, 2021).
- Assessed article validity using Messick's concept.
- Assigned LoE scores based on McGaghie's translational outcomes.
Main Results:
- 76 articles validated 34 vascular surgery simulators and training courses.
- High validity ratings were common across content, internal structure, and other variables.
- Only seven studies reported LoE > 3/5; ANGIO Mentor was the most validated and effective (LoE 5/5).
Conclusions:
- Simulation-based training in vascular surgery is advancing rapidly.
- Longer-term skill retention studies are needed for effective curriculum integration.
- Cost-effectiveness analysis of simulation models requires further investigation.
