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Safe surgical training: evaluation of a national functional endoscopic sinus surgery model simulation course using
Sarah Louise Gillanders1,2, Alison McHugh3,4, Peter D Lacy3,5
1Royal College of Surgeons, Dublin, Ireland. sarahlouisegillanders@rcsi.com.
Irish Journal of Medical Science
|February 17, 2023
Summary
Simulation training effectively enhances surgical skills for otolaryngology trainees in functional endoscopic sinus surgery (FESS). This method proved valuable for postgraduate education, especially with reduced operative exposure.
Area of Science:
- Medical Education
- Surgical Training
- Simulation Technology
Background:
- Simulation is a growing field in medical education for both undergraduate and postgraduate surgical training.
- Evaluating simulation's role in surgical skills development is crucial for modern training programs.
Purpose of the Study:
- To assess the efficacy of simulation training for advanced surgical education in functional endoscopic sinus surgery (FESS).
- Utilized the Kirkpatrick evaluation model to measure training effectiveness.
Main Methods:
- Prospective cohort study involving otolaryngology trainees.
- Qualitative surveys and multiple-choice questionnaires administered pre- and post-simulation FESS training.
- Assessed trainee reactions, model interpretation, and changes in anatomical and procedural knowledge and skills.
Main Results:
- 95% of trainees found simulation models accurate anatomical representations; 90% found them easy to use.
- Significant improvements observed in anatomical knowledge (54% to 62%) and procedural knowledge (65% to 72%).
- Statistical significance (p<0.03) confirmed knowledge gains.
Conclusions:
- Simulation-based training is an effective postgraduate educational strategy.
- Particularly beneficial for surgical training amidst decreased operative exposure, such as during the COVID-19 pandemic.

