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Advancing Surgical Education: A Comprehensive Systematic Review with Meta-Analysis and Novel Approach to Training
Hatan Mortada1,2, Ghaida AlBraithen3, Imtinan Al Jabbar4
1Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, SAU.
Cureus
|August 21, 2023
Summary
Local skin advancement flap training models significantly boost junior surgeons' confidence and skills. Developing new, user-friendly models is crucial for advancing surgical education and improving patient outcomes.
Area of Science:
- Surgical Education
- Plastic Surgery Training
- Medical Simulation
Background:
- Performing local skin flaps demands specialized cognitive and technical skills.
- Junior surgical trainees require ample practice to master flap design and execution.
- Anatomical distortion is a risk if flaps are not properly oriented.
Purpose of the Study:
- To systematically review existing local skin advancement flap training models.
- To describe a novel, user-friendly training model for surgical trainees.
- To assess the impact of training models on trainee confidence and expertise.
Main Methods:
- Systematic literature review adhering to PRISMA guidelines.
- Searched PubMed, Cochrane, Web of Science, and Google Scholar until August 2022.
- Meta-analysis of four studies using a random-effects model.
Main Results:
- 18 articles were included in the review; four contributed to the meta-analysis.
- Rhomboid and Z-plasty flaps were most frequently taught.
- Synthetic and animal-based models were the most common training tools.
- Training models significantly enhanced trainee confidence and expertise (p<0.00001).
Conclusions:
- Training models demonstrably improve surgical trainees' proficiency in local skin advancement flaps.
- Development of innovative, accessible, and effective training models is essential.
- Continuous improvement in surgical education relies on advanced simulation tools.
