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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Exploring Trauma Simulation: Insights from the Simulation in Trauma Across Resident Training (START) Study and

Jeremy Chan¹, James Barnett², Charmilie Chandrakumar³

¹General Medicine, Foundation Programme, Colchester Hospital, Colchester, GBR.

|November 27, 2024

Summary

Trauma and orthopedic trainees find simulation training highly valuable for surgical education and safe practice. However, limited access to these crucial orthopedic simulators hinders their full benefit.

Keywords:

covid-19 orthopedic surgeons orthopedic surgery simulation training virtual reality

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Area of Science:

Medical Education Technology
Surgical Simulation
Orthopedic Training

Background:

Technological advancements offer opportunities to integrate simulation training into the trauma and orthopedic (T&O) curriculum.
Assessing trainee perspectives on simulation's acceptability and educational impact is crucial for curriculum development.
Understanding preferred resources and fidelity levels for simulation enhances training effectiveness.

Purpose of the Study:

To evaluate the acceptability and perceived educational impact of simulation training on T&O trainees.
To identify resources trainees find helpful for preparing for unfamiliar procedures.
To assess trainee opinions on varying levels of simulation fidelity.

Main Methods:

A three-arm crossover cohort observational study involving 18 T&O trainees.
Trainees participated in a simulation course with four stations of varying fidelity.
Pre- and post-course questionnaires using a 10-point Likert scale measured perceived educational value.

Main Results:

94% of trainees believed simulation training supports safe practice, and 100% found it useful.
Trainee emphasis on simulation's importance (median score 7 to 9, p=0.01) and role in formal assessment (4 to 8, p=0.006) significantly increased post-training.
67% of trainees had no prior experience with orthopedic simulators for unfamiliar operations.

Conclusions:

T&O trainees recognize simulation training as a valuable adjunct to operating experience.
Limited access to simulation resources is a significant barrier for T&O trainees.
Addressing the implementation gap in simulation training is essential for maximizing benefits for T&O trainees.