Enhancing Competency in Bariatric-Metabolic Surgery: The Impact of Simulation-Based Training on Surgeons' Experience

Area of Science:

• Bariatric-metabolic surgery
• Surgical education
• Medical simulation

Background:

• The learning curve for laparoscopic Roux-en-Y gastric bypass (LRYGB) requires substantial case volume for surgeon competency and morbidity reduction.
• A validated simulation-based training program for LRYGB skills was developed, but its clinical impact needed assessment.

Purpose of the Study:

• To evaluate trainee perceptions of a bariatric-metabolic surgery simulation-based training course (BSC).
• To explore the course's potential effects on surgical exposure and professional development.

Main Methods:

• A cohort study surveyed trainees from a 2018-2023 simulation course.
• Survey evaluated impact on surgical experience, proficiency, case exposure, confidence, and clinical outcomes.

Main Results:

• 57% of respondents reported very advanced surgical experience post-course.
• 97% affirmed technique and outcome enhancements; 90% reported increased confidence.
• Simulation relevance rated high for exploratory laparoscopy (63%), bypass (66%), and sleeve gastrectomy (70%).

Conclusions:

• Trainee feedback indicates simulation courses enhance surgical skills, confidence, and exposure to complex cases.
• Structured simulation-based training positively impacts surgical careers, complementing other competency-building factors.