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Hands-on Distance Simulation of Technical Skills: A Systematic Review.

Wei Wei1, Martine S Nielsen, Anders B Nielsen

  • 1Department of Anesthesiology (W.W., Y.H.), Eye & ENT Hospital of Fudan University, Shanghai, China,Copenhagen Academy for Medical Education and Simulation (CAMES) (W.W., L.K., K.M.C.), Rigshospitalet, Capital Region of Denmark, Copenhagen, Denmark,University of Copenhagen, Faculty of Health Sciences (W.W., L.R., L.K., K.M.C.), Copenhagen, Denmark,Department of Anesthesiology and Intensive Care (M.S.N.), Lillebælt University Hospital, Kolding, Denmark,Research Unit of Medical Education (M.S.N., A.B.N.), University of Southern Denmark, Odense, Denmark,Department of Anesthesiology and Intensive Care (A.B.N.), Odense University Hospital, Svendborg, Denmark; and Department of Anesthesia and Intensive Care (L.R), Copenhagen University Hospital Gentofte, Hellerup, Denmark.

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|September 5, 2025
PubMed
Summary
This summary is machine-generated.

Distance simulation training in healthcare offers comparable or superior results to traditional methods for technical skills like laparoscopy. Further research is needed to confirm skill retention and patient outcomes in clinical settings.

Keywords:
Distance simulationdistance educationsurgical educationtechnical skills

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Area of Science:

  • Medical Education Technology
  • Surgical Simulation
  • Distance Learning in Healthcare

Background:

  • Healthcare simulation training is evolving with distance learning technologies.
  • Distance simulation offers potential benefits including reduced costs, carbon footprint, and improved global access to medical education.
  • Traditional on-site training remains the benchmark for technical skills acquisition.

Purpose of the Study:

  • To systematically review and compare the effectiveness of hands-on technical skills training through distance simulation versus traditional on-site training.
  • To identify the most commonly studied technical skills and simulation modalities in distance-based healthcare education.
  • To assess the current evidence regarding skill transfer and patient-related outcomes in distance simulation training.

Main Methods:

  • A systematic review adhering to PRISMA guidelines was conducted.
  • 104 studies comparing distance simulation with on-site training for technical skills were analyzed.
  • Key areas of focus included laparoscopic skills, suturing, and ultrasound training.

Main Results:

  • Distance simulation, utilizing portable simulators and telementoring, showed comparable or superior learning outcomes to on-site training.
  • Laparoscopic surgery, suturing techniques, and ultrasound interpretation were the most frequently evaluated skills.
  • A limited number of studies (2) assessed the transfer of skills to actual clinical practice, and only 1 reported patient outcomes.

Conclusions:

  • Distance simulation is a viable and effective method for hands-on technical skills training in healthcare.
  • There is a need for more robust research, particularly randomized controlled trials (RCTs), to evaluate long-term skill retention and clinical efficacy.
  • Further investigation into patient-related outcomes is crucial to fully validate distance simulation's role in healthcare education.