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Pizza and Paintballs: A Cost-Effective Model for Incision and Drainage Simulation Training.

Patrick McNeal1, Andrea D Boan1, Emily Douglas1

  • 1Medical University of South Carolina, College of Health Professions, Division of Physician Assistant Studies, Charleston, SC.

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PubMed
Summary
This summary is machine-generated.

This study introduces a cost-effective simulation model using pizza dough and paintballs for medical trainees to practice abscess incision and drainage (I&D). The innovative method enhances skills in I&D, field blocks, and needle safety, proving valuable for procedural education.

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Procedural Training

Background:

  • Skin abscesses are common, requiring incision and drainage (I&D), a critical skill for healthcare providers.
  • Commercial simulation models for I&D training are expensive, posing a challenge for resource-limited programs.
  • A novel, low-cost simulation model using readily available materials is proposed to address this educational gap.

Purpose of the Study:

  • To develop and evaluate a cost-effective, realistic simulation model for teaching abscess incision and drainage (I&D).
  • To enhance the training of medical students, physician assistant students, and residents in essential procedural skills.
  • To provide a safe and accessible platform for practicing I&D, field blocks, and needle safety.

Main Methods:

  • A simulation lab was designed using pizza dough as skin and paintballs as abscesses, with trainees practicing I&D techniques.
  • Participants utilized sterile water for lidocaine practice, performed field blocks, and simulated pus expression with paint.
  • The cost-effective model, utilizing materials sourced primarily from Amazon.com, was implemented with an 8:1 trainee-to-instructor ratio over 45 minutes.

Main Results:

  • The simulation lab received positive evaluations, with 86.15% recommending its repetition and 81.82% finding it realistic.
  • Participants reported significant improvements in confidence, with 84.85% feeling more proficient in I&D, 87.88% in field blocks, and 93.94% in needle safety.
  • The total cost for materials for approximately 100 learners was $198.06, equating to $9.56 per student.

Conclusions:

  • The pizza dough and paintball simulation model offers a highly cost-effective and reproducible method for teaching abscess incision and drainage (I&D) and related skills.
  • This innovative approach significantly improves trainee confidence and competence in performing I&D and administering local anesthesia.
  • The model serves as a valuable educational tool for resource-limited settings, enhancing procedural training without substantial financial burden.