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Educational impact of a cost-efficient porcine model for toe amputation simulation training: Enhancing amputation
Ameen Mahmood1, Cheuk Ying Kyleen Kiew1, Anuska Shah1
1School of Medicine, Imperial College London, London, United Kingdom.
JPRAS Open
|November 14, 2025
Summary
This study shows that a low-cost porcine toe amputation simulation model significantly improves medical students' theoretical knowledge and technical skills. This cost-effective training enhances anatomical understanding and surgical confidence for future amputations.
Area of Science:
- Medical Education
- Surgical Simulation
- Anatomy Training
Background:
- Undergraduate amputation education is limited, hindering essential training exposure.
- Porcine simulation models offer anatomical relevance and cost-effectiveness for surgical training.
Purpose of the Study:
- To evaluate the educational impact of a low-cost porcine toe amputation simulation model.
- To assess improvements in theoretical knowledge, technical skills, and anatomical understanding.
Main Methods:
- A prospective cohort study involved a structured workshop with didactic lectures and hands-on porcine model practice.
- Pre- and post-workshop surveys assessed knowledge, confidence, and familiarity using Likert scales.
- Technical skills were evaluated using Objective Structured Assessment of Technical Skills (OSATS).
Main Results:
- Significant improvements in theoretical knowledge (p < 0.01) and surgical confidence (p < 0.01) were observed.
- Familiarity with anatomical structures increased significantly (p < 0.01).
- OSATS scores demonstrated significant skill enhancement across all assessed areas (p < 0.01).
Conclusions:
- The porcine toe amputation simulation model effectively enhances surgical knowledge and technical proficiency.
- Future workshops could be expanded to include psychological and physiological patient care for comprehensive training.

