A multifaceted training approach for neurosurgery registrars incorporating cadaver-based simulation

Area of Science:

• Neurosurgery
• Medical Education
• Surgical Simulation

Background:

• Traditional neurosurgical training relies on an apprenticeship model within the operating theatre.
• Factors like litigation, increased registrar numbers, and reduced work hours necessitate supplementary training methods.
• Cadaver-based simulation is increasingly incorporated to enhance surgical exposure and skills development.

Purpose of the Study:

• To evaluate the impact of a structured training package on neurosurgery registrars' skills development.
• To assess the influence of anterior cervical discectomy and fusion (ACDF) training on registrar perceptions.
• To compare structured training with traditional, opportunistic learning in neurosurgery.

Main Methods:

• A training package included an interactive lecture, video, and two cadaver-based simulation sessions.
• Seven neurosurgery registrars participated in the study.
• Data collected via pre- and post-training questionnaires and semi-structured interviews, analyzed thematically.

Main Results:

• Structured training was highly valued and preferred over fragmented learning opportunities.
• Registrars reported increased confidence in procedural principles and operating theatre setup.
• Simulation practice facilitated a less hostile learning environment and promoted in-situ learning.

Conclusions:

• Structured training packages, especially those using cadaver-based simulation, are crucial for neurosurgical skills development.
• These resources align with neurosurgical core competencies.
• This approach supports a transition towards competency-based neurosurgical training programs.