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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
Results of an Orthopedic Veterans Affairs Medical Center Cadaveric Simulation Lab
Connor Ott1, Torben Urdahl1, George Thomas2
1Orthopaedic Surgery, University of Minnesota School of Medicine, Minneapolis, USA.
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Background This study aimed to quantitatively evaluate the quality, validity, and effectiveness of a novel orthopedic surgery cadaveric simulation program, the first published analysis of such a training model within a government-based healthcare system. Methodology Survey data collected immediately before, immediately following, and three months after cadaver labs assessed participant comfort with regional anatomy and procedure skills practiced during the simulations. The study was conducted at the United States Minneapolis Veterans Affairs (VA) Medical Center, a large VA hospital and teaching site for multiple health professions trainees. A total of 32 responses (29 unique individuals) were included. In total, 23 responses came from PGY1 orthopedic surgery trainees; additional participants included medical students, occupational therapy trainees, prosthetics trainees, and upper-level orthopedic trainees, most affiliated with the University of Minnesota. Results A total of 30 (94%) participants completed the immediate post-lab survey, and 14 (44%) completed the three-month follow-up. Significant increases in confidence were observed across all core survey items immediately after lab participation, with the largest gains in understanding surgical procedures and anticipating instrumentation needs. Confidence in anatomy comprehension and radiographic interpretation remained significantly improved at three months, while confidence in the use of technical instruments declined, possibly due to limited post-lab opportunities for continued practice. All items assessing the perceived educational value of the labs received high ratings (mean score ≥4.0 out of 5). Conclusions This study demonstrates the effectiveness of an orthopedic cadaveric simulation program in improving trainee confidence in anatomy, radiograph interpretation, and surgical skills. These findings support integrating similar cadaver simulation programs at other teaching centers. More frequent simulations and additional practice with surgical instruments may further enhance their educational impact.