World Journal of Laparoscopic Surgery

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VOLUME 18 , ISSUE 1 ( January-April, 2025 ) > List of Articles

Original Article

A Study on Perspective of Surgical Residents Toward Simulation-based Training in a Teaching Hospital: A Prospective Observational Study

Premkumar Anandan, Nikhil S Reddy, Kruthika Prasad

Keywords : Simulation, Surgical education, Surgical training, Surgical skills

Citation Information : Anandan P, Reddy NS, Prasad K. A Study on Perspective of Surgical Residents Toward Simulation-based Training in a Teaching Hospital: A Prospective Observational Study. World J Lap Surg 2025; 18 (1):11-15.

DOI: 10.5005/jp-journals-10033-1634

License: CC BY-NC 4.0

Published Online: 16-12-2024

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Aims and background: Simulation-based training is an innovative approach to medical education that is rapidly being adopted in many medical specialties, including surgery. Simulation-based training has several advantages over traditional methods of surgical training as it provides a safe and controlled environment for the repeated practice of surgical skills, which allows residents to gain confidence and competence in a particular skill before applying it to real patients. The objective of this study is to assess the perspective of a surgical residents toward simulation-based training in polytrauma scenario. Materials and methods: A prospective observational study was conducted over a period of 1 month in September 2022 at the BMCRI Simulation and Skill Centre located at Victoria Hospital in Bengaluru. About 26 surgery residents participated in the study and at the end of the study; all residents completed a short survey to obtain their perspective about the qualities of the simulator as well as usage of the system. Results: Based on the responses from the participants, it can be inferred that the majority of them agree (38.5%) or strongly agree (38.5%) with the effectiveness of the simulation training in polytrauma scenario briefing, the superiority of simulation-based education techniques (53.8%), the use of hands-on techniques (61.5%), and the appropriateness of the polytrauma scenario and equipment choices (38.5%). Additionally, the majority of the participants (76.9%) agree that the course met their needs regarding orientation to polytrauma assessment and management and that they would highly recommend the course to their peers. Regarding debriefing, the majority disagree (46.2%) which indicates a need for further detailed debriefing regarding the scenario. Conclusion: Simulation-based training is an effective method for training surgical residents in the management of polytrauma scenarios. Clinical significance: With the rapidly evolving surgical education simulation-based education is highly appreciated by surgical residents and they would benefit from more exposure to simulation in their learning process.


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  1. McGaghie WC, Issenberg SB, Petrusa ER, et al. A critical review of simulation-based medical education research: 2003–2009. Med Educ 2010;44(1):50–63. DOI: 10.1111/j.1365-2923.2009.03547.x.
  2. Salas E, Wilson KA, Burke CS, et al. Does crew resource management training work? An update, an extension, and some critical needs. Hum Factors 2006;48(2):392–412. DOI: 10.1518/001872006777724444.
  3. McGaghie WC, Issenberg SB, Cohen ER, et al. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med 2011;86(6):706–711. DOI: 10.1097/ACM.0b013e318217e119.
  4. Ahmed M, Arora S, Baker P, et al. Safety and feasibility of introducing a virtual-reality training programme for laparoscopic surgery in a clinically active department. Journal of minimally invasive gynecology 2012;19(6):695–700.
  5. Tainter CR, Wong NL, O'Brien JM. Brief report: High-fidelity emergency medical simulations: Enhancing patient safety and provider assessment. Academic Medicine, 89(3), 417–422.
  6. Sroka G, Feldman LS, Vassiliou MC, et al. Fundamentals of laparoscopic surgery simulator training to proficiency improves laparoscopic performance in the operating room-a randomized controlled trial. Am J Surg 2010;199(1):115–120. DOI: 10.1016/j.amjsurg.2009.07.035.
  7. Okuda Y, Bryson EO, DeMaria S Jr, et al. The utility of simulation in medical education: What is the evidence?. Mt Sinai J Med 2009;76(4):330–343. DOI: 10.1002/msj.20127.
  8. Zendejas B, Cook DA, Bingener J, et al. Simulation-based mastery learning improves patient outcomes in laparoscopic inguinal hernia repair: A randomized controlled trial. Ann Surg 2011;254(3):502–511. DOI: 10.1097/SLA.0b013e31822c6994.
  9. World Health Organization. World report on road traffic injury prevention. World Health Organization. 2005.
  10. Zendejas B, Brydges R, Hamstra SJ, et al. State of the evidence on simulation-based training for laparoscopic surgery: A systematic review. Ann Surg 2013;257(4):586–593. DOI: 10.1097/SLA.0b013e318288c40b.
  11. Fluit C, Bolhuis S, Grol R, et al. Evaluation and feedback for effective clinical teaching in postgraduate medical education: Validation of an assessment instrument incorporating the CanMEDS roles. Med Teach 2012;34(11):893–901. DOI: 10.3109/0142159X.2012.699114.
  12. BMCRI Simulation and Skill Centre, Victoria Hospital, Bangalore. Available from: https://www.bmcri.org/facilities/simulation-centre.
  13. Maconochie IK, de Caen AR, Aickin R, et al. The International Liaison Committee on Resuscitation–Virtual Pediatric Emergency Medicine Taskforce: Consensus recommendations for simulation-based training in pediatric emergency medicine. Pediat Emerg Med 2015;31(9):783–791.
  14. Arora S, Hull L, Sevdalis N, et al. Factors compromising safety in surgery: Stressful events in the operating room. Am J Surg 2010;199(1):60–65. DOI: 10.1016/j.amjsurg.2009.07.036.
  15. Al-Jundi W, Elsharif M, Anderson M. Simulation-based training for surgical residents in the 21st century: A systematic review. J Surg Res 2015;198(2):487–502.
  16. Seymour NE, Gallagher AG, Roman SA, et al. Virtual reality training improves operating room performance: Results of a randomized, double-blinded study. Ann Surg 2002;236(4):458–463; discussion 463–464. DOI: 10.1097/00000658-200210000-00008.
  17. Rudolph JW, Simon R, Dufresne RL, et al. There's no such thing as “nonjudgmental” debriefing: A theory and method for debriefing with good judgment. Simul Healthcare 2006;1(1):49–55. DOI: 10.1097/01266021-200600110-00006.
  18. Kolbe M, Grande B, Spahn DR, et al. Briefing and debriefing during simulation-based training and beyond: content, structure, attitude and setting. Best Pract Res Clin Anaesthesiol 2015;29(3):303–316. DOI: 10.1016/j.bpa.2015.01.002.
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