Perceptions About the Present and Future of Surgical Simulation: A National Study of Mixed Qualitative and Quantitative Methodology

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• 作者：Marina Yiasemidou ; MBBS ; MSc ; MRCS (Eng) ; PGCer^⁎ ; ^{marinayiasemidou@gmail.com} ; Daniel Glassman ; MBBS ; BSc(Hon) ; MSc ; MRCS (Eng)^&dagger ; ; James Tomlinson ; MA ; MB ; BChir ; FRCS (T&O)^&Dagger ; ; David Song ; BSc^§ ; ; Michael J. Gough ; MB ChB ; ChM ; FRCS^¶ ;
• 关键词：simulation ; accreditation ; surgical education ; technical skills ; nontechnical skills
• 刊名：Journal of Surgical Education
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：74
• 期：1
• 页码：108-116
• 全文大小：820 K
• 卷排序：74

文摘

Assess expert opinion on the current and future role of simulation in surgical education.DesignExpert opinion was sought through an externally validated questionnaire that was disseminated electronically.ParticipantsHeads of Schools of Surgery (HoS) (and deputies) and Training Program Directors (TPD) (and deputies).ResultsSimulation was considered a good training tool (HoS: 15/15, TPD: 21/21). The concept that simulation is useful mostly to novices and for basic skills acquisition was rejected (HoS: 15/15, TPDs: 21/21; HoS: 13/15, TPDs: 18/21). Further, simulation is considered suitable for teaching nontechnical skills (HoS: 13/15, TPDs: 20/21) and re-enacting stressful situations (HoS: 14/15, TPDs: 15/21). Most respondents also felt that education centers should be formally accredited (HoS: 12/15, TPDs: 16/21) and that consultant mentors should be appointed by every trust (HoS: 12/15, TPDs: 19/21). In contrast, there were mixed views on its use for trainee assessment (HoS: 6/15, TPDs: 14/21) and whether it should be compulsory (HoS: 8/15, TPDs: 11/21).ConclusionThe use of simulation for the acquirement of both technical and nontechnical skills is strongly supported while views on other applications (e.g., assessment) are conflicting. Further, the need for center accreditation and supervised, consultant-led teaching is highlighted.