Status of Simulation-Based Training in Departments of Surgery in the United States
Status of Simulation-Based Training in Departments of Surgery in the United States
复制标题
DOI：
10.1016/j.jss.2020.05.041
复制
发表时间：
2020-11-01
影响因子：
2.2
通讯作者：
Patti, Marco G.
中科院分区：
文献类型：
--
作者：
Schlottmann, Francisco;Tolleson-Rinehart, Sue;Patti, Marco G.
背景：手术模拟是特别有吸引力的，因为它允许在一个安全的，可控的，标准化的环境中进行培训。然而，在美国外科部门（DoS）之间的手术模拟的状态是未知的。本研究的目的是描述基于模拟的培训在DOSSintheUnitedStates.Materials和方法的状态：Qualtrics在线调查发送到177椅子的DoS在美国2018年3月关于利用手术模拟在他们的部门。在调查中的问题集中在模拟能力和活动，以及椅子的感知的价值和目的simulation.Results：177椅子回答了调查（49%的响应率），共87。大多数方案有20-50名受训人员（87人中的42人; 48%）或50名以上受训人员（87人中的37人; 43%）。大多数椅子报告有一个模拟中心在他们的机构（85 87; 98%）或部门（60 86; 70%）与正式的模拟课程，为他们的学员（83 87; 95%）。百分之九十（87人中的78人）的DoS保护了居民的模拟教育时间，大多数居民每周或每月参加活动（85人中的65人; 76%）。虽然大多数椅子感觉模拟提高病人的安全（72/84; 86%），对执业外科医生有用（84人中的68人; 81%），只有40%的教师使用模拟来维持技术技能，只有17%的教师使用模拟来解决高并发症发生率。美国的绝大多数国防部都为受训人员建立了模拟活动。然而，教师参与模拟，以保持或提高他们的技能仍然很低。(C)2020爱思唯尔公司All rights reserved.
Background: Surgical simulation is particularly attractive because it allows training in a safe, controlled, and standardized environment. However, the status of surgical simulation among Departments of Surgery (DoS) in the United States is unknown. The objective of this study was to characterize the status of simulation-based training in DoS in the United States.Materials and methods: A Qualtrics online survey was sent to 177 chairs of DoS in the United States in March 2018 regarding the utilization of surgical simulation in their department. Questions in the survey were focused on simulation capacities and activities as well as chairs' perception of the value and purpose of simulation.Results: A total of 87 of 177 chairs responded to the survey (49% response rate). Most programs had either 20-50 trainees (42 of 87; 48%) or more than 50 trainees (37 of 87; 43%). Most chairs reported having a simulation center in their institution (85 of 87; 98%) or department (60 of 86; 70%) with a formal simulation curriculum for their trainees (83 of 87; 95%). Ninety percent (78 of 87) of DoS had protected time for simulation education for their residents, with most residents engaging in activities weekly or monthly (65 of 85; 76%). Although most chairs felt simulation improves patient safety (72 of 84; 86%) and is useful for practicing surgeons (68 of 84; 81%), only 40% reported that faculty use simulation to maintain technical skills and only 17% reported that faculty use simulation to address high complication rates.Conclusions: The vast majority of the DoS in the United States have established simulation activities for their trainees. However, engagement of faculty in simulation to maintain or improve their skills remains low. (C) 2020 Elsevier Inc. All rights reserved.