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The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries
BACKGROUND: While surgical simulation is regularly used in surgical training in high-income country settings, it is uncommon in low- and middle-income countries, particularly for surgical training that primarily occurs in rural areas. We designed and evaluated a novel surgical simulator for improvin...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10112793/ https://www.ncbi.nlm.nih.gov/pubmed/37014903 http://dx.doi.org/10.1371/journal.pntd.0011125 |
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author | Gower, Emily W. Kello, Amir B. Kollmann, KH Martin Merbs, Shannath L. Sisay, Alemayehu Tadesse, Demissie Alemayehu, Wondu Pedlingham, Nigel Dykstra, Richard S. Johnson, James E. |
author_facet | Gower, Emily W. Kello, Amir B. Kollmann, KH Martin Merbs, Shannath L. Sisay, Alemayehu Tadesse, Demissie Alemayehu, Wondu Pedlingham, Nigel Dykstra, Richard S. Johnson, James E. |
author_sort | Gower, Emily W. |
collection | PubMed |
description | BACKGROUND: While surgical simulation is regularly used in surgical training in high-income country settings, it is uncommon in low- and middle-income countries, particularly for surgical training that primarily occurs in rural areas. We designed and evaluated a novel surgical simulator for improving trachomatous trichiasis (TT) surgery training, given that trichiasis is mostly found among the poorest individuals in rural areas. METHODOLOGY/PRINCIPAL FINDINGS: TT surgery programs were invited to incorporate surgical simulation with a new, high fidelity, low-cost simulator into their training. Trainees completed standard TT-surgery training following World Health Organization guidelines. A subset of trainees received three hours of supplemental training with the simulator between classroom and live-surgery training. We recorded the time required to complete each surgery and the number of times the trainer intervened to correct surgical steps. Participants completed questionnaires regarding their perceptions. We also assessed trainer and trainee perceptions of surgical simulation training as part of trichiasis surgery training. 22 surgeons completed standard training and 26 completed standard training plus simulation. We observed 1,394 live-training surgeries. Average time to first live-training surgery completion was nearly 20% shorter the simulation versus the standard group (28.3 vs 34.4 minutes; p = 0.02). Trainers intervened significantly fewer times during initial live-training surgeries in the simulation group (2.7 vs. 4.8; p = 0.005). All trainers indicated the simulator significantly improved training by allowing trainees to practice safely and to identify problem areas before performing live-training surgeries. Trainees reported that simulation practice improved their confidence and skills prior to performing live-training surgeries. CONCLUSIONS: A single high-fidelity surgical simulation session can significantly improve critical aspects of initial TT surgeries. |
format | Online Article Text |
id | pubmed-10112793 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-101127932023-04-19 The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries Gower, Emily W. Kello, Amir B. Kollmann, KH Martin Merbs, Shannath L. Sisay, Alemayehu Tadesse, Demissie Alemayehu, Wondu Pedlingham, Nigel Dykstra, Richard S. Johnson, James E. PLoS Negl Trop Dis Research Article BACKGROUND: While surgical simulation is regularly used in surgical training in high-income country settings, it is uncommon in low- and middle-income countries, particularly for surgical training that primarily occurs in rural areas. We designed and evaluated a novel surgical simulator for improving trachomatous trichiasis (TT) surgery training, given that trichiasis is mostly found among the poorest individuals in rural areas. METHODOLOGY/PRINCIPAL FINDINGS: TT surgery programs were invited to incorporate surgical simulation with a new, high fidelity, low-cost simulator into their training. Trainees completed standard TT-surgery training following World Health Organization guidelines. A subset of trainees received three hours of supplemental training with the simulator between classroom and live-surgery training. We recorded the time required to complete each surgery and the number of times the trainer intervened to correct surgical steps. Participants completed questionnaires regarding their perceptions. We also assessed trainer and trainee perceptions of surgical simulation training as part of trichiasis surgery training. 22 surgeons completed standard training and 26 completed standard training plus simulation. We observed 1,394 live-training surgeries. Average time to first live-training surgery completion was nearly 20% shorter the simulation versus the standard group (28.3 vs 34.4 minutes; p = 0.02). Trainers intervened significantly fewer times during initial live-training surgeries in the simulation group (2.7 vs. 4.8; p = 0.005). All trainers indicated the simulator significantly improved training by allowing trainees to practice safely and to identify problem areas before performing live-training surgeries. Trainees reported that simulation practice improved their confidence and skills prior to performing live-training surgeries. CONCLUSIONS: A single high-fidelity surgical simulation session can significantly improve critical aspects of initial TT surgeries. Public Library of Science 2023-04-04 /pmc/articles/PMC10112793/ /pubmed/37014903 http://dx.doi.org/10.1371/journal.pntd.0011125 Text en © 2023 Gower et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Gower, Emily W. Kello, Amir B. Kollmann, KH Martin Merbs, Shannath L. Sisay, Alemayehu Tadesse, Demissie Alemayehu, Wondu Pedlingham, Nigel Dykstra, Richard S. Johnson, James E. The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries |
title | The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries |
title_full | The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries |
title_fullStr | The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries |
title_full_unstemmed | The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries |
title_short | The impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries |
title_sort | impact of incorporating surgical simulation into trichiasis surgery training on operative aspects of initial live-training surgeries |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10112793/ https://www.ncbi.nlm.nih.gov/pubmed/37014903 http://dx.doi.org/10.1371/journal.pntd.0011125 |
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