Systematic review of the implementation of simulation training in surgical residency curriculum
- 403 Downloads
We reviewed the literature regarding the specific methods and strategies for implementing simulation-based training into the modern surgical residency curriculum. Residency programs are still struggling with how best to implement it into their curricula from a practical viewpoint.
A systematic review was performed using Ovid MEDLINE, EMBASE, PubMed, PsycINFO, Web of Science, and other resources for studies involving the use of simulation for technical skills training in the surgical residency curriculum. Studies were selected based on the integration of simulation into the curriculum and/or a description of the details of implementation and the resources required.
In total, 2533 unique citations were retrieved based on this search, and 31 articles met the inclusion criteria. Most simulators were focused on laparoscopic procedures, and training occurred most often in a skills lab. The assessment of skills consisted mostly of speed of task completion. Only 4 studies addressed issues of cost, and 6 programs mentioned human resources without any mention of skills center personnel or administrative support.
All of the studies described the nature of the simulation training, but very few commented on how it was actually implemented and what was needed from organizational, administrative and logistical perspectives.
KeywordsSurgical education Simulation training Simulation center Skill laboratory
Compliance with ethical standards
Conflict of interest
All authors declare that they have no conflicts of interest or financial ties to disclose.
- 4.ACGME Program Requirements for Graduate Medical Education in General Surgery. https://www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramRequirements/440_general_surgery_07012015.pdf. Accessed 21 August 2016.
- 10.Schijven MP, Jakimowicz JJ, Broeders IAMJ, Tseng LNL. The Eindhoven laparoscopic cholecystectomy training course—Improving operating room performance using virtual reality training: results from the first E.A.E.S. accredited virtual reality trainings curriculum. Surg Endosc. 2005;19:1220–6.CrossRefPubMedGoogle Scholar
- 32.Varas J, Mejı´a R, Riquelme A, Maluenda F, Buckel E, Salinas J, Martı´nez J, Aggarwal R, Jarufe N, Boza C. Significant transfer of surgical skills obtained with an advanced laparoscopic training program to a laparoscopic jejunojejunostomy in a live porcine model: feasibility of learning advanced laparoscopy in a general surgery residency. Surg Endosc. 2012;26:3486–94.CrossRefPubMedGoogle Scholar
- 37.Hopmans CJ, den Hoed PT, van der Laan L, van der Harst E, van der Elst M, Mannaerts GH, et al. Assessment of surgery residents’ operative skills in the operating theater using a modified Objective Structured Assessment of Technical Skills (OSATS): a prospective multicenter study. Surgery. 2014;156:1078–88.CrossRefPubMedGoogle Scholar
- 38.General Surgery Training Requirements. The AMERICAN BOARD of SURGERY. http://www.absurgery.org/default.jsp?certgsqe_training. Accessed 21 August 2016.