Does post-graduate surgical simulation-based education correspond to transfer of skills to real life clinical practice? A systematic review
Kumar, Bidyut, Kumar, Geeta, Roberts, Ruth, Hughes, Stephen Fôn and Payne, Joshua (2024) Does post-graduate surgical simulation-based education correspond to transfer of skills to real life clinical practice? A systematic review. International Journal of Surgical Education. ISSN 2832-2665
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Abstract
Background The effectiveness of simulation training in improving practice in real life has been questioned by many because of lack of good quality evidence. The purpose of this study was to undertake a systematic review of randomized trials in surgical simulation to find out if simulation-based education really leads to improvement in real life surgical practice. Methods Searched published literature between 2000 and 2020. Relevant papers scrutinized to identify work, which fulfilled the criteria for this systematic review. Of 157 abstracts, nineteen papers were selected. Project registration number was REG289 at Edgehill University. Results There was heterogeneity in methods of simulation training, outcome measures and assessment technique, making comparison difficult. Mean error rates, surgical time, objective structured assessment of technical skills (OSATS) scores and Global Operative Assessment of Laparoscopic Skills (GOALS) scores were significantly better in simulation-trained group. Global Rating Scale scores were better in simulation trained group but the improvement was not significant. There was evidence of possible publication bias for some of the outcome measures. Conclusion Overall, there was evidence of improved competence in real life practice in the group who underwent targeted simulation-based education in comparison to control groups. Small sample size in majority of trials, variation in technique of simulation training, inconsistencies in assessment and heterogeneity of outcome measures made it difficult to compare results of trials included in this review.
| Item Type: | Article |
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| Keywords: | Simulation-based education, surgical training, real life clinical practice, post-graduate surgical training, assessment, surgical skill, surgical educations |
| Divisions: | Social and Life Sciences |
| Depositing User: | Hayley Dennis |
| Date Deposited: | 04 Jul 2024 13:44 |
| Last Modified: | 04 Jul 2024 13:44 |
| URI: | https://wrexham.repository.guildhe.ac.uk/id/eprint/18174 |
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