High-Fidelity Cleft Simulation Maintains Improvements in Performance and Confidence: A Prospective Study.
J Surg Educ
; 80(12): 1859-1867, 2023 12.
Article
em En
| MEDLINE
| ID: mdl-37679288
ABSTRACT
OBJECTIVE:
High-fidelity simulation has a growing role in plastic surgical education. This study tests the hypothesis that cleft lip repair simulation followed by structured debriefing improves performance and self-confidence and that gains are maintained.DESIGN:
Prospective, single-blinded interventional study with repeated measures. Trainees performed cleft lip repair on a high-fidelity simulator followed by debriefing, immediately completed a second repair, and returned 3 months later for a third session. Anonymized simulation videos were rated using the modified Objective Structured Assessment of Technical Skills (OSATS) and the Unilateral Cleft Lip Repair competency assessment tool (UCLR). Self-assessed cleft lip knowledge/confidence and procedural self-confidence were surveyed after each simulation.SETTING:
Boston Children's Hospital, a tertiary care academic hospital in Boston, MA, USA.PARTICIPANTS:
All trainees rotating through the study setting were eligible. Twenty-six participated; 21 returned for follow-up.RESULTS:
Significant improvements (p < 0.05) occurred between the first and second simulations for OSATS, UCLR, and procedural self-confidence. Significant improvement occurred between the second and third simulations cleft lip knowledge/confidence. Compared to the first simulation, improvements were maintained at the third simulation for all variables. Training level moderately correlated with score for UCLR for the first simulation (râ¯=â¯0.55, p < 0.01), deteriorated somewhat with the second (râ¯=â¯0.35, pâ¯=â¯0.08), and no longer corelated by the third (râ¯=â¯0.02, pâ¯=â¯0.92).CONCLUSIONS:
Objective performance and subjective self-assessed knowledge and confidence improve with high-fidelity simulation plus structured debriefing and improvement is maintained. Differences in procedure-specific performance seen with increasing training level are reduced with simulation, suggesting it may accelerate knowledge and skill acquisition.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fenda Labial
/
Procedimentos de Cirurgia Plástica
/
Treinamento por Simulação
/
Internato e Residência
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article