Use of Low-Cost Task Trainer for Emergency Department Thoracotomy Training in General Surgery Residency Program.
J Surg Educ
; 81(1): 134-144, 2024 Jan.
Article
en En
| MEDLINE
| ID: mdl-37926660
ABSTRACT
OBJECTIVE:
Emergency department thoracotomy (EDT) is an uncommon but potentially lifesaving procedure that warrants familiarity with anatomy, instruments, and indications necessary for completion. To address this need, we developed a low-cost EDT trainer. The primary objective of this study was to compare the effectiveness of a low-cost EDT trainer to teach emergency department thoracotomy with a discussion-based teaching session. Secondary objective was to study the face validity of the low-cost EDT trainer.DESIGN:
A prospective 2-phase randomized control study was conducted. Participants were randomly divided into two groups. In phase one, baseline medical knowledge for both groups was assessed using a multiple-choice question pretest. In Group 1, each participant was taught EDT using a one-on-one discussion with a trauma surgeon, whereas Group 2 used the EDT trainer and debriefing for training. In phase 2 (1 month later), all participants completed a knowledge retention test and performed a videoed EDT using our EDT trainer, the video recordings were later reviewed by content experts blinded to the study participants using a checklist with a maximum score of 22. The participants also completed a reaction survey at the end of phase 2 of the study.SETTING:
OhioHealth Riverside Methodist Hospital, an urban tertiary care academic hospital in Columbus, Ohio.PARTICIPANTS:
Nine senior surgery residents from training years 3 to 5.RESULTS:
The mean score for the performance of the procedure for the simulation-based (Group 2) was significantly higher than that of the discussion-based (Group 1) (Rater 1 21.2 ± 0.8 vs. 19.0 ± 2.0, pâ¯=â¯0.05, Rater 2 20.4 ± 1.5 vs. 18.3±1.0, pâ¯=â¯0.04). Group 2 also was quicker than Group 1 in deciding to start the procedure by approximately 56 seconds. When comparing the mean pretest knowledge score to the mean knowledge retention score 30 days after training, the discussion-based group improved from 58.33% to 81.25% (pâ¯=â¯0.01); the simulation-trained group's scores remained at 68.33%. All the participants agreed or strongly agreed that the simulator provided a realistic opportunity to perform EDT and improved their confidence.CONCLUSIONS:
The results of this pilot study support our hypothesis that using a low-cost EDT trainer effectively improves general surgery residents' confidence and procedural skills scores in a simulated environment. Further training with low-cost simulators may provide surgical residents with deliberate practice opportunities and improve performance when learning low-frequency procedures.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Cirugía General
/
Internado y Residencia
Límite:
Humans
Idioma:
En
Revista:
J Surg Educ
Año:
2024
Tipo del documento:
Article