Training safer surgeons: How do patients view the role of simulation in orthopaedic training?
Tóm tắt
Simulation allows training without posing risk to patient safety. It has developed in response to the demand for patient safety and the reduced training times for surgeons. Whilst there is an increasing role of simulation in orthopaedic training, the perception of patients and the general public of this novel method is yet unknown. Patients and the public were given the opportunity to perform a diagnostic knee arthroscopy on a virtual reality ARTHRO Mentor simulator. After their practice session, participants answered a validated questionnaire based on a 5-point Likert Scale assessing their opinions on arthroscopic simulation. Primary objective was observing perception of patients on orthopaedic virtual reality simulation. There were a total of 159 respondents, of which 86% were of the opinion that simulators are widely used in surgical training and 94% felt that they should be compulsory. 91% would feel safer having an operation by a surgeon trained on simulators, 87% desired their surgeon to be trained on simulators and 72% believed that additional simulator training resulted in better surgeons. Moreover, none of the respondents would want their operation to be performed by a surgeon who had not trained on a simulator. Cronbach’s alpha was 0.969. There is also a clear public consensus for this method of training to be more widely utilised and it would enhance public perception of safer training of orthopaedic surgeons. This study of public perception provides a mandate to increase investment and infrastructure in orthopaedic simulation as part of promoting clinical governance.
Tài liệu tham khảo
Chikwe J, de Souza AC, Pepper JR. No time to train the surgeons. Brit Med J. 2004;328:418–9.
O. Bowcott: NHS compensation costs rise to £807m. The Guardian newspaper, The Guardian News and Media Limited; London, United Kingdom 2009.
Health Do: Department of Health, 150 years of the annual report of the chief medical officer. On the state of public health 2008;55 2009.
Kneebone R, Nestel D, Wetzel C, Black S, Jacklin R, Aggarwal R, et al. The human face of simulation: patient-focused simulation training. Acad Med. 2006;81:919–24.
Kneebone R, Nestel D, Yadollahi F, Brown R, Nolan C, Durack J, et al. Assessing procedural skills in context: Exploring the feasibility of an Integrated Procedural Performance Instrument (IPPI). Med Educ. 2006;40:1105–14.
Kneebone RL, Kidd J, Nestel D, Barnet A, Lo B, King R, et al. Blurring the boundaries: scenario-based simulation in a clinical setting. Med Educ. 2005;39:580–7.
Kneebone RL, Scott W, Darzi A, Horrocks M. Simulation and clinical practice: strengthening the relationship. Med Educ. 2004;38:1095–102.
Scott DJ, Cendan JC, Pugh CM, Minter RM, Dunnington GL, Kozar RA. The changing face of surgical education: simulation as the new paradigm. J Surg Res. 2008;147:189–93.
Aggarwal R, Tully A, Grantcharov T, Larsen CR, Miskry T, Farthing A, et al. Virtual reality simulation training can improve technical skills during laparoscopic salpingectomy for ectopic pregnancy. Brit J Obs Gyn. 2006;113:1382–7.
Aggarwal R, Ward J, Balasundaram I, Sains P, Athanasiou T, Darzi A. Proving the effectiveness of virtual reality simulation for training in laparoscopic surgery. Ann Surg. 2007;246:771–9.
Seymour NE, Gallagher AG, Roman SA, O'Brien MK, Bansal VK, Andersen DK, et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg. 2002;236:458–63. discussion 63–4.
Ahlberg G, Enochsson L, Gallagher AG, Hedman L, Hogman C, McClusky 3rd DA, et al. Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg. 2007;193:797–804.
Paisley AM, Baldwin P, Paterson-Brown S. Feasibility, reliability and validity of a new assessment form for use with basic surgical trainees. Am J Surg. 2001;182:24–9.
Darzi A, Smith S, Taffinder N. Assessing operative skill. Needs to become more objective. Brit Med J. 1999;318:887–8.
Kneebone R. The Art, science, and emulation of performance. In: International Symposium on Performance Science. Canada: University of Toronto; 2011.
Traynor O, Arnot RS, Robinson BA. The emerging role of simulation in surgical training. In: 76th Annual Scientific Congress. New Zealand: The Royal Australasian College of Surgeons, Christchurch; 2007.
Bridges M, Diamond DL. The financial impact of teaching surgical residents in the operating room. Am J Surg. 1999;177:28–32.