SimLife model: introducing a new teaching device in endocrine surgery simulation
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ORIGINAL ARTICLE
SimLife model: introducing a new teaching device in endocrine surgery simulation G. Donatini1,2 · S. Bakkar3 · F. M. Leclere2,3 · W. Dib1 · S. Suaud1 · D. Oriot2 · C. Breque2 · J. P. Richer1,2 · J. P. Faure1,2 · J. Danion1,2 Received: 31 May 2020 / Accepted: 23 August 2020 © Italian Society of Surgery (SIC) 2020
Abstract To evaluate the validity and reliability of an innovative training model for endocrine surgical procedures. A simulator training model for endocrine procedures (SimLife) was developed at an academic center. The model consisted of a realistic operating environment with a coherent simulated patient dynamized by pulsatile vascularization with simulated blood warmed to 37 °C, and ventilation. Training sessions were designed for adrenal and thyroid surgery, as well as neck dissection. The primary outcome of interest was to evaluate learners’ performance and satisfaction. Learners’ performance was evaluated based on a scoring scale that followed the Downing method for the assessment of competency. While learners’ satisfaction was evaluated using a Likert scale of 1 to 10 on four items (ease of learning, anatomic correspondence of landmarks, realism, and overall satisfaction). Participants were engaged in 32 training sessions. These included 24 adrenalectomies (conventional and laparoscopic both transabdominal and posterior), and 4 thyroid lobectomies with concomitant functional lateral compartment neck dissection. competency scores were procedure-specific addressing specific core components of a given procedure. Learners’ performance scored above average in all procedures evaluated. Satisfaction scores for the specified four items ranged between 8.43 (SD 0.87) and 8.89 (SD 0.96). No major events were reported for the adrenalectomies, while only one jugular vein injury occurred during neck dissection. SimLife is a hyper-realistic training model that allows for satisfactory acquisition of skills and the evaluation of performance progression. It has the potential to become a cornerstone in specialized surgical training. Keywords Endocrine surgery · Surgical training · Simulator · Model · SimLife
Introduction Subspecialization in Endocrine Surgery, as in other surgical disciplines, aims to yield surgeons with an adequate level of proficiency and safety in performing various procedures Electronic supplementary material The online version of this article (https://doi.org/10.1007/s13304-020-00871-x) contains supplementary material, which is available to authorized users. * G. Donatini [email protected] 1
Department of General Surgery, University of Poitiers, CHU Poitiers, Poitiers, France
2
ABS Lab, School of Medicine, University of Poitiers, Poitiers, France
3
Department of Surgery, Faculty of Medicine, The Hashemite University, Zarqa 13133, Jordan
independently and competently following a proper learning curve [1–7]. As performance tends to improve with experience, a trainee’s volume or annual caseload becomes the cornerstone of any given surgical educational progr
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