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https://hdl.handle.net/2440/90789
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Type: | Journal article |
Title: | Systematic review of skills transfer after surgical simulation-based training |
Author: | Dawe, S. Pena, G. Windsor, J. Broeders, J. Cregan, P. Hewett, P. Maddern, G. |
Citation: | British Journal of Surgery, 2014; 101(9):1063-1076 |
Publisher: | Wiley |
Issue Date: | 2014 |
ISSN: | 0007-1323 1365-2168 |
Statement of Responsibility: | S. R. Dawe, G. N. Pena, J. A. Windsor, J. A. J. L. Broeders, P. C. Cregan, P. J. Hewett, and G. J. Maddern |
Abstract: | BACKGROUND: Simulation-based training assumes that skills are directly transferable to the patient-based setting, but few studies have correlated simulated performance with surgical performance. METHODS: A systematic search strategy was undertaken to find studies published since the last systematic review, published in 2007. Inclusion of articles was determined using a predetermined protocol, independent assessment by two reviewers and a final consensus decision. Studies that reported on the use of surgical simulation-based training and assessed the transferability of the acquired skills to a patient-based setting were included. RESULTS: Twenty-seven randomized clinical trials and seven non-randomized comparative studies were included. Fourteen studies investigated laparoscopic procedures, 13 endoscopic procedures and seven other procedures. These studies provided strong evidence that participants who reached proficiency in simulation-based training performed better in the patient-based setting than their counterparts who did not have simulation-based training. Simulation-based training was equally as effective as patient-based training for colonoscopy, laparoscopic camera navigation and endoscopic sinus surgery in the patient-based setting. CONCLUSION: These studies strengthen the evidence that simulation-based training, as part of a structured programme and incorporating predetermined proficiency levels, results in skills transfer to the operative setting. |
Keywords: | Humans Endoscopy Laparoscopy Clinical Competence Computer Simulation Clinical Trials as Topic General Surgery Transfer, Psychology |
Rights: | © 2014 BJS Society Ltd. |
DOI: | 10.1002/bjs.9482 |
Published version: | http://dx.doi.org/10.1002/bjs.9482 |
Appears in Collections: | Aurora harvest 7 Surgery publications |
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