Development of a Subcutaneous Abscess Simulator for Incision and Drainage

Background: Proper incision and drainage of a subcutaneous abscess is a vital skill to develop during physician assistant and nurse practitioner training. Skin and soft-tissue infections, including subcutaneous abscesses, are among the most common complaints seen in primary care. Improper technique may result in bacteremia, septicemia, osteomyelitis, and/or tissue necrosis. Although abscess incision and drainage is taught to a multitude of providers during procedural training courses, finding a safe, inexpensive abscess simulator has been challenging. Method: A simple, cost-effective subcutaneous abscess simulator was developed using synthetic, skin-like rubber sheets and other common materials. The assembly of this simulator and recruitment for peer evaluation is described. Results: The simulators were successfully implemented among 17 medical providers with the cost per simulator being less than two dollars each. Simulator assessment by 10 physician assistants and seven physicians found this task simulator to realistically represent the procedure of subcutaneous abscess incision and drainage. Conclusion: Cost-effective, creative, and innovative use of educator-developed simulators need to be considered for providing realism in clinical skill practice and assessment.