The role of simulation in developing surgical skills

被引:77
作者
Akhtar K.S.N. [1 ]
Chen A. [1 ]
Standfield N.J. [1 ]
Gupte C.M. [1 ]
机构
[1] Orthopaedic Surgery, Imperial College, Charing Cross Hospital, Hammersmith, London W6 8RP, Fulham Palace Road
关键词
Arthroscopy; Assessment; Boot camp; Cadaver; Competency; Education; Feedback; Patient safety; Phantom; Proficiency; Psychomotor; Simulation; Skills; Surgical training; Task performance; Training; Virtual reality;
D O I
10.1007/s12178-014-9209-z
中图分类号
学科分类号
摘要
Surgical training has followed the masterapprentice model for centuries but is currently undergoing a paradigm shift. The traditional model is inefficient with no guarantee of case mix, quality, or quantity. There is a growing focus on competency-based medical education in response to restrictions on doctors' working hours and the traditional mantra of "see one, do one, teach one" is being increasingly questioned. The medical profession is subject to more scrutiny than ever before and is facingmounting financial, clinical, and political pressures. Simulation may be a means of addressing these challenges. It provides a way for trainees to practice technical tasks in a protected environment without putting patients at risk and helps to shorten the learning curve. The evidence for simulation-based training in orthopedic surgery using synthetic models, cadavers, and virtual reality simulators is constantly developing, though further work is needed to ensure the transfer of skills to the operating theatre. © Springer Science+Business Media 2014.
引用
收藏
页码:155 / 160
页数:5
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