Mejora de las habilidades de sutura después deentrenamientoPresentación de un modelo de simulación yde evaluación

  1. Lorenzo López Guajardo 1
  2. Sara García Caride 1
  3. Julia Sánchez Quirós 1
  4. Juan Donate López 1
  5. Rosario Gómez de Liaño 1
  6. Julián García Feijoo 1
  1. 1 Ophthalmology Department, Hospital Clinico San Carlos, Madrid (Spain).
Journal:
Revista Española de Educación Médica

ISSN: 2660-8529

Year of publication: 2022

Issue Title: Revista Española de Educación Médica

Volume: 3

Issue: 2

Pages: 1-6

Type: Article

DOI: 10.6018/EDUMED.512341 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Revista Española de Educación Médica

Abstract

Introduction. Acquiring surgical skills through simulation is a growing need nowadays.Every day more, patient safety is valued, and therefore it is unacceptable that surgeons withoutprevious training attend patients. Our objective is to develop a low-cost simulation system, and ascore, which allows evaluating the acquisition of knowledge. Methods. 6 first-year ophthalmologyresidents were chosen to perform two recorded sessions, where they performed different suturetechniques. Between them, the residents were allowed to complete a 4-session training. Aftercompleting the training, the initial and final sessions were evaluated by 3 blind expert surgeons.Mann–Whitney tests were used to compare scores. And the agreement between the threeevaluators was checked using the Fleiss ́ kappa concordance test. Results. The concordance in theevaluation between the three examiners was substantial, κ= 0,71 (IC 95%, 0,33 a 0,82), p < .0005.Residents improved their median performance scores after completion of training (6,52 vs 7,81)however, no significant differences were found due to the small number of participaants Conclusion. We developed a low-cost, portable training system with acquisition of skills in agroup of residents. We have also developed an evaluation scale that allows to objectively assessprogression

Bibliographic References

  • 1. Shah NP, Lalli A, Palmer J, Jones J. Objective assessment of intra-oral suturing for certification ofcompetency. Eur J Dent Educ. 2021;10.1111/eje.12738. https://doi.org/10.1111/eje.12738
  • 2. Kilkenny JJ, White K, Singh A. Evaluating veterinary student skill acquisition on a laparoscopic suturingexercise after simulation training. Vet Surg. 2019;48(S1): O66-O73. https://doi.org/10.1111/vsu.12930
  • 3. ICO. Surgical Assessment Tool: ICO-OSCAR in English, Mandarin Chinese, Portuguese, Russian, Spanish,Thai, Vietnamese, and French 2018. https://icoph.org/education/ophthalmic-educators/
  • 4. Kappa Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159–74.
  • 5. Theodoraki K, Naderi K, Lam CFJ, Tan JK, Jameel A, Lai L, Garcia LO, Low S, Bhogal M, Robbie S, O'BrartD. Impact of cessation of regular cataract surgery during the COVID pandemic on the rates of posteriorcapsular rupture and post-operative cystoid macular oedema. Eye (Lond). 2022 Feb 3:1–6.https://doi.org/10.1038/s41433-022-01958-y
  • 6. Tellez J, Abdelfattah K, Farr D. In-person versus virtual suturing and knot-tying curricula: Skills trainingduring the COVID-19 era. Surgery. 2021 Dec;170(6):1665-1669. https://doi.org/10.1016/j.surg.2021.06.015
  • 7. Rosen JM, Long SA, McGrath DM, Greer SE. Simulation in plastic surgery training and education: the pathforward. Plast Reconstr Surg 2009;123(02):729–738. https://doi.org/10.1097/prs.0b013e3181958ec4
  • 8. Al-Bustani S, Halvorson EG. Status of microsurgical simulation training in plastic surgery: a survey ofUnited States program directors. Ann Plast Surg 2016;76(06):713–716.https://doi.org/10.1097/sap.0000000000000636
  • 9. Masud D, Haram N, Moustaki M, Chow W, Saour S, Mohanna PN. Microsurgery simulation trainingsystem and set up: an essential system to complement every training programme. J Plast Reconstr AesthetSurg 2017;70(07):893–900. https://doi.org/10.1016/j.bjps.2017.03.009
  • 10. Loh CYY, Tiong VTY, Loh AYH, Athanassopoulos T. Microsurgery training–a home do-it-yourself model.Microsurgery 2014;34 (05):417–418. https://doi.org/10.1002/micr.22242
Data source: Dialnet