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The effect of low-fidelity endoscopic sinus surgery simulators on surgical skill.
Int Forum Allergy Rhinol. 2012 Jan-Feb; 2(1):20-6.IF

Abstract

BACKGROUND

Surgical training models are being increasingly used to provide an environment for surgical trainees to improve their skills without risk to patients. This study uses previously validated, inexpensive, low-fidelity training models to determine how pretraining affects endoscopic sinus surgery (ESS) skills.

METHODS

Fourteen Otolaryngology residents were randomized to 1 of 2 groups that were stratified for training level. The first group took part in a pretraining session where they practiced on all 5 different modules whereas the second group did not receive any pretraining. The following day, all participants took part in a cadaveric ESS course. Participants were instructed to complete a set of tasks and their performances were videotaped. The videos were then evaluated using a Global Rating Scale (GRS) and a Task-Specific Checklist (TSC). The performances of those who trained using the models were compared to the performances of those who did not.

RESULTS

The intervention (pretraining) group performed better than the nonintervention (no pretraining) group on the cadaveric ESS tasks (p < 0.05). As well, there was a statistical difference between the senior residents who had the pretraining with the simulator models performing better than those who did not.

CONCLUSION

The modules appear to have made a positive impact on ESS skills. These low-cost, easily-constructed training modules have the potential to be integrated into Otolaryngology-Head and Neck Surgery resident training. Assessment of long-term training effects with a larger number of participants is planned for future studies.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Wais M
Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Canada. marta.wais@queensu.ca
Ooi E
No affiliation info available
Leung RM
No affiliation info available
Vescan AD
No affiliation info available
Lee J
No affiliation info available
Witterick IJ
No affiliation info available

MeSH

CadaverClinical CompetenceEndoscopyFemaleHumansInternship and ResidencyMaleModels, AnatomicObserver VariationOtolaryngologyParanasal SinusesVideotape Recording

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

22311837

Citation

Wais, Marta, et al. "The Effect of Low-fidelity Endoscopic Sinus Surgery Simulators On Surgical Skill." International Forum of Allergy & Rhinology, vol. 2, no. 1, 2012, pp. 20-6.
Wais M, Ooi E, Leung RM, et al. The effect of low-fidelity endoscopic sinus surgery simulators on surgical skill. Int Forum Allergy Rhinol. 2012;2(1):20-6.
Wais, M., Ooi, E., Leung, R. M., Vescan, A. D., Lee, J., & Witterick, I. J. (2012). The effect of low-fidelity endoscopic sinus surgery simulators on surgical skill. International Forum of Allergy & Rhinology, 2(1), 20-6. https://doi.org/10.1002/alr.20093
Wais M, et al. The Effect of Low-fidelity Endoscopic Sinus Surgery Simulators On Surgical Skill. Int Forum Allergy Rhinol. 2012 Jan-Feb;2(1):20-6. PubMed PMID: 22311837.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of low-fidelity endoscopic sinus surgery simulators on surgical skill. AU - Wais,Marta, AU - Ooi,Eng, AU - Leung,Randy M, AU - Vescan,Allan D, AU - Lee,John, AU - Witterick,Ian J, Y1 - 2011/09/15/ PY - 2011/03/03/received PY - 2011/06/16/revised PY - 2011/08/02/accepted PY - 2012/2/8/entrez PY - 2012/2/9/pubmed PY - 2012/5/19/medline SP - 20 EP - 6 JF - International forum of allergy & rhinology JO - Int Forum Allergy Rhinol VL - 2 IS - 1 N2 - BACKGROUND: Surgical training models are being increasingly used to provide an environment for surgical trainees to improve their skills without risk to patients. This study uses previously validated, inexpensive, low-fidelity training models to determine how pretraining affects endoscopic sinus surgery (ESS) skills. METHODS: Fourteen Otolaryngology residents were randomized to 1 of 2 groups that were stratified for training level. The first group took part in a pretraining session where they practiced on all 5 different modules whereas the second group did not receive any pretraining. The following day, all participants took part in a cadaveric ESS course. Participants were instructed to complete a set of tasks and their performances were videotaped. The videos were then evaluated using a Global Rating Scale (GRS) and a Task-Specific Checklist (TSC). The performances of those who trained using the models were compared to the performances of those who did not. RESULTS: The intervention (pretraining) group performed better than the nonintervention (no pretraining) group on the cadaveric ESS tasks (p < 0.05). As well, there was a statistical difference between the senior residents who had the pretraining with the simulator models performing better than those who did not. CONCLUSION: The modules appear to have made a positive impact on ESS skills. These low-cost, easily-constructed training modules have the potential to be integrated into Otolaryngology-Head and Neck Surgery resident training. Assessment of long-term training effects with a larger number of participants is planned for future studies. SN - 2042-6984 UR - https://www.unboundmedicine.com/medline/citation/22311837/The_effect_of_low_fidelity_endoscopic_sinus_surgery_simulators_on_surgical_skill_ L2 - https://doi.org/10.1002/alr.20093 DB - PRIME DP - Unbound Medicine ER -