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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
Statement of
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
Clinical Competence
Computer Simulation
Clinical Trials as Topic
General Surgery
Transfer, Psychology
Rights: © 2014 BJS Society Ltd.
DOI: 10.1002/bjs.9482
Appears in Collections:Aurora harvest 7
Surgery publications

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