Role of simulation in AETCOM and skill development of surgery interns

Authors

  • Ramula Muthammal Department of Surgery, Karpaga Vinayaga Institute of Medical Sciences, Kancheepuram District, Tamil Nadu, India
  • Arivazagan Natarajan Department of Surgery, Karpaga Vinayaga Institute of Medical Sciences, Kancheepuram District, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20185112

Keywords:

AETCOM, Competency, DOPS, Interns, Simulation, Skills assessment

Abstract

Background: Simulation is a way of learning skills in life like situations that are not real. Simulation based training according to many studies turned out to be effective method in skill development. In this study we have used bench top models available in our institute with simulated patients, which are accessible, and cost effective. The use of simulation in Graduate Medical Education has evolved significantly over time, particularly during the past decade. The applications of simulation include training budding surgeons in technical and non-technical skills and better prepared to face clinical situations.

Methods: After 5 days of focused group discussion, 60 interns were asked to perform the two basic tasks in bench models attached to simulated patents. Skills assessed by pre-test, post-test and feedback module created for the 2 tasks. Scores was compared and analyzed, at the end of the module by summative assessment. Tasks were graded to100 point system, using rubrics and difference calculated using pair t test.

Results: Mean of the skill score in pre-test 78.26±5.58, range found to be 86-73. There was significant improvement in post test score in which 86.54±4.41, range 97-66. t was found to be 5.5256, a significant improvement, and p value found in post-test 0.0002.

Conclusions: Skill development with Mannequins and Standardized patients is found effective in training the interns. In addition to developing technical and non-technical skills, interns also get to communicate with simulated patients, which will make them more competent.

References

Jamkar A, Bansal P, Patrikar S, Baxi G. Expected surgical competencies of an Indian medical graduate: A gap analysis using a cross-sectional survey. Education Health. 2015 Jan 1;28(1):4.

Medical council of India vision document. Available at: http//mciindia..Org/announcement/MCIbooklet pdf

Källström R, Hjertberg H, Svanvik J. Impact of virtual reality-simulated training on urology residents' performance of transurethral resection of the prostate. J Endourol. 2010 Sep 1;24(9):1521-8.

Lypson ML, Frohna JG, Gruppen LD, Woolliscroft JO. Assessing residents’ competencies at baseline: identifying the gaps. Academic Med. 2004 Jun 1;79(6):564-70.

Harris P, Snell L, Talbot M, Harden RM, International CBME Collaborators. Competency-based medical education: implications for undergraduate programs. Med Teacher. 2010 Aug 1;32(8):646-50.

Frank JR, Mungroo R, Ahmad Y, Wang M, De Rossi S, Horsley T. Toward a definition of competency-based education in medicine: a systematic review of published definitions. Med Teacher. 2010 Aug 1;32(8):631-7.

Isenberg SB, McGaghie WC, Hart IR, Mayer JW, Felner JM, Petrusa ER, et al. Simulation technology for health care professional skills training and assessment. JAMA. 1999 Sep 1;282(9):861-6.

ten Cate O, Scheele F. Competency-based postgraduate training: can we bridge the gap between theory and clinical practice?. Acad Med. 2007 Jun 1;82(6):542-7.

Folse JR, Andriole DP, Debas HT, Denton JR, Eisenberg HM, Lawrence PF, et al. Prerequisite objectives for graduate surgical education: a study of the Graduate Medical Education Committee American College of Surgeons. J Am Coll Surg. 1998 Jan 1;186(1):50-62.

Benner P. From novice to expert: Excellence and power in clinical nursing practice. Menlo Park: Addison-Wesley. 1984:13-34.

Dhaliwal U, Gupta P, Singh T. Entrustable professional activities: Teaching and assessing clinical competence. Indian Pediatr. 2015 Jul 1;52(7):591-7.

Holmboe ES, Sherbino J, Long DM, Swing SR, Frank JR, International CBME Collaborators. The role of assessment in competency-based medical education. Med Teacher. 2010 Aug 1;32(8):676-82.

Bansal PK, Saoji VA, Gruppen LD. From a" generalist" medical graduate to a" specialty" resident: can an entry-level assessment facilitate the transition? assessing the preparedness level of new surgical trainees. Ann Acad Med Singapore. 2007 Sep 1;36(9):719.

Frank JR, Danoff D. The CanMEDS initiative: implementing an outcomes-based framework of physician competencies. Med Teacher. 2007 Jan 1;29(7):642-7.

Boulet JR, Van Zanten M, De Champlain A, Hawkins RE, Peitzman SJ. Checklist content on a standardized patient assessment: an ex post facto review. Adv Health Sci Edu. 2008 Mar 1;13(1):59-69.

Downloads

Published

2018-12-27

Issue

Section

Original Research Articles