A new approach for the acquisition of trauma surgical skills: an OSCE type of simulation training program

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dc.catalogadorcrc
dc.contributor.authorOrtiz Koh, Catalina Alejandra
dc.contributor.authorContreras Bertolo, Caterina
dc.contributor.authorVela Ulloa, Javier Ignacio
dc.contributor.authorBelmar, Francisca
dc.contributor.authorPaul, Ivan
dc.contributor.authorAchurra Tirado, Pablo
dc.contributor.authorVaras Cohen, Julián
dc.date.accessioned2023-03-27T12:19:17Z
dc.date.issued2022
dc.date.updated2023-03-06T17:43:09Z
dc.description.abstractBackground Worldwide, trauma-related deaths are one of the main causes of mortality. Appropriate surgical treatment is crucial to prevent mortality, however, in the past decade, general surgery residents’ exposure to trauma cases has decreased, particularly since the COVID-19 pandemic. In this context, accessible simulation-based training scenarios are essential. Methods A low-cost, previously tested OSCE scenario for the evaluation of surgical skills in trauma was implemented as part of a short training boot camp for residents and recently graduated surgeons. The following stations were included bowel anastomosis, vascular anastomosis, penetrating lung injury, penetrating cardiac injury, and gastric perforation (laparoscopic suturing). A total of 75 participants from 15 diferent programs were recruited. Each station was videotaped in high defni tion and assessed in a remote and asynchronous manner. The level of competency was assessed through global and specifc rating scales alongside procedural times. Self-confdence to perform the procedure as the leading surgeon was evaluated before and after training. Results Statistically signifcant diferences were found in pre-training scores between groups for all stations. The lowest scores were obtained in the cardiac and lung injury stations. After training, participants signifcantly increased their level of competence in both grading systems. Procedural times for the pulmonary tractotomy, bowel anastomosis, and vascular anastomosis stations increased after training. A signifcant improvement in self-confdence was shown in all stations. Conclusion An OSCE scenario for training surgical skills in trauma was efective in improving profciency level and self confdence. Low pre-training scores and level of confdence in the cardiac and lung injury stations represent a defcit in resi dency programs that should be addressed. The incorporation of simulation-based teaching tools at early stages in residency would be benefcial when future surgeons face extremely severe trauma scenarios. Keywords Trauma surgery · Simulation training · Surgical training · Surgical education tec
dc.description.version2060-03-02
dc.fechaingreso.objetodigital2023-03-27
dc.fuente.origenAutoarchivo
dc.identifier.citationOrtiz, C., Vela, J., Contreras, C. et al. A new approach for the acquisition of trauma surgical skills: an OSCE type of simulation training program. Surg Endosc 36, 8441–8450 (2022). https://doi.org/10.1007/s00464-022-09098-w
dc.identifier.doi10.1007/s00464-022-09098-w
dc.identifier.eissn1432-2218
dc.identifier.issn0930-2794
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/66650
dc.identifier.urihttps://doi.org/10.1007/s00464-022-09098-w
dc.information.autorucFacultad de medicina;Varas Cohen, Julián;0000-0003-4890-9937;134158
dc.information.autorucEscuela de medicina;Contreras Bertolo, Caterina; s/i;1095371
dc.information.autorucEscuela de Medicina; Ortiz Koh, Catalina Alejandra; s/i;1094790
dc.information.autorucEscuela de medicina;Vela Ulloa, Javier Ignacio;s/i;1093359
dc.information.autorucEscuela de Medicina;Achurra Tirado, Pablo;s/i;156236
dc.issue.numero11
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final8450
dc.pagina.inicio8441
dc.revistaSurgical Endoscopy
dc.rightsacceso abierto
dc.subjectTrauma surgery
dc.subjectSimulation training
dc.subjectSurgical training
dc.subjectSurgical education technology
dc.subject.ods03 Good health and well-being
dc.subject.ods04 Quality education
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa04 Educación de calidad
dc.titleA new approach for the acquisition of trauma surgical skills: an OSCE type of simulation training program
dc.typeartículo
dc.volumen36
sipa.codpersvinculados134158
sipa.codpersvinculados1095371
sipa.codpersvinculados1094790
sipa.codpersvinculados1093359
sipa.codpersvinculados156236
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