TY - JOUR
T1 - Systematic Review of Patient-Specific Surgical Simulation
T2 - Toward Advancing Medical Education
AU - Ryu, Won Hyung A.
AU - Dharampal, Navjit
AU - Mostafa, Ahmed E.
AU - Sharlin, Ehud
AU - Kopp, Gail
AU - Jacobs, William Bradley
AU - Hurlbert, Robin John
AU - Chan, Sonny
AU - Sutherland, Garnette R.
N1 - Publisher Copyright:
© 2017 Association of Program Directors in Surgery
PY - 2017/11
Y1 - 2017/11
N2 - Objective Simulation-based education has been shown to be an effective tool to teach foundational technical skills in various surgical specialties. However, most of the current simulations are limited to generic scenarios and do not allow continuation of the learning curve beyond basic technical skills to prepare for more advanced expertise, such as patient-specific surgical planning. The objective of this study was to evaluate the current medical literature with respect to the utilization and educational value of patient-specific simulations for surgical training. Methods We performed a systematic review of the literature using Pubmed, Embase, and Scopus focusing on themes of simulation, patient-specific, surgical procedure, and education. The study included randomized controlled trials, cohort studies, and case-control studies published between 2005 and 2016. Two independent reviewers (W.H.R. and N.D) conducted the study appraisal, data abstraction, and quality assessment of the studies. Results The search identified 13 studies that met the inclusion criteria; 7 studies employed computer simulations and 6 studies used 3-dimensional (3D) synthetic models. A number of surgical specialties evaluated patient-specific simulation, including neurosurgery, vascular surgery, orthopedic surgery, and interventional radiology. However, most studies were small in size and primarily aimed at feasibility assessments and early validation. Conclusions Early evidence has shown feasibility and utility of patient-specific simulation for surgical education. With further development of this technology, simulation-based education may be able to support training of higher-level competencies outside the clinical settingto aid learners in their development of surgical skills.
AB - Objective Simulation-based education has been shown to be an effective tool to teach foundational technical skills in various surgical specialties. However, most of the current simulations are limited to generic scenarios and do not allow continuation of the learning curve beyond basic technical skills to prepare for more advanced expertise, such as patient-specific surgical planning. The objective of this study was to evaluate the current medical literature with respect to the utilization and educational value of patient-specific simulations for surgical training. Methods We performed a systematic review of the literature using Pubmed, Embase, and Scopus focusing on themes of simulation, patient-specific, surgical procedure, and education. The study included randomized controlled trials, cohort studies, and case-control studies published between 2005 and 2016. Two independent reviewers (W.H.R. and N.D) conducted the study appraisal, data abstraction, and quality assessment of the studies. Results The search identified 13 studies that met the inclusion criteria; 7 studies employed computer simulations and 6 studies used 3-dimensional (3D) synthetic models. A number of surgical specialties evaluated patient-specific simulation, including neurosurgery, vascular surgery, orthopedic surgery, and interventional radiology. However, most studies were small in size and primarily aimed at feasibility assessments and early validation. Conclusions Early evidence has shown feasibility and utility of patient-specific simulation for surgical education. With further development of this technology, simulation-based education may be able to support training of higher-level competencies outside the clinical settingto aid learners in their development of surgical skills.
KW - medical education
KW - patient-specific simulation
KW - surgical simulation
KW - systematic review
UR - http://www.scopus.com/inward/record.url?scp=85020180815&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85020180815&partnerID=8YFLogxK
U2 - 10.1016/j.jsurg.2017.05.018
DO - 10.1016/j.jsurg.2017.05.018
M3 - Article
C2 - 28600218
AN - SCOPUS:85020180815
SN - 1931-7204
VL - 74
SP - 1028
EP - 1038
JO - Journal of Surgical Education
JF - Journal of Surgical Education
IS - 6
ER -