Pena Guilherme, Altree Meryl, Babidge Wendy, Field John, Hewett Peter, Maddern Guy
Department of Surgery, The Queen Elizabeth Hospital, University of Adelaide, Adelaide, South Australia, Australia; Australian Safety and Efficacy Register of New Interventional Procedures - Surgical, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.
ANZ J Surg. 2015 May;85(5):339-43. doi: 10.1111/ans.12549. Epub 2014 Feb 24.
Simulation-based training has become an increasingly accepted part of surgical training. However, simulators are still not widely available to surgical trainees. Some factors that hinder the widespread implementation of simulation-based training are the lack of standardized methods and equipment, costs and time constraints. We have developed a Mobile Simulation Unit (MSU) that enables trainees to access modern simulation equipment tailored to the needs of the learner at the trainee's workplace.
From July 2012 to December 2012, the MSU visited six hospitals in South Australia, four in metropolitan and two in rural areas. Resident Medical Officers, surgical trainees, Fellows and International Medical Graduates were invited to voluntarily utilize a variety of surgical simulators on offer. Participants were asked to complete a survey about the accessibility of simulation equipment at their workplace, environment of the MSU, equipment available and instruction received. Utilization data were collected.
The MSU was available for a total of 303 h over 52 days. Fifty-five participants were enrolled in the project and each spent on average 118 min utilizing the simulators. The utilization of the total available time was 36%. Participants reported having a poor access to simulation at their workplace and overwhelmingly gave positive feedback regarding their experience in the MSU.
The use of the MSU to provide simulation-based education in surgery is feasible and practical. The MSU provides consistent simulation training at the surgical trainee's workplace, regardless of geographic location, and it has the potential to increase participation in simulation programmes.
基于模拟的培训已日益成为外科培训中被接受的一部分。然而，外科培训学员仍无法广泛使用模拟器。一些阻碍基于模拟的培训广泛实施的因素包括缺乏标准化方法和设备、成本以及时间限制。我们开发了一种移动模拟单元（MSU），使学员能够在其工作场所使用根据学习者需求定制的现代模拟设备。
2012年7月至2012年12月，MSU走访了南澳大利亚的六家医院，其中四家在大都市地区，两家在农村地区。住院医师、外科培训学员、研究员和国际医学毕业生被邀请自愿使用提供的各种外科模拟器。参与者被要求完成一项关于其工作场所模拟设备可及性、MSU环境、可用设备和所接受指导的调查。收集了使用数据。
MSU在52天内共可用303小时。55名参与者参与了该项目，每人平均花费118分钟使用模拟器。总可用时间的利用率为36%。参与者报告称其工作场所难以获得模拟设备，并且绝大多数人对他们在MSU的体验给予了积极反馈。
使用MSU提供外科基于模拟的教育是可行且实际的。MSU在外科培训学员的工作场所提供一致的模拟培训，无论地理位置如何，并且它有可能增加对模拟项目的参与度。
