Association of Surgeons in Training (ASiT), 35-43 Lincoln's Inn Fields, London, WC2A 3PE, UK.
Association of Surgeons in Training (ASiT), 35-43 Lincoln's Inn Fields, London, WC2A 3PE, UK.
Int J Surg. 2019 Jul;67:94-100. doi: 10.1016/j.ijsu.2019.04.004. Epub 2019 Apr 14.
Surgical training is evolving, and simulation is becoming more important as a way to expedite the early learning curve and augment surgical techniques. With novel technology, and innovation, major changes are possible in how surgeons are trained. The integration of these concepts into the surgical curriculum may drive up educational standards and enhance patient safety. This survey sought to determine surgical trainees views on the current place of simulation in surgical training and explore their vision for the future.
This is a prospective, questionnaire-based cross-sectional study by *** and the ***, England. Surgical trainees were surveyed about their experiences of simulation during their training through an electronic questionnaire distributed in the UK and Republic of Ireland through mailing lists of RCS and ***. Quantitative and qualitative research methodology was used.
Of 462 surveys submitted, a total of 323 were fully completed and included in the analysis. Core Surgical Trainees represented 28.4% of respondents. The vast majority of respondents (98.9%) considered that simulation training was important, however 55.0% felt it was delivered inadequately. 86.2% wanted greater access to simulation training: Less than half of respondents had access to simulation training at their current place of work or had simulation incorporated into their formal teaching programme (42.4% and 41.6% respectively).
This study highlights the importance of simulation to trainees. Delivery and accessibility of simulation training varies widely. We highlight areas for improvement and best practice. In a culture of accountability, where patient safety is our highest priority, a "see one, do one, teach one" approach to training is no longer appropriate; instead we must utilise available simulation tools to augment learning.
外科培训正在发展，模拟培训作为一种加快学习曲线和增强手术技术的方法变得越来越重要。随着新技术和创新，外科医生的培训方式可能会发生重大变化。将这些概念融入外科课程可能会提高教育标准并增强患者安全性。本调查旨在确定外科学员对模拟培训在外科培训中的当前地位的看法，并探讨他们对未来的展望。
这是一项由英国的和进行的前瞻性、基于问卷的横断面研究。通过英国和爱尔兰的 RCS 和***的邮件列表，通过电子问卷向外科学员调查他们在培训期间模拟培训的经验。采用定量和定性研究方法。
在提交的 462 份调查中，共有 323 份完整填写并纳入分析。核心外科培训生占受访者的 28.4%。绝大多数受访者（98.9%）认为模拟培训很重要，但 55.0%的人认为模拟培训不足。86.2%的人希望更多地接受模拟培训：不到一半的受访者在目前的工作地点有模拟培训机会或模拟培训纳入正式教学计划（分别为 42.4%和 41.6%）。
本研究强调了模拟培训对学员的重要性。模拟培训的交付和可及性差异很大。我们强调了需要改进和最佳实践的领域。在问责制文化中，患者安全是我们的首要任务，“看一个、做一个、教一个”的培训方法不再合适；相反，我们必须利用现有的模拟工具来增强学习。
