Department of ENT, Royal Surrey County Hospital, Guildford, UK.
Department of General Surgery, St Helier Hospital, Carshalton, UK.
J Laryngol Otol. 2021 Jun;135(6):486-491. doi: 10.1017/S0022215121000839. Epub 2021 Mar 18.
Simulation training has become a key part of the surgical curriculum over recent years. Current trainees face significantly reduced operating time as a result of the coronavirus disease 2019 pandemic, alongside increased costs to surgical training, thus creating a need for low-cost simulation models.
A systematic review of the literature was performed using multiple databases. Each model included was assessed for the ease and expense of its construction, as well as its validity and educational value.
A total of 18 low-cost simulation models were identified, relating to otology, head and neck surgery, laryngeal surgery, rhinology, and tonsil surgery. In only four of these models (22.2 per cent) was an attempt made to demonstrate the educational impact of the model. Validation was rarely formally assessed.
More efforts are required to standardise validation methods and demonstrate the educational value of the available low-cost simulation models in otorhinolaryngology.
近年来，模拟培训已成为外科课程的重要组成部分。由于 2019 冠状病毒病大流行，当前的受训者的手术操作时间明显减少，同时手术培训的成本也增加了，因此需要低成本的模拟模型。
使用多个数据库对文献进行了系统回顾。评估了每个纳入模型的构建难易程度和费用，以及其有效性和教育价值。
共确定了 18 种低成本模拟模型，涉及耳科学、头颈部外科、喉部外科、鼻科学和扁桃体切除术。在这 18 个模型中，只有 4 个（22.2%）尝试展示模型的教育影响。验证很少被正式评估。
需要进一步努力来标准化验证方法，并证明耳鼻喉科现有低成本模拟模型的教育价值。
