Department of Pediatric Surgery, Radboudumc Amalia Children's Hospital, Nijmegen, the Netherlands.
Department of Pediatric Surgery and Intensive Care, Erasmus MC Sophia Children's Hospital, Rotterdam, the Netherlands.
Eur J Pediatr Surg. 2023 Jun;33(3):234-240. doi: 10.1055/s-0042-1745784. Epub 2022 Sep 1.
Sufficient training is needed to acquire and retain the procedural skills needed for the surgical correction of congenital anatomical malformations. This study aims to assess the opinions of trainees and pediatric surgeons on the use of simulation-based continued at-home training, which can help to acquire these skills.
This study consisted of two parts. First, an international survey among trainees and pediatric surgeons assessed their opinions on simulation-based at-home training for pediatric surgical procedures (5-point Likert scale). Second, participants of pediatric colorectal courses were instructed to practice the posterior sagittal anorectoplasty procedure at-home on a simulation model and, subsequently, complete a questionnaire regarding their opinions on continuous at-home training (5-point Likert scale).
A total of 163 participants (83% pediatric surgeons) completed the international survey (response rate 43%). Overall, participants considered the training useful for both laparoscopic (mean 4.7) and open procedures (mean 4.2) and agreed that it may be used at home after a hands-on course (mean 4.3).Twenty participants completed the questionnaire on continued training (response rate 36%). All agreed that at-home training was of added value (mean 4.5) and that the skills were transferable to the clinical setting (mean 4.3). At-home training was regarded a suitable exercise after a hands-on workshop (mean 4.3), but less so without a workshop (mean 3.7, =0.017).
Participating trainees and pediatric surgeons were of the opinion that simulation models and at-home training have added value. This implies that simulation-based training may be used more often in pediatric surgical training.
为了掌握和保持先天性解剖畸形手术矫正所需的手术技能，需要进行充分的培训。本研究旨在评估受训者和小儿外科医生对使用基于模拟的家庭继续训练的看法，这种训练可以帮助获得这些技能。
本研究由两部分组成。首先，对受训者和小儿外科医生进行了一项国际调查，评估他们对小儿外科手术基于模拟的家庭培训的看法（5 分李克特量表）。其次，小儿结肠直肠课程的参与者被指示在家中使用模拟模型练习后路矢状位肛门直肠成形术，然后完成一份关于他们对连续家庭培训的意见的问卷（5 分李克特量表）。
共有 163 名参与者（83%为小儿外科医生）完成了国际调查（应答率为 43%）。总的来说，参与者认为培训对腹腔镜（平均 4.7）和开放手术（平均 4.2）都很有用，并同意在实践课程后可以在家中使用（平均 4.3）。20 名参与者完成了关于继续培训的问卷（应答率为 36%）。所有人都认为家庭培训有附加价值（平均 4.5），并且这些技能可以转移到临床环境中（平均 4.3）。家庭培训被认为是实践研讨会后的一项合适的练习（平均 4.3），但没有研讨会则不然（平均 3.7，=0.017）。
参与的受训者和小儿外科医生认为模拟模型和家庭培训具有附加价值。这意味着基于模拟的培训可能会在小儿外科培训中更频繁地使用。
