Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada; Posluns Center for Image Guided Innovation and Therapeutic Intervention, Toronto, Ontario, Canada; Simulare Medical, Division of Smile Train, Toronto, Ontario, Canada.
Simulare Medical, Division of Smile Train, Toronto, Ontario, Canada.
J Plast Reconstr Aesthet Surg. 2024 Jun;93:269-278. doi: 10.1016/j.bjps.2024.04.034. Epub 2024 Apr 15.
Cleft alveolar bone graft surgery is technically challenging to perform as well as difficult to learn and teach. A high-fidelity cleft alveolar bone graft simulator was previously developed. However, further evaluation of the simulator is necessary to assess its efficacy.
Two cleft simulation workshops were conducted in which participants were led through a simulated cleft alveolar bone graft. The first simulation workshop involved six plastic surgery trainees. The second workshop involved 43 practicing cleft surgeons. The participants were provided with a Likert-type questionnaire assessing the simulators' features, realism, and value as a training tool. The change in self-reported confidence was assessed by providing each participant with a pre- and post-simulation confidence questionnaire.
There was overall agreement in the realism of the simulators' features (average score of 4.67 and 3.80 out of 5 for the trainees and surgeons, respectively). There was overall agreement to strong agreement in the simulators value as a training tool (average score of 5 and 4.43 out of 5 for the trainees and surgeons, respectively). The self-reported confidence increased for all questionnaire items for both the trainees and surgeons. This was significant (p < 0.05) for five out of eight and all questionnaire items for the trainees and surgeons, respectively. The magnitude of the confidence increase was generally greater for less experienced participants.
The cleft alveolar bone graft simulator was found to be realistic and valuable as a training platform. Use of the simulator improved self-reported confidence in cleft alveolar bone graft surgery.
腭裂牙槽骨移植手术在技术上具有挑战性，且学习和教学难度较大。先前已经开发出一种高保真的腭裂牙槽骨移植模拟器。然而，需要进一步评估该模拟器以评估其效果。
进行了两次腭裂模拟研讨会，让参与者模拟腭裂牙槽骨移植。第一次模拟研讨会涉及六名整形外科学员。第二次研讨会涉及 43 名执业腭裂外科医生。参与者使用李克特量表评估模拟器的功能、逼真度和作为培训工具的价值。通过提供每个参与者模拟前后的信心调查问卷来评估自我报告的信心变化。
模拟器功能的逼真度得到了总体一致的认可（学员和外科医生的平均得分分别为 4.67 和 3.80）。作为培训工具，模拟器具有很高的价值（学员和外科医生的平均得分分别为 5 和 4.43）。所有问卷项目的自我报告信心均有所提高，学员和外科医生均为 5 分制。对于经验较少的参与者，信心的提升幅度通常更大。
腭裂牙槽骨移植模拟器被认为是一种具有现实意义和价值的培训平台。使用模拟器提高了腭裂牙槽骨移植手术的自我报告信心。
