Evaluation methods and impact of simulation-based training in pediatric surgery: a systematic review
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In brief
In brief
Systematic review of 43 studies examining simulation-based training evaluation methods in pediatric surgery from 2000-2017. Found that while simulators effectively differentiate expert from trainee performance using scoring systems and checklists, no studies demonstrated improvement in actual clinical outcomes following simulation training.
Written by the GCMD Library team from the article.
Abstract
Purpose
The aim of this study was to identify (1) the type of skill evaluation methods and (2) how the effect of training was evaluated in simulation-based training (SBT) in pediatric surgery.
Methods
Databases of PubMed, Cochrane Library, and Web of Science were searched for articles published from January 2000 to January 2017. Search concepts of Medical Subject Heading terms were “surgery,” “pediatrics,” “simulation,” and “training, evaluation.”
Results
Of 5858 publications identified, 43 were included. Twenty papers described simulators as assessment tools used to evaluate technical skills. Reviewers differentiated between experts and trainees using a scoring system (45%) and/or a checklist (25%). Simulators as training tools were described in 23 papers. While the training’s effectiveness was measured using performance assessment scales (52%) and/or surveys (43%), no study investigated the improvement of the clinical outcomes after SBT.
Conclusion
Scoring, time, and motion analysis methods were used for the evaluation of basic techniques of laparoscopic skills. Only a few SBT in pediatric surgery have definite goals with clinical effect. Future research needs to demonstrate the educational effect of simulators as assessment or training tools on SBT in pediatric surgery.