BOB Ped Surg 2023 - Georgina Falcioni, CIPESUR - Presentation

Comparative effectiveness of telesimulation versus standard simulation for minimal invasive surgery essentials skills training. Experience in a pediatric surgical simulation center from Garrahan Children Hospital, Buenos Aires, Argentina. Nothing to disclose. In person proctor training simulation based education had been a standard choice for MIS skills training programs development since 2012. In the context of the COVID-19 pandemic and social distance protocols, we adapted the curricula to a telesimulation Essentials skills training model, which was reported in IPEC 2021. The aim of this presentation is to evaluate the comparative effectiveness of our telesimulation versus standard simulation for MIS Essentials skills training. Both standard and telesentials skills training model included academic lectures, tutorials for ergonomics and seven performance tasks. The hands on practice was scheduled into two sessions of three hours. We randomly selected 20 participants assessments from different institutions for each group. T group had access all the content through an online campus and completed their hands-on practice with a proctor through a virtual meeting platform. S group had attended conferences and hands-on practice at the simulation center with an onsite proctor. Both groups had the same educators giving sumative feedback and debriefing. The assess tasks were three, circle cutting pattern, extracorporeal Ruder not, and intracorporeal square knot. For each task, initial score adapted from Goals and time and final score and time were registered. Data was analyzed with the R Studio software program. At precision cutting, we observe a significant improvement in the score as well as a significant decrease in time between the initial and final assessments independently for T and S groups. When comparing the achieved progress between both groups, there were no statistical significant differences between T and S groups. We observe a similar pattern for the extracorporeal weather not task, showing a considerable and almost parallel progress in the initial and final assessments for both DNS groups. And at the square not task, the result structures repeated from the improvement of the score and decrease in time. The comparative outcomes were relatively symmetric for T and S group after practice. For discussion, we observe statistically significant improvements in the scores and decrease in times for all the assess task in T and S groups. The comparative progression observed in T and S groups were also effective and accounted almost parallel. Data analysis showed that close performance could be achieved with both strategies. This may support and highlight the capability of telesimulation to provide educational benefit in MIS Essentials skills training to learners who didn't have direct access to onsite simulation resources within a proctor training program. Thank you.