Distributed simulation in surgical training: an off-site feasibility study
A Harris, E Kassab, JK Tun, R Kneebone - Medical teacher, 2013 - Taylor & Francis
A Harris, E Kassab, JK Tun, R Kneebone
Medical teacher, 2013•Taylor & FrancisBackground: Simulation offers recognised training benefits, but the cost of high-fidelity
contextualised simulation is prohibitive and its accessibility limited to specialised Distributed
Simulation centres. Distributed simulation (DS) is an innovative concept of low-cost, portable
and high-fidelity contextualised simulation. However, it has previously only been trialled at a
central London teaching hospital. Aims:(1) To explore the off-site feasibility of DS.(2) To
determine the response of end-users to DS. Methods: A DS naive researcher recreated a …
contextualised simulation is prohibitive and its accessibility limited to specialised Distributed
Simulation centres. Distributed simulation (DS) is an innovative concept of low-cost, portable
and high-fidelity contextualised simulation. However, it has previously only been trialled at a
central London teaching hospital. Aims:(1) To explore the off-site feasibility of DS.(2) To
determine the response of end-users to DS. Methods: A DS naive researcher recreated a …
Background: Simulation offers recognised training benefits, but the cost of high-fidelity contextualised simulation is prohibitive and its accessibility limited to specialised Distributed Simulation centres. Distributed simulation (DS) is an innovative concept of low-cost, portable and high-fidelity contextualised simulation. However, it has previously only been trialled at a central London teaching hospital.
Aims: (1) To explore the off-site feasibility of DS. (2) To determine the response of end-users to DS.
Methods: A DS naive researcher recreated a standardised porcine laparoscopic cholecystectomy scenario at a District General Hospital using DS. A research diary detailed the logistical feasibility of the project, whilst mixed methods were used to determine the response of the 10 surgeons who completed the full-team simulation.
Results: DS is feasible off-site with end-users comparing it favourably to their previous simulation experiences. Surgeons perceived DS as being most useful for building the operative confidence of juniors between learning the basics on a bench top model and before entering the operating theatre.
Conclusions: DS has the potential to provide high-fidelity contextualised simulation as an adjunct to, and not a replacement for, surgical training. Unlike other modalities, it is low cost and portable, thereby addressing concerns over affordability and accessibility.
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