Accessibility and satisfaction's analysis of simulation-based training in surgery for residents and surgical fellows in France.

Accessibility Residents Satisfaction Simulated-based training Surgical education Surgical fellows

Journal

Journal of visceral surgery
ISSN: 1878-7886
Titre abrégé: J Visc Surg
Pays: France
ID NLM: 101532664

Informations de publication

Date de publication:
20 Jul 2024
Historique:
medline: 22 7 2024
pubmed: 22 7 2024
entrez: 21 7 2024
Statut: aheadofprint

Résumé

In surgery, simulated-based training improves the knowledge and interpersonal skills needed for surgeons to improve their performance and meet the "never the first time on a patient" imperative. The objective is to evaluate the effects of a 2017 reform on surgeon's accessibility to simulation-based training, five years after the implementation of the program, and to gauge surgeon satisfaction. A 27-item national online survey was sent to all surgical residents and fellows in the 13 surgical specialties. Among 523 responses, 405 (77.4%) were residents and 118 (22.6%) were surgical fellows. Two hundred forty-seven (47.2%) of surgical residents and fellows stated they did not have a simulation structure or simulation program in the town of their university hospital center. Two hundred thirty-five (44.9%) reported having simulation training programs and 41 (7.8%) reported having easy and free access to their simulation structure. Regarding simulation-based training, 44.6% of surgical residents and fellows had never received training in technical skills on simulators, 82.2% had never received training in teamwork or interprofessional skills and 76.1% had never received training in behavioral or relational skills. There was a significant difference between the degree of satisfaction of residents at the beginning and at the end of the study (P=0.02). Simulation is a well-established educational tool, but there are still strong inequalities between universities. Despite the national deployment of simulation-based teaching programs and institutional efforts, surgical simulation is insufficiently developed in France, and learner satisfaction is poor.

Sections du résumé

BACKGROUND BACKGROUND
In surgery, simulated-based training improves the knowledge and interpersonal skills needed for surgeons to improve their performance and meet the "never the first time on a patient" imperative. The objective is to evaluate the effects of a 2017 reform on surgeon's accessibility to simulation-based training, five years after the implementation of the program, and to gauge surgeon satisfaction.
METHODS METHODS
A 27-item national online survey was sent to all surgical residents and fellows in the 13 surgical specialties.
RESULTS RESULTS
Among 523 responses, 405 (77.4%) were residents and 118 (22.6%) were surgical fellows. Two hundred forty-seven (47.2%) of surgical residents and fellows stated they did not have a simulation structure or simulation program in the town of their university hospital center. Two hundred thirty-five (44.9%) reported having simulation training programs and 41 (7.8%) reported having easy and free access to their simulation structure. Regarding simulation-based training, 44.6% of surgical residents and fellows had never received training in technical skills on simulators, 82.2% had never received training in teamwork or interprofessional skills and 76.1% had never received training in behavioral or relational skills. There was a significant difference between the degree of satisfaction of residents at the beginning and at the end of the study (P=0.02).
CONCLUSION CONCLUSIONS
Simulation is a well-established educational tool, but there are still strong inequalities between universities. Despite the national deployment of simulation-based teaching programs and institutional efforts, surgical simulation is insufficiently developed in France, and learner satisfaction is poor.

Identifiants

DOI: 10.1016/j.jviscsurg.2024.07.001 PMID: 39034200
pubmed: 39034200
pii: S1878-7886(24)00094-8
doi: 10.1016/j.jviscsurg.2024.07.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier Masson SAS.

Auteurs

Gabriel Saiydoun (G)

Department of Cardiac Surgery, University Hospital Pitié Salpetrière, AP-HP, Paris, France; Department of Cardiac Surgery, University Hospital Henri-Mondor, AP-HP, Créteil, France.

Maxime Vallée (M)

Department of Urology, University Hospital of Poitiers, Poitiers, France; Inserm U1070, "pharmacologie des anti-infectieux", pôle biologie santé, UFR médecine-pharmacie, University of Poitiers, bâtiment B36 TSA, 51106 Poitiers, France.

Saadé Saade (S)

Department of Cardiac Surgery, hôpitaux universitaires de Strasbourg, Nouvel Hôpital Civil, Strasbourg, France.

Clément Colombier (C)

Cardiothoracic and vascular surgery Department, University Hospital of Poitiers, Poitiers, France.

Krystel Nyango Timoh (K)

France Inserm, Department of Obstetrics and Gynecology, LTSI - UMR 1099, University Rennes 1, Rennes University Hospital, Rennes, France; Laboratoire d'anatomie et d'organogenèse, faculté de médecine, CHU de Rennes, Rennes, France.

Philine de Vries (P)

EA4685, CHU de Brest, University of Brest, 29200 Brest, France.

Cyril Perrenot (C)

Department of digestive surgery, Robert-Debré Hospital, Reims Hospital, Reims, France.

Nicolas Berte (N)

Department of Pediatric Surgery, University Hospital of Nancy, Nancy, France; Nancy's School of Surgery, University of Lorraine, Virtual Hospital of Lorraine, Nancy, France.

Arnaud Delafontaine (A)

Laboratoire d'anatomie fonctionnelle, faculté des sciences de la motricité, route de Lennik, 808, CP 619, 1070 Bruxelles, Belgium; Laboratoire d'anatomie, de biomécanique et d'organogenèse, faculté de médecine, route de Lennik, 808, CP 619, 1070 Bruxelles, Belgium. Electronic address: arnaud.delafontaine@ulb.be.

Classifications MeSH