The Surgical clinics of North America
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As simulation-based training has become established within medical and health professional disciplines, skills training laboratories have become a standard in surgery training programs. In 2008, the American College of Surgeons and Association of Program Directors in Surgery developed a simulation-based surgical skills curriculum; the Residency Review Committee for Surgery of the Accreditation Council for Graduate Medical Education mandated access to skills laboratories for all surgery programs. Establishing a surgical skills laboratory and adapting the training curriculum requires a significant amount of resources. This article discusses the financial aspects of establishing a training center, from funding opportunities to budgeting considerations.
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Simulation technology provides an important opportunity to prospectively identify systemic problems with minimal risk to patient safety and quality. Health care systems are implementing simulation-based exercises on a more regular basis, especially in high-risk settings such as the emergency department and operating room. The adoption of simulation-based and other system-oriented improvement strategies by the health care industry, especially regarding quality and safety, was preceded by its development in the manufacturing and aviation sectors.
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Surg. Clin. North Am. · Aug 2015
ReviewCurrent Status of Simulation-Based Training in Graduate Medical Education.
The use of simulation in Graduate Medical Education has evolved significantly over time, particularly during the past decade. The applications of simulation include introductory and basic technical skills, more advanced technical skills, and nontechnical skills, and simulation is gaining acceptance in high-stakes assessments. Simulation-based training has also brought about paradigm shifts in the medical and surgical education arenas and has borne new and exciting national and local consortia that will ensure that the scope and impact of simulation will continue to broaden.
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Surg. Clin. North Am. · Aug 2015
ReviewApplying Educational Theory to Simulation-Based Training and Assessment in Surgery.
Considerable progress has been made regarding the range of simulator technologies and simulation formats. Similarly, results from research in human learning and behavior have facilitated the development of best practices in simulation-based training (SBT) and surgical education. Today, SBT is a common curriculum component in surgical education that can significantly complement clinical learning, performance, and patient care experiences. Beginning with important considerations for selecting appropriate forms of simulation, several relevant educational theories of learning are described.
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Surg. Clin. North Am. · Aug 2015
ReviewConcepts for Developing Expert Surgical Teams Using Simulation.
This article investigates how simulation-based training can enhance the effectiveness of surgical teams. First, a description of team training within surgical settings is provided. Then, empirical work from a variety of fields is introduced to describe common characteristics of expert teams, with a specific focus on training surgical teams in simulated settings. Finally, methods and suggestions for evaluation of simulation-based team training are discussed.