Validation of Open Inguinal Hernia Repair Simulation Model A Randomised Controlled Educational Trial Khatib M, Hald N, Brenton H, Sarker S, Standfield N, Ziprin P, Kneebone R, Bello F Imperial College London Association for Surgical Education Surgical Education Week 24 th April 2013
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Validation of Open Inguinal Hernia Repair Simulation Model A Randomised Controlled Educational Trial Khatib M, Hald N, Brenton H, Sarker S, Standfield.
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Validation of Open Inguinal Hernia Repair Simulation Model A Randomised Controlled Educational Trial
Khatib M, Hald N, Brenton H, Sarker S, Standfield N, Ziprin P, Kneebone R, Bello F
Imperial College London
Validation of Open Inguinal Hernia Repair Simulation Model A Randomised Controlled Educational Trial
Khatib M, Hald N, Brenton H, Sarker S, Standfield N, Ziprin P, Kneebone R, Bello F
Imperial College London
Association for Surgical Education
Surgical Education Week
24th April 2013
Introduction• Surgical simulation brought to the forefront of
surgical training– Technological advances– Importance of surgical safety– Limitation in surgical trainee exposure
• EWTD• Duty hour restrictions
• Abundance of laparoscopic/ endovascular simulators
• Development of Hernia Repair Open Surgical Simulation (HeROSS) model
Recruitment
Clinical Years Medical students invited to participate
Volunteers screened
Exclusion criteria implemented
Block Randomisation
Pre-intervention MCQ
Intervention Group
Group 4:
Control Group
Group 1:
Interactive Simulation
Group 2:
Non-interactive Simulation
Group 3:
Video Tutorial
Assessment
1. Post-intervention MCQ
2. Viva
Method
Performing or assisting in an open inguinal hernia repair
Previous bachelor degree in anatomy
Anatomy demonstrator
Method• Three separate one hour learning sessions
• Scenario given to candidates
• All in one week
• Assessment one day after final learning session
Method• Interactive Simulation
Method• Video Tutorial
Method• Control Group
– Internet access– Quick access to all surgical procedure
textbooks and mini-textbooks available in Imperial College Library
– Anatomy handouts from commonly used anatomy textbooks and atlases
Results
Results• 54 students completed study
• Group 1 n=15• Group 2 n=15• Group 3 n=12• Group 4 n=14