Abstract:
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.
journal_name
Med Teachjournal_title
Medical teacherauthors
Harris A,Kassab E,Tun JK,Kneebone Rdoi
10.3109/0142159X.2012.731095subject
Has Abstractpub_date
2013-04-01 00:00:00pages
e1078-81issue
4eissn
0142-159Xissn
1466-187Xjournal_volume
35pub_type
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