Jean Breaud1, Isabelle Talon2, Laurent Fourcade3, Guillaume Podevin4, Julien Rod5, Georges Audry6, Bruno Dohin7, Jean-Francois Lecompte8, Ronny Bensaid8, Virginie Rampal8, Georges Azzie9. 1. Medical Simulation Center, Cote d'Azur University, Faculté de Médecine de Nice, 28 avenue de Valombrose, 06000, Nice, France; Pediatric Surgery Department, Hôpitaux Pédiatriques de Nice CHU-Lenval, 57 avenue de la californie, 06200, Nice, France. Electronic address: breaud.j@pediatrie-chulenval-nice.fr. 2. Pediatric Surgery Department CHU de Strasbourg, Hopital de Hautepierre, 1 avenue Moliere, 67200, Strasbourg, France. 3. Pediatric Surgery Department, CHU de Limoges, Hopital de la Mère et de l'Enfant, 8 avenue Dominique Larrey, 87000, Limoges, France. 4. Pediatric Surgery Department, CHU d'Angers, 4 rue Larrey, 49933, Angers cedex 9, France. 5. Pediatric Surgery Department, CHU de Caen, Avenue de la Côte de Nacre, CS, 30001, 14033 Caen Cedex 9, France. 6. Pediatric Surgery Department, Hopital Armand Trousseau, APHP, 26 avenue du Dr Arnold Netter,75012, Paris, France. 7. Pediatric Surgery Department, CHU de Saint Etienne, Avenue Albert Raimond, 42270, Saint-Priest-en-Jarez. 8. Pediatric Surgery Department, Hopitaux Pédiatriques de Nice CHU-Lenval, 57 avenue de la californie, 06200, Nice, France. 9. Pediatric Surgery Department, Sick Children Hospital, 555 University Avenue, Toronto, ON M5G 1X8, Canada.
Abstract
BACKGROUND/ PURPOSE: To implement resident curriculum in France based on theoretical teaching and bed side training, the national council known as the "Collège Hospitalier et Universitaire de Chirurgie Pédiatrique" examined the relevance and feasibility of systematically introducing simulation program in the pediatric surgery resident training. MATERIAL AND METHODS: A national simulation training program was developed and took place in a 2-day session organized in 7 simulation centers in France. The program included technical (laparoscopic/suturing technique on low-fidelity models) and nontechnical (6 scenarios for standardized consultation, and a team work scenario based on errors prevention in the operative room) skills. Evaluation of the program (Likert scale from 1 (bad) to 5 (excellent) and notation on 20 points) concerned trainees and trainers. RESULTS: 40 residents (95% of all pediatric surgery French residents) attended with a ratio of trainees/trainer of ½. The training objectives earned a score of 4.46/5. The pedagogical value of the seminar scored 4.7/5, teaching quality 17.95/20, and the overall seminar score was 17.35/20. CONCLUSION: This program, unique nationally, was assessed very favorably by the participating residents and by the involved trainers. To our knowledge, it represents the first mandatory national simulation training program included within a surgical training model. LEVEL OF EVIDENCE: Level IV.
BACKGROUND/ PURPOSE: To implement resident curriculum in France based on theoretical teaching and bed side training, the national council known as the "Collège Hospitalier et Universitaire de Chirurgie Pédiatrique" examined the relevance and feasibility of systematically introducing simulation program in the pediatric surgery resident training. MATERIAL AND METHODS: A national simulation training program was developed and took place in a 2-day session organized in 7 simulation centers in France. The program included technical (laparoscopic/suturing technique on low-fidelity models) and nontechnical (6 scenarios for standardized consultation, and a team work scenario based on errors prevention in the operative room) skills. Evaluation of the program (Likert scale from 1 (bad) to 5 (excellent) and notation on 20 points) concerned trainees and trainers. RESULTS: 40 residents (95% of all pediatric surgery French residents) attended with a ratio of trainees/trainer of ½. The training objectives earned a score of 4.46/5. The pedagogical value of the seminar scored 4.7/5, teaching quality 17.95/20, and the overall seminar score was 17.35/20. CONCLUSION: This program, unique nationally, was assessed very favorably by the participating residents and by the involved trainers. To our knowledge, it represents the first mandatory national simulation training program included within a surgical training model. LEVEL OF EVIDENCE: Level IV.
Authors: Jennifer Mitzman; Ilana Bank; Rebekah A Burns; Michael C Nguyen; Pavan Zaveri; Michael J Falk; Manu Madhok; Ann Dietrich; Jessica Wall; Muhammad Waseem; Teresa Wu; Alisa McQueen; Cynthia R Peng; Brian Phillips; Francesca M Bullaro; Cindy D Chang; Sam Shahid; David P Way; Marc Auerbach Journal: AEM Educ Train Date: 2019-12-12