Medical Simulation Training Technology
Surgically treated disorders represent a significant portion of the global health burden and are inadequately addressed in low- and middle-income countries (LMICs)1. Simulation and video training tools have dramatically changed the face of medical training in the developed world2, but have yet to be effectively introduced in LMICs. Medical Simulation International (MSI) intends to change this.
We have developed an interactive video simulation platform in an effort to provide state-of-the-art surgical training that utilizes existing resources by functioning on a standard personal computer. Simulation strategies can be highly technical and costly. However, even the lowest resource hospitals often have access to a personal computer for its professional medical staff.
The foundation of our program is a series of high definition video recordings of surgical procedures performed by a master surgeon. The curriculum is robust and blends live intra-operative video with expert lectures, anatomy reviews, decision making flowcharts, texts, animations, still images as well as quizzes and a test of knowledge into an interactive format, is designed for medical professionals to engage and optimally prepare them for hands-on surgical training at a certified center. This unique program is not intended to replace formal bedside and intra-operative procedural training. Rather, our program is an accelerator and enhancement to the learning process.
The Training Course
The trainee completes all steps to simulate an entire surgical procedure. Step-by-step, the trainee completes all steps to simulate an entire surgical procedure. “Hot spots” are integrated within the video picture frame to highlight the anatomic structures in the surgical field.
After watching the full procedure, the trainees engage in a video-based procedure by choosing an instrument from a virtual instrument stand using their computer’s mouse to maneuver and perform specific actions. Errors are logged to identify an area which requires more focused training and will require the trainee to repeat the step until the correct choice is made. Once correct, the video provides running commentary of the missed step, providing useful tips to supplement the trainee’s learning.
We expect this program to dramatically improve the efficiency and the quality of the hands-on training that takes place when trainees present to a certified training centers. Additionally, upon returning to their home hospital, this video trainer will provide the trainee with a useful refresher and build confidence to deter trainees from abandoning their newly acquired skills. The measured outcomes include assessments of trainees’ cognitive knowledge acquisition, skill acquisition and number of cases performed.