Simulation to Educate Practicing Urologists in Rural Locations: Identifying Strategies to Increase Procedural Adoption
Journal of the American College of Surgeons
; 236(5 Supplement 3):S98, 2023.
Artículo
en Inglés
| EMBASE | ID: covidwho-20238310
ABSTRACT
Introduction:
The COVID-19 pandemic necessitated proliferation of telesimulation. This pedagogy may be useful in rural areas to increase procedural adoption and reduce healthcare disparities. Our aim was to determine the current status of surgical simulation education to retool rural practicing Urologists. Method(s) Literature search was performed with a trained librarian for PubMed, EMBASE and Web of Science. Title/ screening were performed to include all studies of surgical simulation involving rural surgical learners to identify simulation education opportunities for practicing rural Urologists. Data was then extracted simulation event, skills focus, MERSQI score, type/number of learners, learner assessment and event evaluation. Result(s) Seven manuscripts met inclusion criteria. Most were published 2019-2020 and were cross sectional (5/7, 71%). Mean adjusted MERSQI score was 13 (range 6-15.5). A wide range of surgical skills were taught (incl. laparoscopy, cricothyroidotomy, chest tube insertion, damage control laparotomy), but no Urological surgical skills. Two articles described mobile simulation units for rural areas. A total of 232 learners were identified including 69 medical students. One fifth of rural learners were non-medical or non-physicians. Only one study involved faculty, who were general surgeons. Conclusion(s) Telesimulation education for practicing Urologists in rural areas is lacking. Current in-operating room telementoring for rural Urologists requires surgeons to travel and perform their first cases utilizing this new technique on patients. Telesimulation to teach Urological skills in rural areas of the US may increase dissemination of techniques with no patient risk and has significant potential to redress current healthcare disparities.
adoption; adult; chest tube; conference abstract; education; Embase; female; health care disparity; human; laparoscopy; laparotomy; librarian; male; Medical Education Research Study Quality Instrument; medical student; Medline; operating room; patient risk; risk assessment; rural area; simulation; skill; surgeon; systematic review; tracheotomy; travel; urologist; Web of Science
Texto completo:
Disponible
Colección:
Bases de datos de organismos internacionales
Base de datos:
EMBASE
Tipo de estudio:
Estudio experimental
/
Estudio observacional
/
Estudio pronóstico
/
Ensayo controlado aleatorizado
/
Revisiones
Idioma:
Inglés
Revista:
Journal of the American College of Surgeons
Año:
2023
Tipo del documento:
Artículo
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