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DOS Kongressen 2017 ·
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Identification of procedures for simulation-based
training in orthopedic surgery through a national
general needs assessment
Amandus Gustafsson, Bjarke Viberg, Charlotte Paltved, Karen Lindorff-Larsen, Bjørn
Ulrik Nielsen, Henrik Palm, Lars Konge, Leizl Joy Nayahangan
Copenhagen Academy for Medical Education and Simulation, University of Copenha-
gen and the Capital Region; Department of Orthopaedics and Traumatology, Kolding
Hospital – part of Hospital Lillebaelt; Centre for Human Resources MidtSim, Region
Midt; NordSim, Aalborg Universitetshospital; SimC, Odense Universitetshospital; Hip
Fracture Unit, Department of Orthopedics, Copenhagen University Hospital Hvi-
dovre; Copenhagen Academy for Medical Education and Simulation, University of
Copenhagen and the Capital Region; Copenhagen Academy for Medical Education
and Simulation, University of Copenhagen and the Capital Region
Background:
Simulation-based training as an educational modality has grown in-
creasingly popular over the last two decades. However, many interventions have
relied more on what simulators were commercially available or local interests as op-
posed to the need of the trainees. This is in contrast to the theory that curriculum
development is a stepwise approach starting with needs assessment.
Purpose / Aim of Study:
The aim of this study was to conduct a national general
needs assessment to identify technical procedures within orthopedic surgery that
should be integrated into a simulation-based curriculum
Materials and Methods:
A three-round iterative Delphi method was completed.
Key persons (n=97) in the educational milieu were selected to participate. Round 1
was brainstorming where all possible procedures for simulation training were identi-
fied. In round 2, each department (n=27) answered a survey exploring frequency of
procedures, how many should perform the procedure and risk for patients. Feasibil-
ity for simulation was explored by a steering group. In round 3, the key persons had
the opportunity to eliminate and re-prioritize items from the prioritized list created
during round 2.
Findings / Results:
Round 1 had a response rate of 66%, round 2 100% and round
3 65%. In round 1, 194 items were included and after round 3, they were reduced
to a prioritized list of 34 procedures. The five highest ranked procedures were 1)
Basic principles of osteosynthesis, 2) Osteosynthesis of proximal femur fracture,
3) Surgical approaches of the lower extremity, 4) Basic surgical techniques and 5)
Surgical approaches of the upper extremity.
Conclusions:
This study generated a prioritized list of procedures that are highly
relevant and suitable for simulation-based training and will serve as a foundation for
future development of simulation-based curriculum in orthopedic surgery.
No conflicts of interest reported
135.