Development of a hybrid simulation training model for the novel, highly-difficult surgical procedure

2021 Fiscal Year Final Research Report

• Project/Area Number: 20K14076
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 09070:Educational technology-related
• Research Institution: Hokkaido University
• Principal Investigator: Watanabe Yusuke 北海道大学, 大学病院, 特任講師 (90789405)
• Project Period (FY): 2020-04-01 – 2022-03-31
• Keywords: 医療安全 / 手術修練 / 医学教育 / 多職種連携 / カダバートレーニング

Outline of Final Research Achievements

A concept of a hybrid training model was developed for the introduction of novel, highly-difficult surgical procedures on the subject of transanal total mesorectal resection. We identified knowledge and skills that are important for surgeons to understand and acquire and selected learning objectives that are essential for the operating room team, including operating room nurses and clinical engineers, for the safe introduction of such novel procedures. In addition to procedural training using human anatomy, we developed a novel procedure-specific skill training simulation model and a formative assessment rubric. We presented a framework for collecting its validity evidence. Although we developed educational materials based on the learning objective, we were unable to conduct a face-to-face training session due to the COVID-19 outbreak and verify the educational effectiveness of the training model.

Free Research Field

外科

Academic Significance and Societal Importance of the Research Achievements

高難度新規手術を安全に導入普及するにあたっては、外科医の知識習得や技能修練のみならず、手術室看護師や臨床工学技士を含む手術室チームでのトレーニングが重要である。これまで外科医に着目したトレーニングが多い中、本研究では手術室チームに必要な知識・技能に関しても、教材を含む修練モデル開発の枠組みを示した。また当該手術術式の技能訓練においてはヒト解剖を利用したトレーニングが高い学習効果を有するが、特異的な技能を抽出しシミュレーションモデルと技能評価指標を確立することにより、学習効果の向上と修練資源の最適化を両立できるハイブリットトレーニングカリキュラムの構築が可能であることを明らかにした。