Katherine Harris, Dylan Kneale, Toby J Lasserson, Vanessa M McDonald, Jonathan Grigg, James Thomas
School-based self-management interventions for asthma in children and adolescents: a mixed methods systematic review
The Cochrane database of systematic reviews
ventral hernia repair cost us healthcare system nearly 3 billion dollars annually surgical repair critical competency residents yet hernia recurrence rates following meshbased repair range 08 24 improving surgical techniques using cadavers often costprohibited many education programs limited research exists using simulation models corresponding hernia repair curriculum graduate medical education setting pilot project aimed develop low cost easily reproducible novel abdominal wall reconstruction model pilottest ventral hernia repair curriculum inform refinement prior formal evaluation descriptive study pilottested newly refined abdominal wall surgical skills operative model awssom simulator ventral hernia repair mesh corresponding 2h training curriculum use levels general surgery graduate medical education awssom 3d printed synthetic anatomically realistic abdominal wall model consisting silicone cured layers skin fat rectus abdominis posterior rectus sheath fascia silicone tubules simulate lateral neurovascular bundles curriculum incorporated didactic content reflecting surgical practice guidelines handson practice faculty guidance promoting interactive critical thinking development task performance prepostassessment included 10item knowledge test 19item psychomotor assessment 4items confidence survey examine changes performance knowledge confidence competently completing ventral hernia repair technique descriptive statistics used report limited results six military surgical resident participants inform model curriculum refinement prior formal evaluation fivelayer awssom model manufactured 65 h material cost 87 per model frame reusable model secure base six surgical residents recruited four completed pre posttests due resident schedule conflicts average increase knowledge 25 although variable changes confidence observed four program year participants larger sample size control group needed demonstrate curriculum effectiveness improving knowledge performance confidence ventral hernia repair mesh better delineate high scores translate better operative skills key improvement requested residents secure model base dissection performance hernia repair novel abdominal wall surgical skills operative model fills important proof concept gap simulation training low cost potential improve cognitive psychomotor skills well confidence competently complete ventral hernia repair mesh graduate medical education setting prior formal effectiveness testing lessons learned addressed model curriculum future studies must include adequately powered statistical evaluation larger sample across levels training