Usefulness of low‐cost simulation models to learning surgical techniques for placenta accreta spectrum: An observational educational study

Author:

Nieto‐Calvache Albaro José1ORCID,Palacios‐Jaraquemada José Miguel2ORCID,Fox Karin A.3ORCID,Benavides Juan Pablo1,Sarria‐Ortiz Daniela4,Muñoz‐Córdoba Laura4,Galindo‐Velasco Valentina4,Maya Juliana5,Meade Paulo6,Romero Eduardo7,Mostajo Desiré7,Delgado Jorge8,de la Cruz Antonio9,Valladares Alexis10,Sánchez Amadeo10,Fernández Julio10,Pavón Néstor11,Solo‐Nieto Alejandro1213ORCID,Burgos Juan Manuel1,Messa‐Bryon Adriana1,Hussein Ahmed M.14ORCID

Affiliation:

1. Departamento de Ginecología y Obstetricia Fundación Valle del Lili Cali Colombia

2. CEMIC University Hospital Buenos Aires Argentina

3. UTMB Galveston Texas USA

4. Centro de Investigaciones Clínicas Fundación Valle del Lili Cali Colombia

5. Facultad de Ciencias de la Salud Universidad Icesi Cali Colombia

6. Grupo CONDESEO San Luis Potosí Mexico

7. Centro Médico PERINAT Santa Cruz de la Sierra Bolivia

8. Facultad de Medicina de León Universidad de Guanajuato Guanajuato Mexico

9. Institución Hospital General Regional de León León Mexico

10. Instituto Nacional Materno Perinatal Lima Peru

11. Hospital Nacional Bertha Calderón Roque Managua Nicaragua

12. Universidad Santiago de Cali Cali Colombia

13. Universidad Nacional Abierta y a Distancia (UNAD) Palmira Colombia

14. Department of Obstetrics and Gynecology Cairo University Cairo Egypt

Abstract

AbstractObjectiveTo evaluate the utility of low‐cost simulation models to teach surgical techniques for placenta accreta spectrum (PAS), included in a multimodal education workshop for PAS.MethodsThis was an observational, survey‐based study. Participants were surveyed before and after the use of low‐fidelity mannequins to simulate two surgical techniques for PAS (one‐step conservative surgery [OSCS] and modified subtotal hysterectomy [MSTH]), within a multimodal educational workshop. The workshops included pre‐course preparation, didactics, simulated practice of the techniques using low‐cost models, and viewing live surgery.ResultsSix OSCS/MSTH training workshops occurred across six countries and a total of 270 participants were surveyed. The responses of 127 certified obstetricians and gynecologists (OB–GYNs) were analyzed. Participants expressed favorable impressions of all components of the simulated session. Perceived anatomical simulator fidelity, scenario realism, educational component effectiveness, and self‐assessed performance improvement received ratings of 4–5 (positive end of the Likert scale) from over 90% of respondents. When asked about simulation's role in technique comprehension, comfort level in technique performance, and likelihood of recommending this workshop to others, more than 75% of participants rated these aspects with a score of 4–5 (positively) on the five‐point scale.ConclusionLow‐cost simulation, within a multimodal education strategy, is a well‐accepted intervention for teaching surgical techniques for PAS.

Publisher

Wiley

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