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  • Surgical team simulation: assessing milestones, identifying gaps and enhancing active learning in military surgical residents

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Surgical team simulation: assessing milestones, identifying gaps and enhancing active learning in military surgical residents
  1. Vivek Abraham1,
  2. D Jardine2,
  3. C Pasque3,
  4. A Weller1 and
  5. C Osier1
  1. 1 Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA
  2. 2 Department of Otolaryngology, Naval Medical Center Camp Lejeune, Camp Lejeune, North Carolina, USA
  3. 3 Department of Orthopaedic Surgery, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, USA
  1. Correspondence to Dr. Vivek Abraham, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth 23708, VA, USA; vivabraham{at}gmail.com

https://doi.org/10.1136/military-2023-002386

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    Retention of knowledge and development of procedural skills are the foundation of future clinical practice and a focus of graduate medical education. This education usually comes for military trainees during the care of real patients, which can result in various patient safety challenges and can threaten optimal clinical outcomes both on and off the battlefield. Simulated patient scenarios and procedures can be a practical and safe teaching tool for the development of technical and non-technical skills.1–3 Our goal was to assess a cadaver-based simulation exercise that tested and improved military orthopaedic surgery resident knowledge and confidence in surgical skills via active learning techniques.

    Eleven orthopaedic residents and two physician assistant fellows comprised three surgical teams. In this cadaver-based exercise, teams were tasked with performing medial and lateral …

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    Footnotes

    • Contributors CO and DJ conceived the idea. AW, CP, VA and CO led the exercise, and CO and VA gathered the results. VA took the lead in organising the data and writing the manuscript. CO edited the manuscript. All authors reviewed the manuscript and agreed with the final product.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Disclaimer The views expressed in this article reflect the results of research conducted by the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense or the US Government.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Author note I am a military service member. This work was prepared as part of my official duties. Title 17 U.S.C. 105 provides that “Copyright protection under this title is not available for any work of the United States Government.’ Title 17 U.S.C. 101 defines a United States Government work as a work prepared by a military service member or employee of the United States Government as part of that person’s official duties.