<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">2126</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2023-31-s2-1120-1125</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>METHOD FOR EVALUATING EFFECTIVENESS OF SIMULATION TRAININGS IN SURGICAL MANIPULATIONS</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Shabunin</surname><given-names>A. V.</given-names></name><email></email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Klimakov</surname><given-names>A. V. Logvinov Yu. I.</given-names></name><email></email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Maer</surname><given-names>R. Yu.</given-names></name><email></email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">Botkin Hospital, 125284, Moscow, Russia</aff><aff id="aff-2">Research Institute for Healthcare Organization and Medical Management, 115088, Moscow, Russia</aff><pub-date date-type="epub" iso-8601-date="2023-12-02" publication-format="electronic"><day>02</day><month>12</month><year>2023</year></pub-date><volume>31</volume><issue>\S2</issue><fpage>1120</fpage><lpage>1125</lpage><history><pub-date date-type="received" iso-8601-date="2025-08-05"><day>05</day><month>08</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 1970,</copyright-statement><copyright-year>1970</copyright-year></permissions><abstract>Performance of varies surgical manipulations (SM) is a key skill in surgery. To develop such skills simulation trainings (ST) are used, followed by a training transfer, which is the ultimate goal of ST However, this training goal is not always achievable — the share of doctors using laparoscopic intracorporal suturing after the training ranges from 43.8% to 72.2%. Therefore, to improve training transfer it is necessity to evaluate effectiveness of such training programs. Current methods evaluate training results either outside real practice or in practice but in small groups due to high cost and efforts consumed. The paper presents a new method to evaluate effectiveness of SM simulation training programs in general population of the trainees, evaluate additional effects of the training and analyze personal factors affecting the training results. The method is based on a survey of the ST program participants, and tested at the Training and Accreditation Center «Medical Simulation Center of the Botkin Hospital» within the program on laparoscopic intracorporal suturing. The rate of training transfer added up to 88.9%. The suggested method makes it possible to evaluate effectiveness of SM simulation training in general population of the trainees, analyze factors affecting the training results and use findings for improving ST programs and methods in general. The method can be recommended for a large-scale implementation in simulation training programs.</abstract><kwd-group xml:lang="en"><kwd>surgical manipulations</kwd><kwd>simulation training in surgery</kwd><kwd>simulation training</kwd><kwd>intracorporal suturing, training effectiveness</kwd><kwd>simulation training effectiveness</kwd><kwd>transfer of training</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>хирургические манипуляции</kwd><kwd>симуляционное обучение в хирургии</kwd><kwd>симуляционный тренинг</kwd><kwd>интракорпоральный шов</kwd><kwd>эффективность обучения</kwd><kwd>эффективность симуляционного обучения</kwd><kwd>перенос умения в практику</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Симуляционное обучение в хирургии / под ред. В. А. Кубышкина, С. И. Емельянова, М. Д. Горшкова. М.; 2014. 264 с.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Шабунин А. В., Логвинов Ю. И. Симуляционное обучение. Руководство. М.; 2018. 792 с.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Mattar S. G., Alseidi A. A., Jones D. B. et al. General surgery residency inadequately prepares trainees for fellowship: results of a survey of fellowship program directors // Ann. Surg. 2013. Vol. 258, N 3. P. 440—449. DOI: 10.1097/SLA.0b013e3182a191ca</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Mereu L., Carri G., Albis Florez E. D., et al. Three-step model course to teach intracorporeal laparoscopic suturing // J. Laparoendosc. Adv. Surg. Tech. A. 2013. Vol. 23, N 1. P. 26—32. DOI: 10.1089/lap.2012.0131</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Профессионально-педагогические понятия: словарь / под ред. Г. М. Романцева. Екатеринбург; 2005. 444 с.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Kirkpatrick D., Kirkpatrick J. Evaluating training programs: the four levels. San Francisco; 2006. 392 p.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Шабунин А. В., Климаков А. В., Логвинов Ю. И. Подходы к оценке эффективности обучения навыкам лапароскопического интракорпорального шва // Московский хирургический журнал. 2021. Специальный выпуск.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Шабунин А. В., Климаков А. В., Логвинов Ю. И., Маер Р. Ю. Способ оценки эффективности симуляционного обучения лапароскопическому интракорпоральному шву // Здоровье мегаполиса. 2023. Т. 4, Вып. 2. С. 15.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Khan M. R., Shariff A. H., Nasim S. et al. Effectiveness of Laparoscopic Skills Workshop on Enhancing Knowledge and Skills of Surgical Residents and Its Comparison with DOPS (Direct Observation of Procedural Skills) Scores: Prospective Cohort Study // Med. Sci. Educ. 2020. Vol. 30, N 2. P. 861—867. DOI: 10.1007/s40670-020-00966-5</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Lynagh M. A systematic review of medical skills laboratory training: where to from here? // Medical education. 2007. Vol. 41. P. 879—887.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Memon M. A., Brigden D., Subramanya M. S., Memon B. Assessing the surgeon&amp;apos;s technical skills: analysis of the available tools // Acad. Med. 2010. Vol. 85, N 5. P. 869—880. DOI: 10.1097/ ACM.0b013e3181d74bad</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Oropesa I., Sánchez-González P., Lamata P. et al. Methods and tools for objective assessment of psychomotor skills in laparoscopic surgery // J. Surg. Res. 2011. Vol. 171, N 1. P. e81—e95. DOI: 10.1016/j.jss.2011.06.034</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Pellen M., Horgan L., Roger Barton J., Attwood S. Laparoscopic surgical skills assessment: can simulators replace experts? // World J. Surg. 2009. Vol. 33, N 3. P. 440—447. DOI: 10.1007/s00268-008-9866-4</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Porte M. C., Xeroulis G., Reznick R. K., Dubrowski A. Verbal feedback from an expert is more effective than self-accessed feedback about motion efficiency in learning new surgical skills // Am. J. Surg. 2007. Vol. 193, N 1. P. 105—110. DOI: 10.1016/j.amjsurg.2006.03.016</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Shepherd W., Arora K. S., Abboudi H. et al. A review of the available urology skills training curricula and their validation // J. Surg. Educ. 2014. Vol. 71, N 3. P. 289—296. DOI: 10.1016/j.jsurg.2013.09.015</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Spiliotis A. E., Spiliotis P. M., Palios I. M. Transferability of simulation-based training in laparoscopic surgeries: a systematic review // Minim. Invasive Surg. 2020. Vol. 2020. P. 5879485. DOI: 10.1155/2020/5879485</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Varas J., Mejía R., Riquelme A. et al. Significant transfer of surgical skills obtained with an advanced laparoscopic training program to a laparoscopic jejunojejunostomy in a live porcine model: feasibility of learning advanced laparoscopy in a general surgery residency // Surg. Endosc. 2012. Vol. 26, N 12. P. 3486—3494. DOI: 10.1007/s00464-012-2391-4</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Kolozsvari N. O., Kaneva P., Brace C. et al. Mastery versus the standard proficiency target for basic laparoscopic skill training: effect on skill transfer and retention // Surg. Endosc. 2011. Vol. 25, N 7. P. 2063—2070. DOI: 10.1007/s00464-011-1743-9</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Boud D. Avoiding the traps: Seeking good practice in the use of self-assessment and reflection in professional courses // Social Work Education. 1999. Vol. 18, N 2. P. 121—132.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Davis D. A., Mazmanian P. E., Fordis M. et al. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review // JAMA. 2006. Vol. 296, N 9. P. 1094—1102. DOI: 10.1001/jama.296.9.1094</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Ganni S., Chmarra M. K., Goossens R. H.M., Jakimowicz J. J. Self-assessment in laparoscopic surgical skills training: Is it reliable? // Surg. Endosc. 2017. Vol. 31, N 6. P. 2451—2456. DOI: 10.1007/s00464-016-5246-6</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Peyre S., MacDonald H., Al-Marayati L. et al. Resident self-assessment versus faculty assessment of laparoscopic technical skills using a global rating scale // International Journal of Medical Education. 2010. Vol. 1. P. 37—41. DOI: 10.5116/ijme.4bf1.c3c1</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Schoeb D. S., Brennecke E., Andert A. et al. Assessment of a course of realistic surgical training during medical education as a tool for pre-residential surgical training // BMC Med. Educ. 2016. Vol. 16. P. 45. DOI: 10.1186/s12909-016-0568-6</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Fahim C., Wagner N., Nousiainen M. T., Sonnadara R. Assessment of technical skills competence in the operating room: a systematic and scoping review // Acad. Med. 2018. Vol. 93, N 5. P. 794—808. DOI: 10.1097/ACM.0000000000001902</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Mitchell E. L., Arora S., Moneta G. L. et al. A systematic review of assessment of skill acquisition and operative competency in vascular surgical training // J. Vasc. Surg. 2014. Vol. 59, N 5. P. 1440—1455. DOI: 10.1016/j.jvs.2014.02.018</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Dawe S. R., Windsor J. A., Broeders J. A. et al. A systematic review of surgical skills transfer after simulation-based training: laparoscopic cholecystectomy and endoscopy // Ann. Surg. 2014. Vol. 259, N 2. P. 236—248. DOI: 10.1097/SLA.0000000000000245</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Vassiliou M. C., Feldman L. S., Andrew C. G. et al. A global assessment tool for evaluation of intraoperative laparoscopic skills // Am. J. Surg. 2005. Vol. 190, N 1. P. 107—113. DOI: 10.1016/j.amjsurg.2005.04.004</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Crochet P., Agostini A., Knight S. et al. The performance gap for residents in transfer of intracorporeal suturing skills from box trainer to operating room // J. Surg. Educ. 2017. Vol. 74, N 6. P. 1019—1027. DOI: 10.1016/j.jsurg.2017.05.013</mixed-citation></ref></ref-list></back></article>
