Simulation in Surgical Resident Education: A Porcine Hemostasis and Laparoscopic Model

Am Surg. 2023 Jul;89(7):3145-3147. doi: 10.1177/00031348231161678. Epub 2023 Mar 2.

Abstract

The steep learning curve associated with learning laparoscopic techniques and limited training opportunities represents a challenge to general surgery resident training. The objective of this study was to use a live porcine model to improve surgical training in laparoscopic technique and management of bleeding. Nineteen general surgery residents (ranging from PGY 3 to 5) completed the porcine simulation and completed pre-lab and post-lab questionnaires. The institution's industry partner served as sponsors and educators on hemostatic agents and energy devices. Residents had a significant increase in confidence with laparoscopic techniques and the management of hemostasis (P = .01 and P = .008, respectively). Residents agreed and then strongly agreed that a porcine model was suitable to simulate laparoscopic and hemostatic techniques, but there was no significant change between pre- and post-lab opinions. This study demonstrates that a porcine lab is an effective model for surgical resident education and increases resident confidence.

Keywords: general surgery; minimally invasive surgery; resident education; surgical education.

MeSH terms

  • Animals
  • Clinical Competence
  • Curriculum
  • General Surgery* / education
  • Hemostasis
  • Internship and Residency*
  • Laparoscopy* / education
  • Swine