Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital

Identifying Technical Procedures in Orthopaedic Surgery and Traumatology That Should Be Integrated in a Simulation-Based Curriculum: A National General Needs Assessment in Denmark

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review


  1. Transfemoral Amputation After Failure of Knee Arthroplasty: A Nationwide Register-Based Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Outcome of Revision Shoulder Arthroplasty After Resurfacing Hemiarthroplasty in Patients with Glenohumeral Osteoarthritis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Simulation-based training for flexible cystoscopy - A randomized trial comparing two approaches

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Intensive screening for osteoporosis in patients with hip fracture

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Delay in detection and treatment of perioperative anemia in hip fracture surgery and its impact on postoperative outcomes

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: Simulation-based training is emerging within the orthopaedic field to alleviate the challenges that trainees face such as work-hour restrictions, limited exposure to procedures, and increasing pressures to reduce risk to patients. This training modality has grown increasingly popular over the last 2 decades. However, integration into the curriculum often fails to follow a structured educational plan. The development of simulation-based curricula should follow a structured and stepwise approach that starts with a general needs assessment. This study aimed to identify and prioritize procedures within orthopaedic surgery to be included in a simulation-based curriculum on a national basis.

METHODS: A national needs assessment was conducted using the Delphi method. Ninety-five experts who are involved in the training of orthopaedic surgeons from all orthopaedic departments in Denmark were selected to participate in the assessment. Round 1 was a brainstorming phase to identify technical procedures that are relevant for orthopaedic surgeons in training. Round 2 was performed on a departmental basis; it explored the frequency of procedures, the number of surgeons performing each procedure, the risk and/or discomfort to patients, and the feasibility for simulation-based training to prioritize and eliminate some of the procedures that were determined in round 1. During round 3, the experts eliminated and reprioritized procedures from round 2 to produce a final prioritized list.

RESULTS: During the first round, 194 procedures were identified. These were reduced to 62 in round 2, and the final list after round 3 consisted of 33 prioritized procedures that are relevant for simulation-based training in orthopaedic surgery. The response rates were 63 of 95 physicians for round 1, 26 of 26 departments for round 2, and 64 of 97 physicians for round 3. The highest prioritized procedures were basic surgical techniques and principles for osteosynthesis, osteosynthesis of proximal femoral fracture, and surgical exposure of the upper and lower extremities.

CONCLUSIONS: The prioritized list of technical procedures in orthopaedic surgery that are suitable for simulation-based training can aid in the development of a simulation-based curriculum.

CLINICAL RELEVANCE: This article offers insights into needs assessment and curriculum development of simulation-based training in orthopaedic surgery and traumatology.

TidsskriftThe Journal of bone and joint surgery. American volume
Udgave nummer20
Sider (fra-til)e108
StatusUdgivet - 16 okt. 2019

ID: 59292566