The use of simulators for training doctors and residents in surgical areas: systematic review

Authors

DOI:

https://doi.org/10.5327/prmj.2025.001

Keywords:

simulation training, simulation exercise, medical staff, hospital, education medical

Abstract

Purpose: To evaluate the effectiveness of surgical simulators in training doctors and residents. Methods: This is a systematic review of studies published in the last 5 years in the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (LILACS) and PubMed databases. 30 articles that met the inclusion criteria were selected. Results: Simulators for training surgical skills proved to be an effective tool in training doctors and residents, improving technical skills, reducing procedure time and risk of complications. 93.3% of studies demonstrated significant improvement in the technical skills of doctors and residents after training with simulators. Conclusion: This systematic review demonstrates the effectiveness of surgical procedure simulators in training physicians and residents.

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References

Ortiz C, Vela J, Contreras C, Belmar F, Paul I, Zinco A, et al. A new approach for the acquisition of trauma surgical skills: an OSCE type of simulation training program. Surg Endosc. 2022;36(11):8441-50. https://doi.org/10.1007/S00464-022-09098-W

Yang WS, Yen P, Wang YC, Chien YC, Chie WC, Ma MHM, et al. Objective performance of emergency medical technicians in the use of mechanical cardiopulmonary resuscitation compared with subjective self-evaluation: a cross-sectional, simulation-based study. BMJ Open. 2022;12(6):e062908. https://doi.org/10.1136/BMJOPEN-2022-062908

Malmut L, Rho ME. Simulation-based education for urgent medical complications common to the rehabilitation setting: an educational program for physical medicine and rehabilitation residents. PM R. 2019;11(12):1272-7. https://doi.org/10.1002/PMRJ.12148

Caldwell KE, Lulla A, Murray CT, Handa RR, Romo EJ, Wagner JW, et al. Multi-Disciplinary Trauma Evaluation and Management Simulation (MD-TEAMS) training for emergency medicine and general surgery residents. Am J Surg. 2021;221(2):285-90. https://doi.org/10.1016/J.AMJSURG.2020.09.013

Bilodeau C, Schmölzer GM, Cutumisu M. A randomized controlled simulation trial of a neonatal resuscitation digital game simulator for labour and delivery room staff. Children (Basel). 2024;11(7):793. https://doi.org/10.3390/children11070793

Koch RW, Saleh H, Folkeard P, Moodie S, Janeteas C, Agrawal SK, et al. Skill transference of a probe-tube placement training simulator. J Am Acad Audiol. 2020;31(1):40-9. https://doi.org/10.3766/JAAA.18054

Sheshadri V, Wasserman I, Peters AW, Santhirapala V, Mitra S, Sandler S, et al. Simulation capacity building in rural Indian hospitals: a 1-year follow-up qualitative analysis. BMJ Simul Technol Enhanc Learn. 2020;7(3):140-5. https://doi.org/10.1136/bmjstel-2019-000577

Jang TC, Ryoo HW, Moon S, Ahn JY, Lee DE, Lee WK, et al. Long-term benefits of chest compression-only cardiopulmonary resuscitation training using real-time visual feedback manikins: a randomized simulation study. Clin Exp Emerg Med. 2020;7(3):206-12. https://doi.org/10.15441/ceem.20.022

New ML, Amass T, Neumeier A, Huie TJ. Massive hemoptysis simulation curriculum improves performance. Chest. 2024;165(3):645-52. https://doi.org/10.1016/j.chest.2023.10.013

Rabenstein AP, Khomutova A, Shroyer ALW, Scriven R, McLarty A, Tannous H, et al. Cardiac surgical simulation program during general surgery residency increases resident physician exposure to cardiac surgery and technical expertise. JTCVS Open. 2022;9:179-84. https://doi.org/10.1016/j.xjon.2022.01.002

Fernandes CO, Rodrigues LR, Amaral MLBS, Rodrigues SJM, Marton-Filho MA. Low-cost simulator for intra-abdominal bleeding. Rev Col Bras Cir. 2023;50:e20233512. https://doi.org/10.1590/0100-6991e-20233512-en

Santomauro C, Host D, Arthur D, Alexander M, King C. Simulating a self-inflicted facial gunshot wound with moulage to improve perceived realism, immersion, and learning in simulation-based airway management training. BMJ Simul Technol Enhanc Learn. 2020;6(5):289-92. https://doi.org/10.1136/bmjstel-2019-000492

Prathep S, Jitpakdee W, Pitathawatchai P, Anuntaseree S. The evaluation of using new trachea and skin manikins for practicing emergency anterior neck access. Int J Emerg Med. 2021;14(1):27. https://doi.org/10.1186/s12245-021-00350-z

Yau SY, Chang YC, Wu MY, Liao SC. Does seniority always correlate with simulated intubation performance? Comparing endotracheal intubation performance across medical students, residents, and physicians using a high-fidelity simulator. PLoS One. 2021;16(9):e0257969. https://doi.org/10.1371/journal.pone.0257969

Lawrence J, Eastwick-Field P, Maloney A, Higham H. In situ deteriorating patient simulation in general practice. Br J Gen Pract. 2020;70(suppl 1):bjgp20X711425. https://doi.org/10.3399/bjgp20x711425

Lapierre A, Bouferguene S, Gauvin-Lepage J, Lavoie P, Arbour C. Effectiveness of interprofessional manikin-based simulation training on teamwork among real teams during trauma resuscitation in adult emergency departments: a systematic review. Simul Healthc. 2020;15(6):409-21. https://doi.org/10.1097/SIH.0000000000000443

Baker SE, Escamilla K, Jacobs M, Sherhart R, Trello-Rishel K, Fuehrlein B. Manikin-based simulation: an update to the clerkship experience. Acad Psychiatry. 2021;45(4):530-1. https://doi.org/10.1007/s40596-021-01479-y

Harwayne-Gidansky I, Askin G, Fein DM, McNamara C, Duncan E, Delaney K, et al. Effectiveness of a simulation curriculum on clinical application: a randomized educational trial. Simul Healthc. 2022;17(2):71-7. https://doi.org/10.1097/SIH.0000000000000598

Collis AC, Wescott AP, Greco S, Solvang N, Lee J, Morris AE. Airborne isolation cardiac arrest: a simulation program for interdisciplinary code blue team training. MedEdPORTAL. 2022;18:11213. https://doi.org/10.15766/mep_2374-8265.11213

Wang A, Saltarelli N, Cooper D, Amatya Y, House DR. Establishing a low-resource simulation emergency medicine curriculum in Nepal. MedEdPORTAL. 2020;16:10924. https://doi.org/10.15766/mep_2374-8265.10924

Peek JJ, Max SA, Bakhuis W, Huig IC, Rosalia RA, Sadeghi AH, et al. Virtual reality simulator versus conventional advanced life support training for cardiopulmonary resuscitation post-cardiac surgery: a randomized controlled trial. J Cardiovasc Dev Dis. 2023;10(2):67. https://doi.org/10.3390/JCDD10020067

Stefanidis D, Aggarwal R, Rush Jr RM, Lee G, Blair PG, Hananel D, et al. Advanced modular manikin and surgical team experience during a trauma simulation: results of a single-blinded randomized trial. J Am Coll Surg. 2021;233(2):249-60.e2. https://doi.org/10.1016/j.jamcollsurg.2021.04.029

Urdiales AIA, Struck GT, Guetter CR, Yaegashi CH, Temperly KS, Abreu P, et al. Surgical cricothyroidostomy. Analysis and comparison between teaching and validation models of simulator models. Rev Col Bras Cir. 2020;47:e20202522. https://doi.org/10.1590/0100-6991e-20202522

Saricilar EC, Burgess A, Freeman A. A pilot study of the use of artificial intelligence with high-fidelity simulations in assessing endovascular procedural competence independent of a human examiner. ANZ J Surg. 2023;93(6):1525-31. https://doi.org/10.1111/ans.18484

Rowe TJ, Vitale KM, Malsin ES, Argento AC, Cohen ER, Ward SK, et al. Impact of simulation-based mastery learning on management of massive hemoptysis. ATS Sch. 2024;5(2):322-31. https://doi.org/10.34197/ats-scholar.2023-0120IN

Azizi K, Ismail M, Aftab U, Afzal B, Mian A. Effectiveness of high-fidelity simulation in training emergency medicine physicians in point of care ultrasonography in pakistan: a quasi-experimental study. Cureus. 2020;12(6):e8659. https://doi.org/10.7759/cureus.8659

Lv M, Jia Y, Zong Z, Jiang R, Du W, Zhang L, et al. Method for teaching life-saving combat first-aid skills with live-actor patients using a wearable training apparatus. Mil Med. 2022;187(5-6):757-63. https://doi.org/10.1093/milmed/usab286

Jin G, Tao X, Xu H. The impact of high-fidelity simulator system on bronchoscopy operation skills of trainees who receive refresher training: a teaching study. Thorac Cardiovasc Surg. 2024;72(7):568-75. https://doi.org/10.1055/S-0044-1787888

Tarver EM, Jefferson GD, Parker P, Readman K, Marocho SMS, Lerant AA. Modified manikin for tracheoinnominate artery fistula. J Educ Teach Emerg Med. 2021;6(3):I1-I8. https://doi.org/10.21980/J8Z93H

Palm KH, Lei C, Walsh R, Heimiller J, Sikon J. An inexpensive, high-fidelity Resuscitative Hysterotomy (RH) model with hemorrhage capability. Cureus. 2022;14(6):e25582. https://doi.org/10.7759/cureus.25582

Published

2025-06-24

How to Cite

Silva, K. T. B. da, Santos, R. G. P. B. dos, Nascimento, K. C. C., Yasojima, E. Y., Lima, A. B. de, Brito, M. V. H., Guilherme, G. N., & Reis, J. M. C. dos. (2025). The use of simulators for training doctors and residents in surgical areas: systematic review. Pará Research Medical Journal, 8. https://doi.org/10.5327/prmj.2025.001

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Section

Artigos de Revisão Sistemática