Úvod a cíle: V rámci odborné přípravy mladých chirurgů je v České republice absolvování miniinvazivních laparoskopických simulačních kurzů dobrovolné. Cílem této práce je vyhodnotit 10leté pořádání simulačního laparoskopického miniinvazivního kurzu na boxových simulátorech a simulátorech virtuální reality z pohledu jeho absolventů a přiblížit současné využití simulace v erudici chirurgů. Typ studie: Observační, dotazníková (survey). Metodika: Z 26 kurzů, které probíhaly v letech 2014–2024, byla získána data pomocí anonymního dotazníku. Vyhodnocení proběhlo metodou deskriptivní statistiky. Zpracovávaly se odpovědi týkající se očekávání od kurzu, míry jejich naplnění, případného doporučení kurzu a finančních nákladů. Výsledky: Celkově se kurzů zúčastnilo 96 lékařů, z toho 55 mužů a 41 žen. Dotazníky vyplnili všichni. V 89 případech (92,7 %) účastníci očekávali naučení správné techniky, tipů a triků při laparoskopických operacích, ve 42 případech (43,8 %) očekávali zrychlení operačního času a ve 37 případech (38,5 %) uvedli prohloubení anatomických a teoretických znalostí. Kurz zcela naplnil očekávání u 92 % případů, u 6 % je naplnil s drobnými výhradami a u 2 % částečně. Kurz by povinně doporučilo 97 % účastníků, zatímco 3 % by jeho absolvování ponechala na uvážení jednotlivce. Celkem 28 (29,2 %) účastníků si kurz hradilo z vlastních prostředků, 5 (5,2 %) částečně a 63 (65,6 %) jej mělo hrazeno zaměstnavatelem. Závěr: Absolventi doporučují zařazení laparoskopického simulačního kurzu do povinného vzdělávacího kurikula chirurgie. Přibližně jedna třetina z nich projevila ochotu si nepovinné vzdělání sama uhradit. Přestože simulátory a simulace v chirurgii tvoří významný tréninkový nástroj, nelze jimi plně nahradit roli mentora – zkušeného atestovaného kolegy/ů.
Introduction and aims: The training of young surgeons in the Czech Republic includes the completion of mini-invasive, laparoscopic simulation courses on a voluntary basis. The aim of this study is to show how simulation is used now to train surgeons and to look back at 10 years of running a simulation, laparoscopic, mini-invasive course from the graduates’ points of view using box and virtual reality simulators. Type of study: Observational, survey. Methods: Data were collected from 26 courses (2014–2024) by an anonymous questionnaire. The questionnaires were completed by all graduates (100%). Their evaluation was done by the descriptive statistics method. Questions were asked about expectations and fulfilment of the expectations from the course with its possible recommendation and financial cost. Results: A total of 96 doctors, 55 men and 41 women, participated in the courses. The questionnaires were completed by all participants. In 89 cases (92.7%), the candidates wanted to learn the correct technique, tips, and tricks in laparoscopic surgery; in 42 cases (43.8%), they expected an increase in the operative time; and in 37 cases (38.5%), a deepening of anatomical and theoretical knowledge was mentioned. The course completely fulfilled the expectations in 92% of the cases, in 6.0% of the cases, it fulfilled them with minor reservations and in 2.0% it fulfilled them partially. Ninety seven percent of participants would recommend the course as compulsory; 3% would leave its recommendation to the discretion of the graduate. Twenty-eight participants (29.2%) fully paid for the course; 5 (5.2%) participants partially paid; and 63 (65.6%) participants received payment from their employer. Conclusion: The participants recommended the simulation course for compulsory inclusion in the surgical education curriculum, and about one-third of them also expressed willingness to pay for the optional education. Although simulators and simulations in surgery represent an important training potential, the subsequent role of mentor in the form of certified, experienced colleague(s) cannot be replaced by them.
PURPOSE: Minimally invasive surgery (MIS) in neonates and infants presents technical challenges and is still unfamiliar to many paediatrics surgeons. This study aims to identify currently available simulators for neonatal/infant MIS training, to assess their validity, level of evidence, and related recommendations. METHODS: The review followed PRISMA guidelines and was registered in PROSPERO (CRD420250581050). Electronic search limited to English articles was performed through PubMed/MEDLINE, SCOPUS, Web of Science and Cochrane Database from January 2010 to June 2024. RESULTS: Out of 1084 identified records, 72 studies met the inclusion criteria and were analysed across general, gastrointestinal, thoracic, and urological MIS specialties. Recent efforts have led to the development of 3D-printed, animal-based, and hybrid models several of which showed high fidelity, skill differentiation, and educational value. Despite promising results, no universal MIS training model exists for neonate/infant patients, highlighting the need for structured, proficiency-based curricula. Overall, studies demonstrated moderate levels of evidence and recommendation, supporting integration of cost-effective simulation into paediatrics MIS training CONCLUSION: This systematic review highlights the need for validated, standardized simulation models and proficiency-based curricula to optimize neonate and infant MIS training and guide future research toward improving model fidelity, accessibility, and long-term educational outcomes.
- MeSH
- Clinical Competence MeSH
- Infant MeSH
- Humans MeSH
- Minimally Invasive Surgical Procedures * education MeSH
- Infant, Newborn MeSH
- Pediatrics * education MeSH
- Simulation Training * methods MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Publication type
- Journal Article MeSH
- Systematic Review MeSH
Stejně jako jinde ve světě se také u nás mohou studenti zdravotnických oborů i zdravotničtí profesionálové stále častěji setkat s výukou založenou na simulacích a pojmem simulační medicína. Co je to simulační medicína a na jakých základech staví? Proč roste počet simulačních center u nás i ve světě? A jaká je dostupnost simulačního vzdělávání pro lékaře i sestry v České republice? Odpověď na tyto otázky budou hledat následující řádky.
As in other parts of the world, medical students and health care professionals are increasingly encountering simulation-based teaching and the term simulation medicine. What is simulation medicine and what are its foundations? Why the number of simulation centres in this country and around the world? And what is the availability of simulation-based education for doctors and nurses in the Czech Republic? The following lines will seek the answer to these questions.
- Keywords
- simulační medicína,
- MeSH
- Humans MeSH
- Education, Medical MeSH
- Simulation Training * MeSH
- Check Tag
- Humans MeSH
- Geographicals
- Czech Republic MeSH
Súhrn Detská chirurgia je lekárska špecializácia, ktorá sa zameriava na diagnostiku, liečbu a pooperačnú starostlivosť o deti s vrodenými a získanými anomáliami a chorobami. Cieľom detských chirurgov je zabezpečiť, aby deti dostali najlepšiu možnú starostlivosť a aby sa minimalizovali riziká a komplikácie spojené s chirurgickými zákrokmi. Súčasní detskí chirurgovia čelia mnohým výzvam, vrátane malému počtu detí s vrodenými vývojovými chybami; ekonomické tlaky a snaha o zvýšenie efektivity vedú k znižovaniu času stráveného na jednotlivých operáciách, čo môže obmedzovať možnosť dôkladného tréningu mladých chirurgov. Tieto výzvy vyžadujú inovatívne prístupy a neustále zlepšovanie vzdelávacích a tréningových metód. Minimálne invazívna chirurgia sa stala významnou súčasťou detskej chirurgie, prinášajúc benefity ako rýchlejšie zotavenie, menšie operačné rany a nižšie riziko infekcie. Avšak, minimálne invazívna detská chirurgia je technicky náročná a vyžaduje excelentnú technickú zručnosť. Potreba udržiavať a zlepšovať chirurgické zručnosti vyžaduje neustály tréning. Súčasné vzdelávacie metódy sa čoraz viac spoliehajú na simulačné technológie, aby sa zlepšila kvalita a bezpečnosť tréningu s čo najnižším rizikom pre pacientov. Integrácia technológie 3D tlače a obrazových dát z CT a MR skenov priniesla nové možnosti na tvorbu vysoko realistických simulačných modelov pre minimálne invazívnu chirurgiu. Tieto modely presne replikujú prostredie, s ktorým sa stretávame napr. pri novorodeneckej chirurgii. V tomto článku uvádzame vlastné skúsenosti s vývojom a tvorbou 3D tlačených syntetických modelov určených na tréning torakoskopickej operácie atrézie pažeráka s tracheoezofageálnou fistulou. Cieľom tohto súhrnného článku je poskytnúť aktuálny prehľad literatúry venujúcej sa syntetickým 3D tlačeným modelom určeným pre tréning minimálne invazívnej detskej chirurgie.
Summary Pediatric surgery is a medical specialty focused on the diagnosis, treatment, and postoperative care of children with congenital and acquired anomalies and diseases. The goal of pediatric surgeons is to ensure that children receive the best possible care while minimizing the risks and complications associated with surgical procedures. Contemporary pediatric surgeons face many challenges, including a decline in the number of children with congenital developmental defects, economic pressures, and efforts to increase efficiency, leading to reduced time spent on individual surgeries. This can limit the opportunity for thorough training of young surgeons. These challenges require innovative approaches and continuous improvement in educational and training methods. Minimally invasive surgery has become a significant part of pediatric surgery, offering benefits such as faster recovery, smaller surgical wounds, and lower risk of infection. However, minimally invasive pediatric surgery is technically demanding and requires excellent technical skills. The need to maintain and improve surgical skills demands ongoing training. Current educational methods increasingly rely on simulation technologies to enhance the quality and safety of training without risk to patients. The integration of 3D printing technology and imaging data from CT and MRI scans has opened new possibilities for creating highly realistic simulation models for minimally invasive surgery. These models accurately replicate the environment encountered in procedures like neonatal surgery. In this article, we present our experience with the development and creation of 3D-printed synthetic models designed for training thoracoscopic surgery of esophageal atresia with tracheoesophageal fistula. The aim of this review article is to provide an up-to-date overview of the literature on synthetic 3D-printed models designed for training in minimally invasive pediatric surgery.
This study aims to provide an updated overview of medical error taxonomies by building on a robust review conducted in 2011. It seeks to identify the key characteristics of the most suitable taxonomy for use in high-fidelity simulation-based postgraduate courses in Critical Care. While many taxonomies are available, none seem to be explicitly designed for the unique context of healthcare simulation-based education, in which errors are regarded as essential learning opportunities. Rather than creating a new classification system, this study proposes integrating existing taxonomies to enhance their applicability in simulation training. Through data from surveys of participants and tutors in postgraduate simulation-based courses, this study provides an exploratory analysis of whether a generic or domain-specific taxonomy is more suitable for healthcare education. While a generic classification may cover a broad spectrum of errors, a domain-specific approach could be more relatable and practical for healthcare professionals in a given domain, potentially improving error-reporting rates. Seven strong links were identified in the reviewed classification systems. These correlations allowed the authors to propose various simulation training strategies to address the errors identified in both the classification systems. This approach focuses on error management and fostering a safety culture, aiming to reduce communication-related errors by introducing the principles of Crisis Resource Management, effective communication methods, and overall teamwork improvement. The gathered data contributes to a better understanding and training of the most prevalent medical errors, with significant correlations found between different medical error taxonomies, suggesting that addressing one can positively impact others. The study highlights the importance of simulation-based education in healthcare for error management and analysis.
- MeSH
- Medical Errors * prevention & control classification MeSH
- Humans MeSH
- Education, Medical methods MeSH
- Simulation Training methods MeSH
- Health Personnel education MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Keywords
- simulační medicína,
- MeSH
- Humans MeSH
- Education, Medical * MeSH
- Simulation Training * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Newspaper Article MeSH
- Keywords
- simulační medicína,
- MeSH
- Congresses as Topic MeSH
- Education, Medical, Continuing MeSH
- Education, Nursing, Continuing MeSH
- Humans MeSH
- Simulation Training * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Newspaper Article MeSH
- News MeSH
