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Evaluation and Implementation of a High-Fidelity Cleft Palate Simulator.

Abstract Cleft palate repair is a challenging procedure to learn because of the delicate tissue handling required and the small confines of the infant oral cavity. As a result, cleft palate simulators have previously been described to augment cleft palate repair training. Although valuable, they lack the fidelity for this complex procedure.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title plastic and reconstructive surgery
Publication Year Start




PMID- 28027241
OWN - NLM
STAT- MEDLINE
DA  - 20161227
DCOM- 20170601
LR  - 20170817
IS  - 1529-4242 (Electronic)
IS  - 0032-1052 (Linking)
VI  - 139
IP  - 1
DP  - 2017 Jan
TI  - Evaluation and Implementation of a High-Fidelity Cleft Palate Simulator.
PG  - 85e-96e
LID - 10.1097/PRS.0000000000002923 [doi]
AB  - BACKGROUND: Cleft palate repair is a challenging procedure to learn because of
      the delicate tissue handling required and the small confines of the infant oral
      cavity. As a result, cleft palate simulators have previously been described to
      augment cleft palate repair training. Although valuable, they lack the fidelity
      for this complex procedure. METHODS: A high-fidelity cleft palate simulator was
      evaluated by staff and fellows in pediatric plastic surgery who provided feedback
      on its realism, anatomical accuracy, and effectiveness as a training tool. The
      simulator was implemented within a training workshop following a didactic session
      on cleft palate repair and anatomy. A test was administered to each participant
      before and immediately after the workshop to assess knowledge transfer. Perceived
      confidence of performing a repair following the workshop was also assessed, as
      was the workshop's effectiveness. RESULTS: Overall, participants agreed that the 
      simulator is anatomically accurate and realistic and strongly agreed that the
      simulator is a valuable training tool. The average test score increased from 25
      percent before the workshop to 77.27 percent after the workshop. Overall,
      participants of the workshop felt more confident performing a repair and strongly
      agreed that the workshop was valuable and effective. CONCLUSIONS: A high-fidelity
      cleft palate simulator has been evaluated as realistic, anatomically accurate,
      and valuable as a training tool. The simulator was successfully integrated into a
      training workshop, which resulted in significant knowledge increase on anatomy
      and the procedure and perceived confidence and comfort in performing a cleft
      palate repair.
FAU - Podolsky, Dale J
AU  - Podolsky DJ
AD  - Toronto, Ontario, Canada From the Division of Plastic and Reconstructive Surgery,
      University of Toronto; the Centre for Image Guided Innovation and Therapeutic
      Intervention; and the Divisions of Plastic and Reconstructive Surgery and
      Neurosurgery, The Hospital for Sick Children.
FAU - Fisher, David M
AU  - Fisher DM
FAU - Wong, Karen W
AU  - Wong KW
FAU - Looi, Thomas
AU  - Looi T
FAU - Drake, James M
AU  - Drake JM
FAU - Forrest, Christopher R
AU  - Forrest CR
LA  - eng
PT  - Evaluation Studies
PT  - Journal Article
PL  - United States
TA  - Plast Reconstr Surg
JT  - Plastic and reconstructive surgery
JID - 1306050
SB  - AIM
SB  - IM
MH  - Cleft Palate/*surgery
MH  - Education
MH  - Feedback
MH  - Humans
MH  - Simulation Training/*methods
MH  - Treatment Outcome
EDAT- 2016/12/28 06:00
MHDA- 2017/06/02 06:00
CRDT- 2016/12/28 06:00
AID - 10.1097/PRS.0000000000002923 [doi]
AID - 00006534-201701000-00029 [pii]
PST - ppublish
SO  - Plast Reconstr Surg. 2017 Jan;139(1):85e-96e. doi: 10.1097/PRS.0000000000002923.