Cleft lip repair simulation: an Australian trainee experience

Abstract

**Background**: Cleft lip repair is technically challenging surgery that requires an appreciation of the complex anatomy of the lip and nose. Effective transference of skill has been demonstrated through the use of simulations. We established a cleft lip and palate simulation workshop to improve training. In this report we assessed the confidence of plastic surgery trainees to perform a cleft lip repair before and after the simulation exercise. **Design**: We purchased 3D high-fidelity simulation models for the workshop. Participants watched a short video depicting cleft lip markings, incisions and repair. Two senior cleft surgeons provided additional commentary and teaching throughout the workshop.**Method**: A 'confidence scale' questionnaire was distributed to 11 plastic surgery trainees. The questionnaire comprised of eight questions on a Likert scale of 1–5 (total score = 40) that prompted a self-assessment of confidence, surgical skill, knowledge and level of 'anxiety' in carrying out a cleft lip repair. Questions about the level of training and prior experience were added to the survey. Participants completed the survey before and after the simulation. **Results**: Comparison of pre and post-simulation surveys showed an average increase of 53.5 per cent in total scores. Improvements were found for all attendees regardless of their level of training or prior experience. **Conclusion**: Simulation training is a validated solution that aids in the acquisition of skills and knowledge. Using simulations in the surgical curriculum has the potential to improve operative learning.