Abstract

Simulation for training in resource-restricted countries: using a scalable temporal bone surgical simulator.

Highlights

  • Many resource-restricted countries suffer from poor access to healthcare

  • We present a low-cost simulation environment that may help mitigate the impediments to deliberate rehearsal required for surgical expertise in otologic surgery

  • The use of simulation is clearly on the forefront of surgical training in the United States and other developed countries. This applies to both low technology “box trainer” types to more sophisticated computer based systems

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Summary

Introduction

Many resource-restricted countries suffer from poor access to healthcare. Often, even when the healthcare system is accessible, there is a lack of specialized expertise (in particular surgical), severely limiting treatment options. Psychomotor skill in otologic surgery has been obtained within the cadaveric temporal bone laboratory These facilities are extremely cost prohibitive (costing up to $ 1 million US) and, if such a facility were available, maintenance and preservation of equipment can prove unobtainable. We present a low-cost simulation environment that may help mitigate the impediments to deliberate rehearsal required for surgical expertise in otologic surgery. We help to inspire others in resource rich countries to bring to bare their expertise in their respective areas and to use cost effective methods to simulate both cognitive and psychomotor skills for training physicians in developing countries

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