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Surgical training and patient education
OP12 Patient and public perceptions of simulation training in neurosurgery
  1. Oliver Edward Burton1,
  2. Joachim Starup-Hansen1,
  3. Jigishaa Moudgil-Joshi1,
  4. Simon Williams2,
  5. Chan Hee Koh3 and
  6. Hani J Marcus1
  1. 1Victor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, University College London NHS Trust, London, UK
  2. 2Department of Neurosurgery, The Royal London Hospital, London UK
  3. 3Cleveland Clinic London, UK

Abstract

Introduction Simulation in neurosurgical training is widely accepted and utilised by UK trainees. Little is known about the perspectives of patients and the public on simulation training. This study sought to include patients as key stakeholders and to elucidate their views on different modalities of simulation and feedback.

Methods This study was two-staged. The qualitative phase, a survey distributed to post-operative patients in a tertiary neurosurgical centre, identified key issues important to patients when considering simulation. Reflexive analysis was performed and emerging themes were used to design an online quantitative survey, identifying the relative importance of issues pertaining to simulation in neurosurgery.

Results 17 patients responded to the stage 1 survey and 192 to stage 2. Emerging themes included access to simulation, cost, fidelity and supervision. Realism was the most important priority (166 agree/strongly agree) and physical models the most popular simulation modality (168 agree/strongly agree). 167/192 agreed with the use of simulation in neurosurgery. The public most commonly (68/192) supported their surgeon practicing with simulation 60% of the time.

Conclusions The use of simulation in neurosurgical training is acceptable to most patients and most members of the public. Realism was of higher priority than cost or accessibility. More ‘traditional’ training methods (cadavers and physical models) are more acceptable than the use of extended reality.

http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjsit-2024-IDEAL.10

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