Integrate cost-effective simulation with structured, proficiency-based curricula into pediatric MIS training¶

Strategy · All strategies
Evidence · 7 claims (7 for) · 1 study (1 review), q2 · 0 of 1 report an effect size · 7 claims rest on one study

Description¶

The review recommends integrating cost-effective simulation into pediatric MIS training through structured, proficiency-based curricula rather than short exposure courses. It reports that "short exposure courses ... lack the structured deliberate practice necessary for expert performance, emphasizing the need for a mastery learning framework". The review concludes that "no universal MIS training model exists for neonate/infant patients", making validated, standardized models and curricula a priority for future research.

Design Implications¶

Context¶

Requirements¶

• Validated simulation models with established validity evidence
• Structured, proficiency-based curricula rather than short exposure courses

Constraints¶

• No universal MIS training model currently exists for neonate/infant patients

Target Learners¶

• pediatric surgery residents
• pediatric surgeons

Target Learning Goals¶

• minimally invasive surgical skills in neonates and infants

Claims¶

• Systematic review of 72 studies finds no universal MIS training model for neonates and infants, supporting structured proficiency-based curricula [+W]
• Patient-specific 3D-printed cloaca model rated high-quality and feasible for preoperative cysto-vaginoscopy training, with 85.4% recommending its use [+W]
• Avian (chicken) tissue model validated for neonatal MIS training with high perceived fidelity and overall satisfaction of 4.64 ± 0.56 [+W]
• PLS simulator is the most commonly used pediatric MIS training model, with construct validity established for its pattern-cutting task [+W]
• Rabbit model outperformed porcine model for pediatric MIS training, with higher surgical performance scores (8.1 versus 6.0) [+W]
• Weisser et al. 3D-printed pediatric MIS curriculum: expert surgeons outperformed residents on all tasks with high interrater reliability [+W]
• Prior basic SuSiPed training significantly increases performance on the more advanced pediatric MIS simulator (SuSiPed 2.0) [+W]

Related Strategies¶

• Design high-quality simulation and metaverse content with alignment to learning objectives, interactivity, and developmentally integrated deliberate practice from basic to advanced skills
• Develop portable low-cost COTS-based simulators to enable ubiquitous training and presurgical warm-up in minimally invasive surgery

Examples¶

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Key Sources¶

• Zahradníková Petra, Babala Jozef, Lindák Martin, Pechanová Rebeka, Hnilicová Silvia, Molnár Marián, Nedomová Barbora, Poš Lucie, Dotlačil Vojtěch, Kučerová Barbora. (2025). Systematic review of the training process of minimally invasive surgery in neonates and infants. Pediatric Surgery International. https://doi.org/10.1007/s00383-025-06095-7