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Aesthetic Plastic Surgery
Published in: Aesthetic Plastic Surgery 5/2021

01-10-2021 | Aesthetic Surgery | Review

Mind the Gap: a Competency-Based Scoping Review of Aesthetic and Reconstructive Reported Simulation Training Models

Authors: Rodrigo Tejos, Juan Enrique Berner, Felipe Imigo, Nicolás Besser, Andrea Ramírez, Daniel Moreno, Gonzalo Yañez, Alvaro Cuadra, Susana Searle, Claudio Guerra

Published in: Aesthetic Plastic Surgery | Issue 5/2021

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Abstract

Background

Simulation training has become an integral part of plastic surgery postgraduate curricula. It facilitates the acquisition of skills in a safe environment that can be later transferred to real-life settings. A variety of models have been described covering some aspects of the specialty better than others. The aim of this study was to identify and classify all the previously reported plastic surgery simulation models and the possible gaps having the Accreditation Council for Graduate Medical Education (ACGME) list of competencies as a guide.

Methods

Through a Delphi process, the complete list of ACGME minimum requirements for certification was analyzed to identify domains amenable for simulation training. A systematic search was conducted in Pubmed looking for all previously reported simulation models in plastic surgery. Predefined inclusion and exclusion criteria and parallel blind review were used to identify eligible models.

Results

A total of 81 ACGME competencies were identified. Following a 3-round Delphi process, consensus was reached on 19 reconstructive and 15 aesthetic surgery domains suitable for simulation training. 1667 articles were initially retrieved from Pubmed, of which 66 articles were eligible for inclusion. Descriptive (65%), quasi-experimental (24%) and experimental studies (11%) were found. For the 34 identified ACGME competencies, there were simulation models described for 58.8% of these, mostly covering reconstructive surgery (84.2%) while for aesthetic surgery it was 13.3%.

Conclusions

This scoping review has identified that there are still gaps in ACGME competencies that could benefit from new simulation training models, especially in those related to aesthetic surgery.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
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Metadata
Title
Mind the Gap: a Competency-Based Scoping Review of Aesthetic and Reconstructive Reported Simulation Training Models
Authors
Rodrigo Tejos
Juan Enrique Berner
Felipe Imigo
Nicolás Besser
Andrea Ramírez
Daniel Moreno
Gonzalo Yañez
Alvaro Cuadra
Susana Searle
Claudio Guerra
Publication date
01-10-2021
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 5/2021
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-020-02089-z

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