Advancing Surgical Precision in Z-Plasty and Melanoma Excision Through Quality Improvement Initiatives in Rural Settings.

Autor:	Selvarajah D; Human Health Science, Ontario Tech University, Oshawa, CAN., Jolly AK; Human Health Science, Ontario Tech University, Oshawa, CAN., Pabla T; Human Health Science, Ontario Tech University, Oshawa, CAN., Thomas J; Public Health, Ontario Tech University, Oshawa, CAN., Dubrowski A; maxSIMhealth Group, Ontario Tech University, Oshawa, CAN.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Nov 14; Vol. 16 (11), pp. e73691. Date of Electronic Publication: 2024 Nov 14 (Print Publication: 2024).
DOI:	10.7759/cureus.73691
Abstrakt:	Rural healthcare provider shortages have a severe impact on Canadians who seek care in rural and remote (R&R) settings, often arriving with poor health or medical emergencies. Healthcare providers working in such settings often face significant challenges in accessing skills development and maintenance courses to meet the unique medical demands of rural communities. As a result, it is vital to provide R&R healthcare providers with the appropriate simulation-based skills training. This approach led to the development of a Z-plasty and melanoma simulator tool, which was presented at a workshop during the Society of Rural Physicians of Canada (SRPC) conference in Niagara Falls, Ontario, from April 20 to 22, 2023. The workshop aimed to familiarize participants with the procedures and instruments required for Z-plasty and melanoma excisions in R&R practice. This paper describes the development of the simulators used in the foundational skills workshop, attended by medical students, residents, and physicians. It also analyzes the workshop's findings to guide future enhancements. The Z-plasty and melanoma simulators were created using additive manufacturing techniques, including three-dimensional printing and silicone. Participants in the SRPC Rural and Remote Medicine Course evaluated the functionality and realism of the simulators and provided feedback for improvements, using the Michigan Standard Simulation Experience Scale. Quantitative data indicated that the Z-plasty simulator achieved an overall score of 4.03 on a 5-point Likert scale, while the melanoma simulator scored 4.15. Participants' feedback was categorized into three main areas: self-efficacy, realism, and educational value. Qualitative analysis of the data revealed three themes for the Z-plasty simulator: physical resilience, materials science, and skills development. Similarly, the melanoma simulator yielded two main themes: physical reliance and materials science. Overall, the simulators demonstrated effective hands-on practice, representing a sustainable method for developing skills-based competencies in Z-plasty and melanoma excisions for R&R settings. Feedback from workshop participants will inform ongoing improvements to the simulators and their integration into future training events. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Ontario Tech University Research Ethics Board issued approval 17296. Ethics for this study was exempted by the Ontario Tech University Research Ethics Board, exemption number 17296 under Article 2.5, which states the following: "Quality assurance and quality improvement studies, program evaluation activities, and performance reviews, or testing within normal educational requirements when used exclusively for assessment, management, or improvement purposes, do not constitute research for the purposes of this policy and do not fall within the scope of REB review". Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Selvarajah et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu