Evaluation methods and impact of simulation-based training in pediatric surgery: a systematic review

Shinichiro Yokoyama, Kenichi Mizunuma, Yo Kurashima, Yusuke Watanabe, Tomoko Mizota, Saseem Poudel, Takanori Kikuchi, Fujimi Kawai, Toshiaki Shichinohe, Satoshi Hirano

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)


Purpose: The aim of this study was to identify (1) the type of skill evaluation methods and (2) how the effect of training was evaluated in simulation-based training (SBT) in pediatric surgery. Methods: Databases of PubMed, Cochrane Library, and Web of Science were searched for articles published from January 2000 to January 2017. Search concepts of Medical Subject Heading terms were “surgery,” “pediatrics,” “simulation,” and “training, evaluation.” Results: Of 5858 publications identified, 43 were included. Twenty papers described simulators as assessment tools used to evaluate technical skills. Reviewers differentiated between experts and trainees using a scoring system (45%) and/or a checklist (25%). Simulators as training tools were described in 23 papers. While the training’s effectiveness was measured using performance assessment scales (52%) and/or surveys (43%), no study investigated the improvement of the clinical outcomes after SBT. Conclusion: Scoring, time, and motion analysis methods were used for the evaluation of basic techniques of laparoscopic skills. Only a few SBT in pediatric surgery have definite goals with clinical effect. Future research needs to demonstrate the educational effect of simulators as assessment or training tools on SBT in pediatric surgery.

Original languageEnglish
Pages (from-to)1085-1094
Number of pages10
JournalPediatric Surgery International
Issue number10
Publication statusPublished - 01-10-2019
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Surgery


Dive into the research topics of 'Evaluation methods and impact of simulation-based training in pediatric surgery: a systematic review'. Together they form a unique fingerprint.

Cite this