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Plaster cast removal simulation model for resident training Modelo de simulación de retirada de yesos para el entrenamiento de residentes
Indexado
Scopus SCOPUS_ID:105000561590
DOI 10.1016/J.RECOT.2025.02.021
Año 2025
Tipo

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Purpose: Complications from cast removal are infrequent but can cause permanent skin sequelae. Formal training in cast removal is limited during residency. This study aimed to develop a plaster cast removal simulation model for resident training. Methods: Quasiexperimental study. A pediatric forearm phantom with temperature sensors was designed to simulate forearm cast removal. Six first-year orthopedic residents with no prior cast removal experience and two experts were evaluated. The residents underwent an initial evaluation, followed by an instruction session, and a final evaluation. Performance was assessed using a specific ratings scale (SRS), the Objective Structured Assessment of Technical Skills (OSATS) guideline, procedure time, and temperature measurement. Median scores with ranges were reported, and pre- and posttraining performances were compared using the Wilcoxon test. Experts scores were compared with resident scores using the Mann–Whitney test. The statistical significance was set at p < 0.05. Results: Significant improvements in OSATS [(pre 22 points (range: 20–24); posttraining 25 (range: 25–28) (p = 0.03)] and SRS [pre 8.5 points (range: 7–9); post 10 points (range: 8–10) (p = 0.02)] were observed. No differences were found in temperature (p = 0.50) and procedure time (p = 0.09). When comparing residents’ post-training scores with those of experts, no significant differences were found in OSATS (p = 0.16), SRS (p = 0.11), temperature measurement (p = 0.50), or procedure time (p = 0.09). Conclusions: The plaster cast removal simulation model proved to be an effective training tool for residents, enabling them to achieve expert-level competency. Significant improvements were observed in OSATS and SRS scores post-training, highlighting the positive impact of the intervention on this skill.

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

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Autores - Afiliación



Ord. Autor Género Institución - País
1 Moller-Macherone, F. - Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile
2 Lobos-Urbina, M. - Pontificia Universidad Católica de Chile - Chile
Hospital Regional de Iquique Dr. Ernesto Torres Galdames - Chile
3 Cañete-Campos, I. - Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile
4 Vidal-Olate, C. - Pontificia Universidad Católica de Chile - Chile
5 Hodgson-Ovalle, F. - Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile
6 Murati-Carrasco, P. - Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile
7 Ibañez-León, M. A. - Pontificia Universidad Católica de Chile - Chile
8 Figueroa-Gatica, M. J. - Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile

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Financiamiento



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