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The scope of computerized simulation in competency-based maxillofacial training: a systematic review
Institution:1. Department of Dentistry, I.G.H., S.A.I.L. Rourkela, Odisha, India;2. Head and Neck Oncology, Netaji Subhas Chandra Bose Cancer Hospital, New Garia, Kolkata, India;3. Department of Oral and Maxillofacial Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India;1. Service d’Anesthésie Réanimation, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France;2. Service de Chirurgie ORL, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France;1. Leeds Teaching Hospitals and St James Institute of Oncology, Leeds Dental Institute and Leeds General Infirmary, Leeds, UK;2. School of Medicine, Medical and Biological Sciences, North Haugh, St Andrews, UK;3. Astraglobe Ltd, Congleton, Cheshire;4. Faculty of Health and Social Care, Edge Hill University, Ormskirk, UK;5. Liverpool Head and Neck Centre, Liverpool University Hospital Aintree, Liverpool, UK
Abstract:Oral and maxillofacial surgery (OMS) teaching is set to undergo a paradigm shift towards competency-based training. With increasing focus on resident skill development and patient safety, computerized simulators are likely to play a more mainstream role in OMS training. A systematic review of the available literature was conducted, in accordance with the PRISMA guidelines, to highlight the scope of computerized simulation in OMS teaching. A PubMed search was performed by two independent reviewers, and 35 articles published in English between 2010 and 2021 that reported the use of computerized simulation for teaching maxillofacial procedures were included in the analysis. Eight articles on minor oral surgery, seven on orthognathic surgery, five on maxillofacial trauma, five on cleft lip and palate surgery, three articles each on nerve block techniques, endoscopic procedures, and reconstructive surgery, and one article on fibre-optic intubation reported the use of computerized simulation that can be applied to OMS training. Ten randomized controlled trials were identified in the search. However there was marked heterogeneity among the studies. Simulator training for skill acquisition mentored by an expert OMS educator could offer holistic resident training; however more studies that test common themes of resident training such as knowledge acquisition and skill development are necessary.
Keywords:computer simulation  teaching  maxillofacial surgery  competency-based education  pedagogy
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