“I got it on Ebay!”: cost-effective approach to surgical skills laboratories
Surgical education is witnessing a surge in the use of simulation. However, implementation of simulation is often cost-prohibitive. Online shopping offers a low budget alternative. The aim of this study was to implement cost-effective skills laboratories and analyze online versus manufacturers'...
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| Veröffentlicht in: | The Journal of surgical research 2017-01, Vol.207, p.190-197 |
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| container_title | The Journal of surgical research |
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| creator | Schneider, Ethan Schenarts, Paul J. Shostrom, Valerie Schenarts, Kimberly D. Evans, Charity H. |
| description | Surgical education is witnessing a surge in the use of simulation. However, implementation of simulation is often cost-prohibitive. Online shopping offers a low budget alternative. The aim of this study was to implement cost-effective skills laboratories and analyze online versus manufacturers' prices to evaluate for savings.
Four skills laboratories were designed for the surgery clerkship from July 2014 to June 2015. Skills laboratories were implemented using hand-built simulation and instruments purchased online. Trademarked simulation was priced online and instruments priced from a manufacturer. Costs were compiled, and a descriptive cost analysis of online and manufacturers' prices was performed. Learners rated their level of satisfaction for all educational activities, and levels of satisfaction were compared.
A total of 119 third-year medical students participated. Supply lists and costs were compiled for each laboratory. A descriptive cost analysis of online and manufacturers' prices showed online prices were substantially lower than manufacturers, with a per laboratory savings of: $1779.26 (suturing), $1752.52 (chest tube), $2448.52 (anastomosis), and $1891.64 (laparoscopic), resulting in a year 1 savings of $47,285. Mean student satisfaction scores for the skills laboratories were 4.32, with statistical significance compared to live lectures at 2.96 (P |
| doi_str_mv | 10.1016/j.jss.2016.08.017 |
| format | Article |
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Four skills laboratories were designed for the surgery clerkship from July 2014 to June 2015. Skills laboratories were implemented using hand-built simulation and instruments purchased online. Trademarked simulation was priced online and instruments priced from a manufacturer. Costs were compiled, and a descriptive cost analysis of online and manufacturers' prices was performed. Learners rated their level of satisfaction for all educational activities, and levels of satisfaction were compared.
A total of 119 third-year medical students participated. Supply lists and costs were compiled for each laboratory. A descriptive cost analysis of online and manufacturers' prices showed online prices were substantially lower than manufacturers, with a per laboratory savings of: $1779.26 (suturing), $1752.52 (chest tube), $2448.52 (anastomosis), and $1891.64 (laparoscopic), resulting in a year 1 savings of $47,285. Mean student satisfaction scores for the skills laboratories were 4.32, with statistical significance compared to live lectures at 2.96 (P < 0.05) and small group activities at 3.67 (P < 0.05).
A cost-effective approach for implementation of skills laboratories showed substantial savings. By using hand-built simulation boxes and online resources to purchase surgical equipment, surgical educators overcome financial obstacles limiting the use of simulation and provide learning opportunities that medical students perceive as beneficial.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2016.08.017</identifier><identifier>PMID: 27979476</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Clinical Clerkship - economics ; Clinical Clerkship - methods ; Commerce - economics ; Commerce - methods ; Cost-Benefit Analysis ; Cost-effective ; General Surgery - economics ; General Surgery - education ; Hand built ; Humans ; Internet ; Laparoscopy - economics ; Laparoscopy - education ; Laparoscopy - instrumentation ; Medical education ; Online ; Personal Satisfaction ; Simulation ; Simulation Training - economics ; Surgical skills laboratory ; United States</subject><ispartof>The Journal of surgical research, 2017-01, Vol.207, p.190-197</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-4bfdc47e21682a976222c38426d6d8a3230683a2d50fef64378fac5deac193b03</citedby><cites>FETCH-LOGICAL-c353t-4bfdc47e21682a976222c38426d6d8a3230683a2d50fef64378fac5deac193b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jss.2016.08.017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27979476$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schneider, Ethan</creatorcontrib><creatorcontrib>Schenarts, Paul J.</creatorcontrib><creatorcontrib>Shostrom, Valerie</creatorcontrib><creatorcontrib>Schenarts, Kimberly D.</creatorcontrib><creatorcontrib>Evans, Charity H.</creatorcontrib><title>“I got it on Ebay!”: cost-effective approach to surgical skills laboratories</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>Surgical education is witnessing a surge in the use of simulation. However, implementation of simulation is often cost-prohibitive. Online shopping offers a low budget alternative. The aim of this study was to implement cost-effective skills laboratories and analyze online versus manufacturers' prices to evaluate for savings.
Four skills laboratories were designed for the surgery clerkship from July 2014 to June 2015. Skills laboratories were implemented using hand-built simulation and instruments purchased online. Trademarked simulation was priced online and instruments priced from a manufacturer. Costs were compiled, and a descriptive cost analysis of online and manufacturers' prices was performed. Learners rated their level of satisfaction for all educational activities, and levels of satisfaction were compared.
A total of 119 third-year medical students participated. Supply lists and costs were compiled for each laboratory. A descriptive cost analysis of online and manufacturers' prices showed online prices were substantially lower than manufacturers, with a per laboratory savings of: $1779.26 (suturing), $1752.52 (chest tube), $2448.52 (anastomosis), and $1891.64 (laparoscopic), resulting in a year 1 savings of $47,285. Mean student satisfaction scores for the skills laboratories were 4.32, with statistical significance compared to live lectures at 2.96 (P < 0.05) and small group activities at 3.67 (P < 0.05).
A cost-effective approach for implementation of skills laboratories showed substantial savings. By using hand-built simulation boxes and online resources to purchase surgical equipment, surgical educators overcome financial obstacles limiting the use of simulation and provide learning opportunities that medical students perceive as beneficial.</description><subject>Clinical Clerkship - economics</subject><subject>Clinical Clerkship - methods</subject><subject>Commerce - economics</subject><subject>Commerce - methods</subject><subject>Cost-Benefit Analysis</subject><subject>Cost-effective</subject><subject>General Surgery - economics</subject><subject>General Surgery - education</subject><subject>Hand built</subject><subject>Humans</subject><subject>Internet</subject><subject>Laparoscopy - economics</subject><subject>Laparoscopy - education</subject><subject>Laparoscopy - instrumentation</subject><subject>Medical education</subject><subject>Online</subject><subject>Personal Satisfaction</subject><subject>Simulation</subject><subject>Simulation Training - economics</subject><subject>Surgical skills laboratory</subject><subject>United States</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtOwzAQhi0EgvI4ABtkdmwS_EhsB1aoKg-pEixgbTnOBFzSuthpJXYcBC7HSXDVwpLVzEjf_Jr5EDqmJKeEivNJPokxZ6nNicoJlVtoQElVZkpIvo0GhDCWFYoUe2g_xglJcyX5LtpjspJVIcUAPXx_fN7hZ99j12M_w6PavJ9-f3xdYOtjn0Hbgu3dErCZz4M39gX3HsdFeHbWdDi-uq6LuDO1D6b3wUE8RDut6SIcbeoBeroePQ5vs_H9zd3wapxZXvI-K-q2sYUERoVippKCMWa5KphoRKMMZ5wIxQ1rStJCKwouVWts2YCxtOI14QfobJ2bznpbQOz11EULXWdm4BdRU1WyFC1JkVC6Rm3wMQZo9Ty4qQnvmhK9EqknOonUK5GaKJ1Epp2TTfyinkLzt_FrLgGXawDSk0sHQUfrYGahcSEp0413_8T_AEn5hMA</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>Schneider, Ethan</creator><creator>Schenarts, Paul J.</creator><creator>Shostrom, Valerie</creator><creator>Schenarts, Kimberly D.</creator><creator>Evans, Charity H.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201701</creationdate><title>“I got it on Ebay!”: cost-effective approach to surgical skills laboratories</title><author>Schneider, Ethan ; Schenarts, Paul J. ; Shostrom, Valerie ; Schenarts, Kimberly D. ; Evans, Charity H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-4bfdc47e21682a976222c38426d6d8a3230683a2d50fef64378fac5deac193b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Clinical Clerkship - economics</topic><topic>Clinical Clerkship - methods</topic><topic>Commerce - economics</topic><topic>Commerce - methods</topic><topic>Cost-Benefit Analysis</topic><topic>Cost-effective</topic><topic>General Surgery - economics</topic><topic>General Surgery - education</topic><topic>Hand built</topic><topic>Humans</topic><topic>Internet</topic><topic>Laparoscopy - economics</topic><topic>Laparoscopy - education</topic><topic>Laparoscopy - instrumentation</topic><topic>Medical education</topic><topic>Online</topic><topic>Personal Satisfaction</topic><topic>Simulation</topic><topic>Simulation Training - economics</topic><topic>Surgical skills laboratory</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schneider, Ethan</creatorcontrib><creatorcontrib>Schenarts, Paul J.</creatorcontrib><creatorcontrib>Shostrom, Valerie</creatorcontrib><creatorcontrib>Schenarts, Kimberly D.</creatorcontrib><creatorcontrib>Evans, Charity H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schneider, Ethan</au><au>Schenarts, Paul J.</au><au>Shostrom, Valerie</au><au>Schenarts, Kimberly D.</au><au>Evans, Charity H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“I got it on Ebay!”: cost-effective approach to surgical skills laboratories</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2017-01</date><risdate>2017</risdate><volume>207</volume><spage>190</spage><epage>197</epage><pages>190-197</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><abstract>Surgical education is witnessing a surge in the use of simulation. However, implementation of simulation is often cost-prohibitive. Online shopping offers a low budget alternative. The aim of this study was to implement cost-effective skills laboratories and analyze online versus manufacturers' prices to evaluate for savings.
Four skills laboratories were designed for the surgery clerkship from July 2014 to June 2015. Skills laboratories were implemented using hand-built simulation and instruments purchased online. Trademarked simulation was priced online and instruments priced from a manufacturer. Costs were compiled, and a descriptive cost analysis of online and manufacturers' prices was performed. Learners rated their level of satisfaction for all educational activities, and levels of satisfaction were compared.
A total of 119 third-year medical students participated. Supply lists and costs were compiled for each laboratory. A descriptive cost analysis of online and manufacturers' prices showed online prices were substantially lower than manufacturers, with a per laboratory savings of: $1779.26 (suturing), $1752.52 (chest tube), $2448.52 (anastomosis), and $1891.64 (laparoscopic), resulting in a year 1 savings of $47,285. Mean student satisfaction scores for the skills laboratories were 4.32, with statistical significance compared to live lectures at 2.96 (P < 0.05) and small group activities at 3.67 (P < 0.05).
A cost-effective approach for implementation of skills laboratories showed substantial savings. By using hand-built simulation boxes and online resources to purchase surgical equipment, surgical educators overcome financial obstacles limiting the use of simulation and provide learning opportunities that medical students perceive as beneficial.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27979476</pmid><doi>10.1016/j.jss.2016.08.017</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Clinical Clerkship - economics Clinical Clerkship - methods Commerce - economics Commerce - methods Cost-Benefit Analysis Cost-effective General Surgery - economics General Surgery - education Hand built Humans Internet Laparoscopy - economics Laparoscopy - education Laparoscopy - instrumentation Medical education Online Personal Satisfaction Simulation Simulation Training - economics Surgical skills laboratory United States |
| title | “I got it on Ebay!”: cost-effective approach to surgical skills laboratories |
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