Integrated Simulation Training for Surgical Skill Development in Ukrainian Medical Universities During War

Abstract

In difficult times of war, total unity in all areas of activity is necessary. Medicine is particularly important during martial law. As part of the development of an integrated military field surgery curriculum, the use of simulation-based learning is challenging due to limited resources at the university level. The aim of this paper is to propose a model for the conceptual design and implementation of an integrated simulation training programme with competency assessment for the development of surgical skills in medical students in the subject of military field surgery. Methods: an educational curriculum development method, specifically tailored for military field surgery training. The method involved defining a context-appropriate goal, which in this case is the integration of a simulation curriculum into the military field surgery curriculum. The results evaluated the logic model methodology that was used to identify learning objectives, available resources and describe the process of implementation and evaluation of the simulation training programme. The logic model methodology was used to develop the logic model methodology, which consisted of five steps: 1) defining the goal, considering the context; 2) using resources; 3) conducting activities; 4) targeting groups; 5) obtaining results in the short, medium, and long term. The model for the conceptual design and implementation of an integrated simulation training programme will allow to integrate simulation into the process of military field surgery education with a realistic approach, considering local resources and continuous evaluation (student satisfaction, activation of competencies in the provision of medical care and impact on the organisation of care). In conclusion, following the approach to competencies in the military field surgery programme, the logic model will lead to the design, implementation, and evaluation of the simulation training programme with the potential for change throughout the project.