Project information

  • Category: Original Research
  • Researchers:: Karen W. Price, Madeline S. Coleman, Ishan Perera, Sydney Moriarty, Watson Edwards

Abstract

The purpose of this study is to evaluate the effectiveness of existing dermatologic simulators for the training of novice learners in common medical procedures. More specifically, our interest lies both in assessing the skills and comfort of these learners but also to pave the way for a novel, enhanced dermatologic simulator. Previous studies have shown medical students receive relatively minimal training in suturing techniques using various types of models during their pre-clinical years (Blau et al., 2020). However, most of these models fall short in accurately simulating the experience with human patients, leaving many students anxiety-ridden as they enter their clinical years. The majority of training simulators found on the market today lack validation from medical learners (Gallagher et al., 2020). In a similar light, the abundance of skin tone misrepresentation of such simulators has contributed to the disenfranchisement of modern-day dermatologic study (Perlman et al., 2021). This review aims to highlight the utility of current models and trends in dermatologic simulator creation. Through our study, we hope to develop our own unique model to increase the efficacy and confidence of medical students in dermatologic procedures. The ideal dermatologic model should serve as a multi-purpose skin trainer designed to provide a high-fidelity dermatologic experience for visual, tactile, and kinesthetic learners. Inclusivity of skin tones, particularly those of marginalized populations, should be at the forefront. It should reflect true-to-life aspects of human skin, with distinct epidermal, dermal, and hypodermal layers. Further, its use should expand beyond simple suturing to include procedures like shave and punch biopsies, cyst removal, and more. We look forward to taking this review into our next endeavor.

References

​ 1. Blau, J. A., Shammas, R. L., Anolik, R. A., Avashia, Y. J., Krucoff, K. B., & Zenn, M. R. (2020). Does Realism Matter? A Randomized Controlled Trial Comparing Models for Medical Student Suture Education. Plastic and reconstructive surgery. Global open, 8(4), e2738. https://doi.org/10.1097/GOX.0000000000002738​

2. Clanner-Engelshofen, B. M., Frommherz, L., Mitwalli, M., Stadler, P. C., French, L. E., & Reinholz, M. (2022). 3D printing and silicone models of primary skin lesions for dermatological education as remote learning tool. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG, 20(2), 177–183. https://doi.org/10.1111/ddg.14656​​

3. Gallagher, P. O., Bishop, N., & Dubrowski, A. (2020). Investigating the Perceived Efficacy of a Silicone Suturing Task Trainer Using Input from Novice Medical Trainees. Cureus, 12(1), e6612. https://doi.org/10.7759/cureus.6612​​

4. Garg, A., Haley, H. L., & Hatem, D. (2010, February 1). Modern moulage: evaluating the use of 3-dimensional prosthetic mimics in a dermatology teaching program for second-year medical students. Archives of Dermatology, 146(2). https://doi.org/10.1001/archdermatol.2009.355​

​ 5. Perlman, K. L., Williams, N. M., Egbeto, I. A., Gao, D. X., Siddiquee, N., and Park, J. H. (2021, January 8). Skin of color lacks representation in medical student resources: A cross-sectional study. International Journal of Women’s Dermatology,7(2). https://doi.org/10.1016%2Fj.ijwd.2020.12.018

​ 6. Rothenberger, J., Seyed Jafari, S. M., Schnabel, K. P., Tschumi, C., Angermeier, S., & Shafighi, M. (2015). Evaluation of Medical Students' Attitudes and Performance of Basic Surgery Skills in a Training Program Using Fresh Human skin, Excised During Body Contouring Surgeries. Journal of surgical education, 72(5), 868–874. https://doi.org/10.1016/j.jsurg.2015.03.004