Simulation in Bariatric Surgery
Obesity is a global problem with more than 1.9 billion adults being overweight and over 600 million adults being obese worldwide. Bariatric and metabolic surgery is the most effective strategy for weight loss and resolution of medical comorbidities in morbidly obese individuals. Given the effectiveness of surgery and the low morbidity of minimally invasive approaches employed today, laparoscopic bariatric procedures are among the most commonly performed operations in North America. The current training pathway for individuals interested in a career in laparoscopic bariatric and metabolic surgery requires successful completion of a general surgery residency training program followed by 1 or more years of a minimally invasive bariatric and metabolic surgery fellowship.
Simulation can be used for training of technical and nontechnical skills in laparoscopic bariatric and metabolic surgery. In this chapter I highlight the evidence supporting the use of simulation for technical and nontechnical skill acquisition in laparoscopic bariatric and metabolic surgery. I also identify existing gaps in the current body of knowledge regarding simulation-based training for bariatric and metabolic surgery and propose future directions for research within this field including the development of a national comprehensive simulation-based training curriculum, the utilization of simulation for high-stakes assessment and certification, and the need for cost-effectiveness studies in support of simulation-based training.
KeywordsBariatric surgery Roux-en-Y gastric bypass Sleeve gastrectomy Adjustable gastric banding Simulation-based training
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