What Is the Cost Associated with the Implementation and Maintenance of an ACS/APDS-Based Surgical Skills Curriculum?

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• 作者：Enrico  ; Danzer MD ; Kristoffel  ; Dumon MD ; Gretchen  ; Kolb MSc ; Lori  ; Pray BA ; Ben  ; Selvan MD ; Andrew S.  ; Resnick MD ; Jon B.  ; Morris MD ; Noel N.  ; Williams MD  ; ;   ; ^{Noel.Williams@uphs.upenn.edu}
• 关键词：residency training ; surgical simulation ; ACS/APDS-based surgical skills curriculum ; costs
• 刊名：Journal of Surgical Education
• 出版年：2011
• 出版时间：November-December 2011
• 年：2011
• 卷：68
• 期：6
• 页码：519-525
• 全文大小：202 K
• ISSN：S1931720411001759

文摘

Purpose

The purpose of this study was to evaluate the cost associated with the American College of Surgery (ACS)/Association of Program Directors in Surgery (APDS)-based surgical skills curriculum (SSC) within a general surgery residency program.

Methods

The Penn Surgical Simulation Center (PSSC) of the University of Pennsylvania was established by the Department of Surgery during the 2006-2007 academic year and became a Level-I ACS Accredited Education Institute in 2008. Each academic year, 38 junior residents are assigned to a 4-week dedicated simulation rotation based on the ACS/APDS-based SSC. In conjunction with voluntary participation by faculty, a salaried educational fellow is responsible for maintaining the schedule and administering the surgical skills training modules. The costs associated with the ACS/APDS-based SSC were divided in initial implementation capital expenses and annual operational maintenance expenses.

Results

The overall capital expenditures associated with the implementation of the curriculum were $4.204 million. These costs included the purchase of low and high-fidelity simulation equipment and initial construction costs to renovate a previous operating room (OR) and recovery suite into the Penn Medicine Clinical Simulation Center (PMCSC) which has housed the PSSC since 2008. The annual operational expenses are $476,000 and include the salary for the educational fellow, disposables, and other supplies, and the PMCSC average student fees. The annual cost per resident for the 4-week dedicated simulation rotation is $12,516. This figure does not include the average cost for teaching efforts including the simulation teaching per participating faculty member which is $30,000 in Relative Teaching Value Units per year.

Conclusions

The expenditures associated with the implementation and maintenance of the ACS/APDS-based surgical skills curriculum in a surgical residency program are significant. This center's experience might be useful to programs deciding on more cost-effective means of implementing the ACS/APDS-SSC into their training.