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New cost-effective pleural procedure training: manikin-based model to increase the confidence and competency in trainee medical officers
  1. Subash Heraganahally1,2,
  2. Sumit Mehra1,
  3. Daisy Veitch3,4,
  4. Dimitar Sajkov1,
  5. Henrik Falhammar5,6,
  6. Sharon Morton1
  1. 1 Respiratory and Sleep Medicine, Flinders Medical Centre, Adelaide, South Australia, Australia
  2. 2 Respiratory and Sleep Medicine, Royal Darwin Hospital, Casuarina, Northern Territory, Australia
  3. 3 SHARP Dummies Pty Ltd, Adelaide, South Australia, Australia
  4. 4 Industrial Design Engineering, Delft University of Technology, TU Delft, The Netherlands
  5. 5 Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
  6. 6 Medicine, Royal Darwin Hospital, Casuarina, Northern Territory, Australia
  1. Correspondence to Subash Heraganahally; subash.heraganahally{at}


Purpose of the study Pleural diseases are common in clinical practice. Doctors in training often encounter these patients and are expected to perform diagnostic and therapeutic pleural procedures with confidence and safely. However, pleural procedures can be associated with significant complications, especially when performed by less experienced. Structured training such as use of training manikin and procedural skills workshop may help trainee doctors to achieve competence. However, high costs involved in acquiring simulation technology or attending a workshop may be a hurdle. We hereby describe a training model using a simple manikin developed in our institution and provide an effective way to document skill acquisition and assessment among trainee medical officers.

Study design This was a prospective observational study. The need for training, competence and confidence of trainees in performing pleural procedures was assessed through an online survey. Trainees underwent structured simulation training through a simple manikin developed at our institute. Follow-up survey after the training was then performed to access confidence and competence in performing pleural procedures.

Results Forty-seven trainees responded to an online survey and 91% of those expressed that they would like further training in pleural procedure skills. 81% and 85% of responders, respectively, indicated preferred method of training is either practising on manikin or performing the procedure under supervision. Follow-up survey showed improvement in the confidence and competence.

Conclusion Our pleural procedure training manikin model is a reliable, novel and cost-effective method for acquiring competences in pleural procedures.

  • pleural procedure
  • cost-effective
  • mannequin
  • pleural simulator
  • simulation
  • trainee medical officer
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  • Contributors SH, DS, SHM designed the study. SH organised the survey, collected the data and has full access to all of the data in the study. SH and DV helped in development of the mannequin. DV helped in writing the mannequin description and supplied images. SUM, SH and HF contributed to the interpretation of data and wrote the manuscript. SH and SUM contributed to the literature review. SUM, SH, SHM, DS and HF revised the manuscript for intellectual content and approved the manuscript to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The local ethics committee approved the study.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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