Cohort study evaluates a low-cost porcine model improving amputation skills and knowledge in medical education, suggesting effective training methods.
Introduction Undergraduate amputation education is underrepresented, limiting exposure to training. Porcine simulation models, known for their anatomical similarity to humans and cost-efficiency, have gained popularity in surgical education. This study evaluates the educational impact of a low-cost porcine toe amputation simulation model in enhancing theoretical knowledge, technical skills, and anatomical understanding. Methods A prospective cohort study was conducted through a structured workshop—including a didactic lecture on anatomy and surgical principles, followed by hands-on practice with porcine models. Pre- and post-workshop surveys assessed theoretical knowledge, surgical confidence, instrument familiarity, and post-operative management using Likert scales and knowledge-based assessments. Technical skills were evaluated using Objective Structured Assessment of Technical Skills (OSATS). Statistical analysis employed Wilcoxon Signed-rank and Mcnemar’s test. Results 27 participants (24 medical students and three surgical trainees) with no prior toe amputation experience participated. Theoretical knowledge improved significantly from 1.52 ± 0.98 to 3.81 ± 1.04 (P < 0.01), and surgical confidence increased from 1.48 ± 0.98 to 3.44 ± 1.19 (P < 0.01). Familiarity with anatomical structures rose from 1.78 ± 0.97 to 3.22 ± 1.19 (P < 0.01). OSATS scoring showed significant improvements in all areas (P < 0.01). Participants rated workshop effectiveness at 4.19 ± 0.74 and recommendation likelihood at 4.52 ± 0.64. Conclusions The simulation model significantly improves knowledge and technical skills. Future workshops could incorporate psychological and physiological care to provide a comprehensive learning experience.
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Mahmood et al. (2026) studied this question.
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