Introduction Sufficient training is needed to acquire and retain the procedural skills needed for the surgical correction of congenital anatomical malformations. This study aims to assess the opinions of trainees and pediatric surgeons on the use of simulation-based continued at-home training, which can help to acquire these skills.

Methods This study consisted of two parts. First, an international survey among trainees and pediatric surgeons assessed their opinions on simulation-based at-home training for pediatric surgical procedures (5-point Likert scale). Second, participants of pediatric colorectal courses were instructed to practice the posterior sagittal anorectoplasty procedure at-home on a simulation model and, subsequently, complete a questionnaire regarding their opinions on continuous at-home training (5-point Likert scale).

Results A total of 163 participants (83% pediatric surgeons) completed the international survey (response rate 43%). Overall, participants considered the training useful for both laparoscopic (mean 4.7) and open procedures (mean 4.2) and agreed that it may be used at home after a hands-on course (mean 4.3).

Twenty participants completed the questionnaire on continued training (response rate 36%). All agreed that at-home training was of added value (mean 4.5) and that the skills were transferable to the clinical setting (mean 4.3). At-home training was regarded a suitable exercise after a hands-on workshop (mean 4.3), but less so without a workshop (mean 3.7, p=0.017).

Conclusion Participating trainees and pediatric surgeons were of the opinion that simulation models and at-home training have added value. This implies that simulation-based training may be used more often in pediatric surgical training.

简介 需要进行足够的培训来获得和保留先天性解剖畸形手术矫正所需的程序技能。本研究旨在评估受训者和儿科外科医生对使用基于模拟的持续在家培训的意见，这有助于获得这些技能。

方法 本研究由两部分组成。首先，一项针对受训人员和儿科外科医生的国际调查评估了他们对基于模拟的儿科外科手术在家培训的看法（5 分李克特量表）。其次，指导儿科结直肠课程的参与者在家中使用模拟模型练习后矢状肛门直肠成形术，随后完成一份关于他们对持续在家培训的看法的问卷（5 分李克特量表）。

结果 共有 163 名参与者（83% 的儿科外科医生）完成了国际调查（回复率为 43%）。总体而言，参与者认为该培训对腹腔镜手术（平均 4.7）和开腹手术（平均 4.2）都有用，并同意在完成实践课程（平均 4.3）后可以在家中使用。

20 名参与者完成了关于继续培训的问卷调查（回复率为 36%）。所有人都同意在家培训具有附加值（平均 4.5），并且这些技能可以转移到临床环境中（平均 4.3）。在家培训被认为是在实践研讨会后进行的合适锻炼（平均 4.3），但如果没有研讨会则不太合适（平均 3.7，p = 0.017）。

结论 参与的受训者和儿科外科医生认为模拟模型和在家培训具有附加值。这意味着基于模拟的培训可能更常用于儿科手术培训。