Practicing for life: landscape and priorities for simulation-based education in global children’s surgery

Abstract Purpose Simulation-based education (SBE) is increasingly used in surgical training worldwide. With a shortage of specialized surgeons, SBE allows for skills acquisition in a safe environment, preserving patient safety and standardizing care. However, in global children’s surgery, knowledge about SBE interest, use, and feasibility is limited. Methods A 17-item survey was developed to examine simulation in global children’s surgery. The survey was piloted (Nov 2024) and distributed (Dec 2024–Feb 2025) through the Global Initiative for Children Surgery (GICS), an organization with 1100+ members across 60 countries. Descriptive statistics and free responses were reported. Results Of 85 respondents from 36 countries (approximately 7.7% response rate), over half used SBE in the past year, reaching about 1270 learners. The most common methods were low-cost models, mannequins, and bench trainers. Respondents identified several significant barriers to establishing SBE programs. Most (75%) simulation costs were under $300. Conclusion Access to SBE resources remains a major barrier, highlighting the critical need for access to open-source education materials. The low cost suggests a need to evaluate cost-effectiveness. Despite a limited response rate and sampling from one organization, the use of low-cost simulation and interest in advanced technologies reflect a trend toward enhancing simulation in global children’s surgical education.