Skip to main content

Is simulation training effective in increasing podiatrists’ knowledge and confidence in foot ulcer management? A pilot study


Diabetic foot ulcers are commonly acknowledged as the most frequent reason for admission into hospital for diabetes-related complications. Clinical training is known to have a beneficial impact on diabetic foot ulcer outcomes. Simulation clinical training has rarely been used in the management of diabetic feet or chronic wounds. The few simulation courses in this area have focused solely on training for a single technical skill. This pilot study aimed to investigate the effect of a mixed modality simulation training program on podiatry participants’ clinical knowledge, confidence and satisfaction in the management of foot ulcers.


Sixteen podiatrists participated in a two-day Foot Ulcer Simulation Training (FUST) course. It included web-based interactive learning, low-fidelity part-tasks and high-fidelity full clinical scenarios. Primary outcome measures of evaluation of the course included participants’ pre- and post completion of confidence and knowledge surveys. Participants’ satisfaction and the relevance and fidelity of a range of course elements were also investigated.


A significant improvement in clinical confidence was observed following completion of FUST (mean scores 3.10 cf. 4.40, p < 0.05). The lack of a significant change in pre- and post knowledge scores reflected participants’ mandatory pre-course completion of web-based components. Satisfaction, relevance and fidelity of all course elements were rated highly by participants.


This pilot study demonstrates the successful use of simulation in the training of foot ulcer management. The approach has the potential to revolutionise training in wound care and to improve patient outcomes.

Author information

Authors and Affiliations


Corresponding author

Correspondence to Peter A Lazzarini.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and permissions

About this article

Cite this article

Lazzarini, P.A., Mackenroth, E.L., Régo, P.M. et al. Is simulation training effective in increasing podiatrists’ knowledge and confidence in foot ulcer management? A pilot study. J Foot Ankle Res 4 (Suppl 1), O26 (2011).

Download citation

  • Published:

  • DOI: