Impact of visualization on simulation training for vascular anastomosis

Malas, Tarek; Al-Atassi, Talal; Brandys, Tim; Naik, Viren N.; Lapierre, Harry; Lam, Buu-Khanh

doi:10.1016/j.jtcvs.2017.10.080

Cited by 22 publications

(19 citation statements)

References 24 publications

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“…Previous studies have demonstrated improvements in cardiac surgery-related technical and procedural skills after practice in the simulation laboratory. 1,2,6 This study found that an inexpensive median sternotomy simulation model paired with an instructional video led to improvement in procedural performance reflected by improved scores on our checklist.…”

Section: Discussionmentioning

confidence: 65%

“…Simulation-based training is being increasingly incorporated in cardiac surgery training programs across North America. 1 , 2 , 3 , 4 , 5 , 6 The simulation lab is an ideal arena for the acquisition of technical skills because it allows for deliberate practice in a low stakes, low stress, and safe environment. 1 , 7 , 8 As more surgical residency programs transition from a time-based training model toward a competency-based medical education model, trainees will require more objective measures of performance and competency as well as validated assessment tools for these measures.…”

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confidence: 99%

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Development of a median sternotomy simulation model for cardiac surgery training

Juanda

Ngu

et al. 2020

JTCVS Techniques

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Objective: We sought to develop a simulation model to train resident physicians in the performance of a median sternotomy.Methods: A modified Delphi consensus process was used with cardiac surgery staff to develop a 20-point checklist for the safe performance of a median sternotomy. Thirteen junior cardiac surgery trainees from across Canada participated in this study to assess the simulation model. Trainees performed the sternotomy before and after reviewing an instructional video. Two senior cardiac surgery resident physicians assessed the participants with the checklist during each session. An entry and exit questionnaire was given to the participants to evaluate the simulation model. Results: Participants scored higher after the training (14.3 AE 2.0) compared with before training (8.0 AE 3.1) (P < .001). The mean duration of time for participants to complete the sternotomy was shorter before training (188 AE 52 seconds vs 228 AE 58 seconds; P ¼ .003). The checklist interrater reliability was k ¼ 0.47 (moderate) for before training and k ¼ 0.37 (fair) for after training. All study participants rated the simulation sessions as very useful or extremely useful. Conclusions: Using the simulation model, training video, and checklist, trainees were able to improve their skill in performing a median sternotomy. This improvement was associated with longer times to complete all procedure steps. Rater training may further improve interrater reliability. Our median sternotomy checklist and simulation model can be adopted for the technical skills training of future cardiac surgery trainees. (JTCVS Techniques 2020;2:109-16

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Section: Discussionmentioning

confidence: 65%

mentioning

confidence: 99%

Development of a median sternotomy simulation model for cardiac surgery training

Juanda

Ngu

et al. 2020

JTCVS Techniques

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“…Similar finding was noted in a study whose theme was "Training on a bench model transfers well to the human model". 16 Another interesting fact which was noted on Station-2, was that instrument knot tying was performed much better in post-test if we compare Group-A with Group-B scores. On first impression it seemed a researcher's bias that is "halo effect".…”

Section: Discussionmentioning

confidence: 87%

Evaluation of basic surgical skill workshop at undergraduate level in the discipline of surgery

et al. 2020

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Objective: To evaluate the effectiveness of basic surgical skill workshop at under graduate level. Methods: This was randomized controlled study (cross-over design) conducted at Al-Nafees Medical College and hospital from 1st January to November 30th 2017. Undergraduate medical students of Year-5 MBBS were randomized into two groups to undergo surgical skills training. One was workshop or interventional Group-A, other was traditional teaching or control Group-B. Online random sampling calculator was used for randomization. Both groups were given a pretest and post-test in the form of two OSATS station. Results: Total 49 students were enrolled in the study; Group-A had 25 whereas Group-B had 24 students. There was significant difference (p=0.000) in mean post-test scores of Group-A (36.28±6.75) and Group-B (24.17±5.09) out of 53 on OSATS station-1. Significant statistical difference (p=0.000) in the mean score of post-tests of Group-A (26.08±18.34) and Group-B (14.42±9.24) out of 37 was also noted on OSATS station-2. There was no significant difference in mean pretest scores on both stations in both groups. Conclusions: This study has suggestions in development of curriculum as it provides a quantitative substantiation indicating that workshop teaching as a learning strategy can essentially augment traditional teaching of technical skills to undergraduate medical students. doi: https://doi.org/10.12669/pjms.36.4.1792 How to cite this:Yunus M, Ghani Z, Muhammad Ch. I, Akram A. Evaluation of basic surgical skill workshop at undergraduate level in the discipline of surgery. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.1792 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…Other groups have drawn similar conclusions, that with no detriment to clinical outcomes, trainees should have operative exposure maximised in suitably structured and supported training programmes. 10,27 Surgical exposure for trainees With increasing difficulties in obtaining sufficient operating time, technological resources, such as simulation training, virtual reality software, and smartphone apps, are increasingly allowing trainees to develop their surgical skills outside of the theatre environment, 33,34 in theory making procedures safer when being performed. Trainees can prepare for procedures at their own pace and optimise their hands on exposure.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Operating Surgeon Experience, Supervised Trainee vs. Trained Surgeon, in Vascular Surgery Procedures: A Systematic Review and Meta-Analysis

Bath

Awopetu

Stather

et al. 2019

European Journal of Vascular and Endovascular Surgery

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This review demonstrates that supervised trainees, with appropriate training and suitable experience, can perform surgical procedures in select vascular cases without any detriment to patient care. Developing and maintaining supported training programmes for vascular trainees to maximise their surgical exposure is essential, ensuring high standards of care for tomorrow's patients.Objective: The operative caseload of a surgeon has a positive influence on post-operative outcomes. For surgical trainees to progress effectively, maximising operating room exposure is essential, vascular surgery being no exception. Our aim was to ascertain the impact of supervised trainee led vs. expert surgeon led procedures on post-operative outcomes, across three commonly performed vascular operations. Methods: A literature search was undertaken using the MEDLINE, Web of Science, and Cochrane databases up to 1 January 2018. Studies reporting outcomes following major lower limb amputation, fistula formation, or carotid endarterectomy (CEA) that involved a direct comparison between supervised trainee and experts were included, with odds ratios (ORs) calculated. Primary outcomes varied depending on the specific procedure: amputationsdrate of amputation revision within 30 days; fistula formationdprimary patency; CEAdstroke rate at 30 days. Meta-analysis with the Mantel-Haenszel method was performed for each outcome. Results: Sixteen studies were included in the final review. Overall, trainees accounted for a third of all procedures analysed (n ¼ 2 421/7 017; 34.5%). Only one study was identified that described rates of amputation revision, precluding any further analysis. Four studies on fistula formation were included, showing no significant difference in outcomes between trainees and experts in primary patency (OR 1.68, 95% confidence interval [CI] 0.42e6.75). Nine studies were identified reporting post-CEA stroke rates, also demonstrating no difference between trainees and experts (OR 0.89, 95% CI 0.59e1.32). Conclusion:In select cases, with appropriate training and suitable experience, supervised trainees can perform surgical procedures without any detriment to patient care. To ensure high standards for patients of the future, supported training programmes are essential for today's surgical trainees.

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Impact of visualization on simulation training for vascular anastomosis

Cited by 22 publications

References 24 publications

Development of a median sternotomy simulation model for cardiac surgery training

Development of a median sternotomy simulation model for cardiac surgery training

Evaluation of basic surgical skill workshop at undergraduate level in the discipline of surgery

The Impact of Operating Surgeon Experience, Supervised Trainee vs. Trained Surgeon, in Vascular Surgery Procedures: A Systematic Review and Meta-Analysis

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