“Top Gun” Competition: Motivation and Practice Narrows the Technical Skill Gap Among New Cardiothoracic Surgery Residents

Enter, Daniel; Lee, Richard; Fann, James I.; Hicks, George L.; Verrier, Edward D.; Mark, Rebecca J.; Lou, Xiaoying; Mokadam, Nahush A.

doi:10.1016/j.athoracsur.2014.09.051

Cited by 34 publications

(23 citation statements)

References 15 publications

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“… 9 This has been replicated in other studies 10 and is consistent with our results which showed improved scores for suturing and advanced laparoscopic skills. Although we could not show an improvement in the bowel and vascular anastomosis tasks, studies have shown that practicing in these tasks in a noncompetitive 4 and competitive setting 11 results in an objective improvement in technique.…”

Section: Discussioncontrasting

confidence: 86%

Surgical Skills Olympiad: A 4-Year Experience in a General Surgery Residency Program

et al. 2021

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Background The acquisition of operative skills is the critical defining component of general surgery training. Performing simulated tasks has been shown to increase a resident's technical skills. As such, we devised the Surgical Skills Olympiad, an annual simulation-based skills competition. We examined our 4-year experience with the Olympiad at a large academic general surgery residency program. Objective This study aimed to use competition to motivate trainees to increase the time they spent practicing basic surgical skills, resulting in improved performance over time. Methods Teams were formed from members of each postgraduate year (PGY) class. Competition tasks were level specific: knot tying for PGY-1, basic laparoscopy for PGY-2, handsewn bowel anastomosis for PGY-3, vascular anastomosis for PGY-4, and advanced laparoscopy for PGY-5. Task scores over a 4-year period (2014–2017) were analyzed and a survey of participating teaching faculty was conducted. Results Ten faculty members responded to the survey, for a response rate of 63%. A total of 50% respondents felt that the caliber of surgical skills increased since the Olympiad was implemented. Ninety percent agreed that the Olympiad was beneficial for residents to assess their skills against their peers. Over 4 years, there was an improvement in scores for suturing task, advanced laparoscopy, and bowel anastomosis (p < 0.05 for all three). Conclusion A residency-wide surgical skills competition can improve resident performance in technical tasks and promote faculty engagement in resident skills training.

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Section: Discussioncontrasting

confidence: 86%

Surgical Skills Olympiad: A 4-Year Experience in a General Surgery Residency Program

et al. 2021

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“…Many different low-and high-fidelity models or practice regimens for simulation training have been proposed over the years, some offered regionally versus nationally, and some provided in a bootcamp setting versus as a part of a longitudinal curriculum. [4][5][6][7][8][9][10][11][12] Whatever the method, to establish a culture of practice, our survey results reinforce the notion that it must be mindful of the VIDEO 1. Authors John J. Kelly, Amit Iyengar, and Mark R. Helmers discuss the design and applications of our "do-it-yourself" cardiac surgery simulator.…”

Section: Discussionsupporting

confidence: 62%

“…Many different low- and high-fidelity models or practice regimens for simulation training have been proposed over the years, some offered regionally versus nationally, and some provided in a bootcamp setting versus as a part of a longitudinal curriculum. 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 Whatever the method, to establish a culture of practice, our survey results reinforce the notion that it must be mindful of the users' scarcity of time, energy, and motivation and ensure that trainees find the process as convenient and streamlined as possible. Sometimes, trainees may only have 10 to 20 minutes to practice before sleeping to prepare for a case the next day.…”

Section: Discussionsupporting

confidence: 62%

Do-it-yourself simulators and building a culture of practice in the virtual era

et al. 2021

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Video clip is available online.Our group has previously described how practice is essential to the development of expertise in a variety of domains. 1 In this article, we present the results of a survey of current cardiothoracic surgical trainees on their attitudes regarding the utility of practice. Based on these findings, we describe our prototype "do-it-yourself" (DIY) simulator, emphasizing future directions for inculcating a habit of practice among trainees, especially given the increasing reliance on virtual platforms amidst the coronavirus disease 2019 (COVID-19) pandemic (Video 1). METHODSIn collaboration with the Thoracic Surgery Residents Association, a 19question survey was distributed to current cardiothoracic trainees in all training pathways (n ¼ 531) from October 1 to December 31, 2019. The full survey is available in Online Data Supplement. The survey aimed to evaluate institutional culture, trainee habits (eg, frequency, duration, setting), attitudes, and perceived impediments to practice (eg, instruction, space, equipment, motivation, and time). Practice was defined broadly as any or all of the following activities: knot-tying, suturing, and tissue handling, either in a simulation or an animal tissue laboratory setting. Standard descriptive statistics were used. Comparative statistics were performed using c 2 tests or analysis of variance techniques where appropriate. All statistical analysis was performed using Stata/IC 15.1 (StataCorp LLC, College Station, Tex). This study was deemed exempt by the institutional review board at the University of Pennsylvania. SURVEY RESULTSThe survey was completed by 119 trainees (24.7%). The majority agreed or strongly agreed that practice is important to their growth (98%, 117/119) and that practice generally enhances intraoperative performance (93%, 111/119) and autonomy (82%, 98/119). Most felt they received encouragement to practice from seniors and attendings (73%, 87/119).

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“…The "Top Gun" program demonstrated that simulation practice leads to improved skills performance for cardiothoracic surgery trainees. 10 Other programs, such as the Thoracic Surgery Directors Association Boot Camp, have favorable reviews from residents but have limited enrollment availability. Surgical coaching programs that focus on individual continuous improvement of technical and nontechnical skills, such as leadership, teamwork, and communication, provide excellent resources and promote performance improvement in the operating room.…”

Section: Adjuncts To Technical Trainingmentioning

confidence: 99%

COVID-19 Disruption in Cardiothoracic Surgical Training: An Opportunity to Enhance Education

Fuller

Vaporciyan

Dearani

et al. 2020

The Annals of Thoracic Surgery

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“Top Gun” Competition: Motivation and Practice Narrows the Technical Skill Gap Among New Cardiothoracic Surgery Residents

Cited by 34 publications

References 15 publications

Surgical Skills Olympiad: A 4-Year Experience in a General Surgery Residency Program

Surgical Skills Olympiad: A 4-Year Experience in a General Surgery Residency Program

Do-it-yourself simulators and building a culture of practice in the virtual era

COVID-19 Disruption in Cardiothoracic Surgical Training: An Opportunity to Enhance Education

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