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    Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction

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    Authors
    Robinson, William P. III
    Baril, Donald T.
    Taha, Odette
    Schanzer, Andres
    Larkin, Anne C.
    Bismuth, Jean
    Mitchell, Erica L.
    Messina, Louis M.
    Student Authors
    Odette Taha
    UMass Chan Affiliations
    Department of Surgery
    School of Medicine
    Document Type
    Journal Article
    Publication Date
    2013-07-01
    Keywords
    Aortic Aneurysm, Abdominal
    Blood Vessel Prosthesis Implantation
    Checklist
    Chi-Square Distribution
    Clinical Competence
    *Computer Simulation
    *Computer-Assisted Instruction
    Curriculum
    Education, Medical, Graduate
    *Faculty, Medical
    Humans
    *Internship and Residency
    Learning Curve
    *Models, Cardiovascular
    Motor Skills
    Task Performance and Analysis
    Teaching
    Time Factors
    Video Recording
    Medical Education
    Surgery
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    Link to Full Text
    http://dx.doi.org/10.1016/j.jvs.2013.04.052
    Abstract
    OBJECTIVE: We assessed the impact of abdominal aortic aneurysm (AAA)-specific simulation training on resident performance in simulated open AAA repair (SOAAAR) and determined whether simulation training required dedicated faculty instruction. METHODS: We randomized 18 residents (postgraduate years 3-5) to an AAA simulation course consisting of two mandatory practice sessions proctored either by a surgical skills lab coordinator (Group A, n = 8) or by a vascular surgery faculty instructor (Group B, n = 10). All residents received a detailed manual and video demonstrating the technique of open AAA repair. Using a validated tool, vascular faculty who were blinded to resident identity, level of training, and randomization status graded SOAAAR performance via videos that were recorded before and after the course. RESULTS: Characteristics and baseline scores between Groups A and B were not different. Postcourse, there was a no significant improvement in performance in Group A. Group B performance was improved significantly from baseline with regard to task-specific checklist scores (44.1 +/- 6.3 vs 34.9 +/- .5; P = .02), global rating scores (28.4 +/- .6 vs 25.3 +/- 5.0; P = .049), and overall assessment of operative competence (P = .02). Time to complete SOAAAR improved in both groups (P = .02). Baseline performance varied significantly with year of training as measured by task-specific checklist scores, global rating scores, final product analysis, time to complete repair, and overall operative competence. Improvement varied inversely with year of training (P < .05) and postcourse scores were equivalent for postgraduate year 3-5 residents. CONCLUSIONS: An AAA-specific simulation training course improved resident performance in simulated open AAA repair. Dedicated faculty instruction during the simulation training was required for significant improvement in resident performance. The impact of simulation training was greatest in more junior residents. Procedure-specific simulation training with dedicated faculty can be used to effectively teach simulated open AAA repair. rights reserved.
    Source

    Robinson WP, Baril DT, Taha O, Schanzer A, Larkin AC, Bismuth J, Mitchell EL, Messina LM. Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction. J Vasc Surg. 2013 Jul;58(1):247-53.e1-2. doi: 10.1016/j.jvs.2013.04.052. Link to article on publisher's site

    DOI
    10.1016/j.jvs.2013.04.052
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/49706
    PubMed ID
    23806258
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jvs.2013.04.052
    Scopus Count
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    T.H. Chan School of Medicine Student Publications
    UMass Chan Faculty and Researcher Publications

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