Trainee Experience in Simulation-Based Education of Open Vascular Surgery
| Autor: | Peter F. Lawrence, Joe L. Pantoja, Donald T. Baril, Wesley S. Moore, Meena M. Archie |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
education 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Operating theater Surveys and Questionnaires medicine Humans Learning Medical physics Simulation based Simulation Training Surgeons business.industry Survey research General Medicine Vascular surgery Surgical procedures Congresses as Topic medicine.disease Surgical training Abdominal aortic aneurysm Education Medical Graduate Surgery Clinical Competence Curriculum Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Audience response |
| Zdroj: | Annals of vascular surgery. 73 |
| ISSN: | 1615-5947 |
| Popis: | Background Simulation continues to be an important adjunct to vascular surgery training, yet the optimal implementation of simulation to complement conventional surgical training continues to evolve. This study aims to find areas for improvement in current simulation-based training of open vascular skills by characterizing the experience of vascular trainees attending a national simulation-based course. Method This was a survey study conducted at the simulation course of the Annual UCLA/SVS Symposium: A Comprehensive Review and Update of What's New in Vascular and Endovascular Surgery, a national vascular surgery meeting. The survey consisted of 17 questions and was administered on paper or electronically via the Audience Response System, before the start of the course. The survey assessed the participants' experience in formal training, simulation training, and comfort with open surgical procedures. Results Between 2013 and 2018, the survey was completed by 150 participants of which 65% were vascular fellows. Only 48% of the participants had formal training in suturing and surgical instruments. Most participants had formal training in basic vascular techniques and advanced vascular operations. In 71%, simulation was incorporated into basic technique training and 60% in open surgical training. Simulation training was most commonly utilized in learning anastomotic techniques and open abdominal aortic aneurysm repair. Simulation skills were deemed translatable to the operating room by 59% of participants. Most participants were comfortable performing open vascular procedures. However, 68% of participants were uncomfortable performing an abdominal aortic aneurysm repair. Conclusions There continues to be a significant portion of trainees who do not undergo a simulation-based education. Current simulation training is being targeted to meet trainee needs in open vascular surgery, specifically open aneurysm repair. Nonetheless, trainees continue to have doubts regarding applicability of simulation-based skills to the operating theater. Further studies investigating access to simulation education as well as its translatability are needed. |
| Databáze: | OpenAIRE |
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