Quantifying the effects of training in lung transplantation: Lessons from NASA

Autor: Nicholas J.S. Chilvers, MB BChir, MRCS, Zachariah M. Evans, BSc, MBChB, Alexander W. Clark, BSc, Muhammad I. Mydin, FRCS(C-Th), Stephen C. Clark, DM, FRCS(C-Th)
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: JHLT Open, Vol 5, Iss , Pp 100102- (2024)
Druh dokumentu: article
ISSN: 2950-1334
DOI: 10.1016/j.jhlto.2024.100102
Popis: Background: Sequential lung transplantation is a complex procedure. The traditional training model continues to center around operative experience with progressively increasing delegation of stages of the procedure. However, little evidence exists on the effects this has on surgical trainers. The NASA-TLX is a subjective, multidimensional assessment tool that rates perceived workload. We sought to employ this as a means of assessing the impact that training in lung transplantation has on trainers. Methods: We prospectively collected the NASA-TLX data for 60 patients undergoing bilateral sequential lung transplantation. In 30 cases, the operation was performed entirely by the senior surgeon (SS) who implanted both lungs. In 30 operations, the senior surgeon implanted the right lung (SSR) and supervised a trainee implanting the left lung (TL). Results: The overall weighted rating was significantly lower for the surgeons undertaking the case themselves rather than training (p
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