Remote training and evaluation of a simulator-based training course for complex endovascular procedures.

IF 0.6 4区 医学 Q4 SURGERY
Markus Plimon, Jürgen Falkensammer, Fadi Taher, Amun Hofmann, Afshin Assadian
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引用次数: 0

Abstract

Background: Intimate knowledge of the materials used in endovascular aortic interventions is essential for trainees and supporting staff taking part in an endovascular intervention. Training courses can help to familiarize trainees with the equipment. However, the pandemic has changed the landscape of hands-on training courses significantly. Therefore, we developed a training course including an educational recording of the procedure to transfer knowledge about the materials used during endovascular interventions and radiation exposure reduction.

Methods: We produced a video depicting cannulation of the left renal artery in a silicon cast of an aorta and its major side branches under C‑arm fluoroscopy. A presentation using the video was given to the trainees. The trainees were randomized into a control and an intervention group. Their performance was filmed and rated on a standardized five-point scale in the style of the OSATS global rating scale. The intervention group was remeasured after additional training time.

Results: In total, 23 trainees participated in the training and agreed to have their performance recorded. The control and intervention groups showed no difference in the assessed performance metrics during their initial attempt. However, after receiving additional training, the intervention group significantly improved in all evaluated metrics.

Conclusion: Our data add to the growing evidence that simulator-based training can help to increase trainees' understanding and performance of relevant skills. A standardized and evidence-based validation process for simulators could improve their acceptance in the medical field.

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针对复杂血管内手术的基于模拟器的培训课程的远程培训和评估。
背景:对血管内主动脉介入治疗中使用的材料有深入的了解对于参与血管内介入治疗的受训人员和辅助人员来说是至关重要的。培训课程可以帮助学员熟悉设备。然而,疫情极大地改变了实践培训课程的格局。因此,我们开发了一个培训课程,包括该程序的教育记录,以转移有关血管内干预和减少辐射暴露过程中使用的材料的知识。方法:我们制作了一段视频,描述了在C臂荧光镜下,在主动脉及其主要侧支的硅铸件中插入左肾动脉。使用视频向学员进行了演示。受训人员被随机分为对照组和干预组。他们的表演被拍摄下来,并按照OSATS全球评分标准的风格,以标准化的五分制进行评分。干预组在额外的训练时间后重新测量。结果:共有23名学员参加了培训,并同意记录他们的表现。对照组和干预组在最初的尝试中,评估的绩效指标没有差异。然而,在接受额外训练后,干预组在所有评估指标上都有显著改善。结论:我们的数据进一步证明,基于模拟器的培训有助于提高学员对相关技能的理解和表现。模拟器的标准化和循证验证过程可以提高其在医学领域的接受度。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
36
审稿时长
6-12 weeks
期刊介绍: The journal European Surgery – Acta Chirurgica Austriaca focuses on general surgery, endocrine surgery, thoracic surgery, heart and vascular surgery. Special features include new surgical and endoscopic techniques such as minimally invasive surgery, robot surgery, and advances in surgery-related biotechnology and surgical oncology. The journal especially addresses benign and malignant esophageal diseases, i.e. achalasia, gastroesophageal reflux disease, Barrett’s esophagus, and esophageal adenocarcinoma. In keeping with modern healthcare requirements, the journal’s scope includes inter- and multidisciplinary disease management (diagnosis, therapy and surveillance).
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