Simulator based angiography education in neurosurgery: results of a pilot educational program
Identifieur interne : 003129 ( Istex/Curation ); précédent : 003128; suivant : 003130Simulator based angiography education in neurosurgery: results of a pilot educational program
Auteurs : Kyle Michael Fargen [États-Unis] ; Adnan H. Siddiqui [États-Unis] ; Erol Veznedaroglu [États-Unis] ; Raymond D. Turner [États-Unis] ; Andrew J. Ringer [États-Unis] ; J. Mocco [États-Unis]Source :
- Journal of NeuroInterventional Surgery [ 1759-8478 ] ; 2012-11.
Abstract
Introduction The use of simulators in medical training has been on the rise over the past decade as a means to teach procedural skills to trainees in a risk free environment. The goal of this study was to pilot a simulator based skills course for inexperienced neurosurgical residents to teach the fundamentals of cervicocerebral catheterization and angiography, with the ultimate goal of defining a universal simulator based curriculum that could be incorporated into neurosurgical resident training in the future. Methods Seven neurosurgery residents with no prior angiographic experience served as the pilot participants for this 2 day course. Four neurointerventional trained neurosurgeons served as faculty for instruction and evaluation. The majority of the course focused on hands-on simulator practice with close mentoring by faculty. Participants were evaluated with pre-course and post-course assessments. Results Post-course written test scores were significantly higher than pre-course scores (p<0.001). Faculty assessments of participants' technical skills with angiography (graded 0–10, with 10 being best) also improved significantly from pre-course to post-course (pre 2.1; post 5.9; p<0.001). Objective simulator recorded assessments demonstrated a significant decrease in the time needed to complete a four vessel angiogram (p<0.001) and total fluoroscopic time (p<0.001). Conclusions Participant angiography skills, based on both faculty and simulator assessments, as well as participant knowledge, improved after this didactic, hands-on simulator course. Neuroendovascular simulator training appears to be a viable means of training inexperienced neurosurgery residents in the early learning stages of basic endovascular neurosurgery. Further studies evaluating the translation of procedural skills learned on the simulator to actual clinical skills in the angiography suite is necessary.
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DOI: 10.1136/neurintsurg-2011-010128
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Turner</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurological Surgery, Medical University of South Carolina, Charleston, South Carolina, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurological Surgery, Medical University of South Carolina, Charleston, South Carolina</wicri:regionArea></affiliation></author><author><name sortKey="Ringer, Andrew J" sort="Ringer, Andrew J" uniqKey="Ringer A" first="Andrew J" last="Ringer">Andrew J. Ringer</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, University of Cincinnati, Cincinnati, Ohio</wicri:regionArea></affiliation></author><author><name sortKey="Mocco, J" sort="Mocco, J" uniqKey="Mocco J" first="J" last="Mocco">J. Mocco</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurosurgery, University of Florida, Gainesville, Florida, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, University of Florida, Gainesville, Florida</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:FAB2195508D262866F6861266F2793C1333D3E11</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1136/neurintsurg-2011-010128</idno><idno type="url">https://api.istex.fr/document/FAB2195508D262866F6861266F2793C1333D3E11/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003129</idno><idno type="wicri:Area/Istex/Curation">003129</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Simulator based angiography education in neurosurgery: results of a pilot educational program</title><author><name sortKey="Fargen, Kyle Michael" sort="Fargen, Kyle Michael" uniqKey="Fargen K" first="Kyle Michael" last="Fargen">Kyle Michael Fargen</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurosurgery, University of Florida, Gainesville, Florida, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, University of Florida, Gainesville, Florida</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>E-mail: kyle.fargen@neurosurgery.ufl.edu</mods:affiliation><country wicri:rule="url">États-Unis</country></affiliation></author><author><name sortKey="Siddiqui, Adnan H" sort="Siddiqui, Adnan H" uniqKey="Siddiqui A" first="Adnan H" last="Siddiqui">Adnan H. 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Turner</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurological Surgery, Medical University of South Carolina, Charleston, South Carolina, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurological Surgery, Medical University of South Carolina, Charleston, South Carolina</wicri:regionArea></affiliation></author><author><name sortKey="Ringer, Andrew J" sort="Ringer, Andrew J" uniqKey="Ringer A" first="Andrew J" last="Ringer">Andrew J. Ringer</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, University of Cincinnati, Cincinnati, Ohio</wicri:regionArea></affiliation></author><author><name sortKey="Mocco, J" sort="Mocco, J" uniqKey="Mocco J" first="J" last="Mocco">J. Mocco</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurosurgery, University of Florida, Gainesville, Florida, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, University of Florida, Gainesville, Florida</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of NeuroInterventional Surgery</title><title level="j" type="abbrev">J NeuroIntervent Surg</title><idno type="ISSN">1759-8478</idno><idno type="eISSN">1759-8486</idno><imprint><publisher>BMJ Publishing Group Ltd.</publisher><pubPlace>BMA House, Tavistock Square, London, WC1H 9JR</pubPlace><date type="published" when="2012-11">2012-11</date><biblScope unit="volume">4</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="438">438</biblScope></imprint><idno type="ISSN">1759-8478</idno></series><idno type="istex">FAB2195508D262866F6861266F2793C1333D3E11</idno><idno type="DOI">10.1136/neurintsurg-2011-010128</idno><idno type="href">neurintsurg-4-438.pdf</idno><idno type="ArticleID">neurintsurg-2011-010128</idno><idno type="PMID">22015637</idno><idno type="local">neurintsurg;4/6/438</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1759-8478</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Introduction The use of simulators in medical training has been on the rise over the past decade as a means to teach procedural skills to trainees in a risk free environment. The goal of this study was to pilot a simulator based skills course for inexperienced neurosurgical residents to teach the fundamentals of cervicocerebral catheterization and angiography, with the ultimate goal of defining a universal simulator based curriculum that could be incorporated into neurosurgical resident training in the future. Methods Seven neurosurgery residents with no prior angiographic experience served as the pilot participants for this 2 day course. Four neurointerventional trained neurosurgeons served as faculty for instruction and evaluation. The majority of the course focused on hands-on simulator practice with close mentoring by faculty. Participants were evaluated with pre-course and post-course assessments. Results Post-course written test scores were significantly higher than pre-course scores (p<0.001). Faculty assessments of participants' technical skills with angiography (graded 0–10, with 10 being best) also improved significantly from pre-course to post-course (pre 2.1; post 5.9; p<0.001). Objective simulator recorded assessments demonstrated a significant decrease in the time needed to complete a four vessel angiogram (p<0.001) and total fluoroscopic time (p<0.001). Conclusions Participant angiography skills, based on both faculty and simulator assessments, as well as participant knowledge, improved after this didactic, hands-on simulator course. Neuroendovascular simulator training appears to be a viable means of training inexperienced neurosurgery residents in the early learning stages of basic endovascular neurosurgery. Further studies evaluating the translation of procedural skills learned on the simulator to actual clinical skills in the angiography suite is necessary.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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