Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study.
Identifieur interne : 001768 ( PubMed/Corpus ); précédent : 001767; suivant : 001769Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study.
Auteurs : Rabih A. Chaer ; Brian G. Derubertis ; Stephanie C. Lin ; Harry L. Bush ; John K. Karwowski ; Daniel Birk ; Nicholas J. Morrissey ; Peter L. Faries ; James F. Mckinsey ; K Craig KentSource :
- Annals of surgery [ 0003-4932 ] ; 2006.
English descriptors
- KwdEn :
- Angiography, Arterial Occlusive Diseases (diagnosis), Arterial Occlusive Diseases (therapy), Catheterization, Peripheral (standards), Computer Simulation, Humans, Iliac Artery, Internship and Residency (standards), Surveys and Questionnaires, Vascular Surgical Procedures (education), Vascular Surgical Procedures (methods).
- MESH :
- diagnosis : Arterial Occlusive Diseases.
- education : Vascular Surgical Procedures.
- methods : Vascular Surgical Procedures.
- standards : Catheterization, Peripheral, Internship and Residency.
- therapy : Arterial Occlusive Diseases.
- Angiography, Computer Simulation, Humans, Iliac Artery, Surveys and Questionnaires.
Abstract
Surgical simulation has been shown to enhance the training of general surgery residents. Since catheter-based techniques have become an important part of the vascular surgeon's armamentarium, we explored whether simulation might impact the acquisition of catheter skills by surgical residents.
DOI: 10.1097/01.sla.0000234932.88487.75
PubMed: 16926560
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pubmed:16926560Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study.</title><author><name sortKey="Chaer, Rabih A" sort="Chaer, Rabih A" uniqKey="Chaer R" first="Rabih A" last="Chaer">Rabih A. Chaer</name><affiliation><nlm:affiliation>Columbia University, Weill Cornell Division of Vascular Surgery, New York Presbyterian Hospital, New York, NY 10021, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Derubertis, Brian G" sort="Derubertis, Brian G" uniqKey="Derubertis B" first="Brian G" last="Derubertis">Brian G. Derubertis</name></author><author><name sortKey="Lin, Stephanie C" sort="Lin, Stephanie C" uniqKey="Lin S" first="Stephanie C" last="Lin">Stephanie C. Lin</name></author><author><name sortKey="Bush, Harry L" sort="Bush, Harry L" uniqKey="Bush H" first="Harry L" last="Bush">Harry L. Bush</name></author><author><name sortKey="Karwowski, John K" sort="Karwowski, John K" uniqKey="Karwowski J" first="John K" last="Karwowski">John K. Karwowski</name></author><author><name sortKey="Birk, Daniel" sort="Birk, Daniel" uniqKey="Birk D" first="Daniel" last="Birk">Daniel Birk</name></author><author><name sortKey="Morrissey, Nicholas J" sort="Morrissey, Nicholas J" uniqKey="Morrissey N" first="Nicholas J" last="Morrissey">Nicholas J. Morrissey</name></author><author><name sortKey="Faries, Peter L" sort="Faries, Peter L" uniqKey="Faries P" first="Peter L" last="Faries">Peter L. Faries</name></author><author><name sortKey="Mckinsey, James F" sort="Mckinsey, James F" uniqKey="Mckinsey J" first="James F" last="Mckinsey">James F. Mckinsey</name></author><author><name sortKey="Kent, K Craig" sort="Kent, K Craig" uniqKey="Kent K" first="K Craig" last="Kent">K Craig Kent</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="doi">10.1097/01.sla.0000234932.88487.75</idno><idno type="RBID">pubmed:16926560</idno><idno type="pmid">16926560</idno><idno type="wicri:Area/PubMed/Corpus">001768</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study.</title><author><name sortKey="Chaer, Rabih A" sort="Chaer, Rabih A" uniqKey="Chaer R" first="Rabih A" last="Chaer">Rabih A. Chaer</name><affiliation><nlm:affiliation>Columbia University, Weill Cornell Division of Vascular Surgery, New York Presbyterian Hospital, New York, NY 10021, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Derubertis, Brian G" sort="Derubertis, Brian G" uniqKey="Derubertis B" first="Brian G" last="Derubertis">Brian G. Derubertis</name></author><author><name sortKey="Lin, Stephanie C" sort="Lin, Stephanie C" uniqKey="Lin S" first="Stephanie C" last="Lin">Stephanie C. Lin</name></author><author><name sortKey="Bush, Harry L" sort="Bush, Harry L" uniqKey="Bush H" first="Harry L" last="Bush">Harry L. Bush</name></author><author><name sortKey="Karwowski, John K" sort="Karwowski, John K" uniqKey="Karwowski J" first="John K" last="Karwowski">John K. Karwowski</name></author><author><name sortKey="Birk, Daniel" sort="Birk, Daniel" uniqKey="Birk D" first="Daniel" last="Birk">Daniel Birk</name></author><author><name sortKey="Morrissey, Nicholas J" sort="Morrissey, Nicholas J" uniqKey="Morrissey N" first="Nicholas J" last="Morrissey">Nicholas J. Morrissey</name></author><author><name sortKey="Faries, Peter L" sort="Faries, Peter L" uniqKey="Faries P" first="Peter L" last="Faries">Peter L. Faries</name></author><author><name sortKey="Mckinsey, James F" sort="Mckinsey, James F" uniqKey="Mckinsey J" first="James F" last="Mckinsey">James F. Mckinsey</name></author><author><name sortKey="Kent, K Craig" sort="Kent, K Craig" uniqKey="Kent K" first="K Craig" last="Kent">K Craig Kent</name></author></analytic><series><title level="j">Annals of surgery</title><idno type="ISSN">0003-4932</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Angiography</term><term>Arterial Occlusive Diseases (diagnosis)</term><term>Arterial Occlusive Diseases (therapy)</term><term>Catheterization, Peripheral (standards)</term><term>Computer Simulation</term><term>Humans</term><term>Iliac Artery</term><term>Internship and Residency (standards)</term><term>Surveys and Questionnaires</term><term>Vascular Surgical Procedures (education)</term><term>Vascular Surgical Procedures (methods)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Arterial Occlusive Diseases</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Vascular Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Vascular Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Catheterization, Peripheral</term><term>Internship and Residency</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Arterial Occlusive Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Angiography</term><term>Computer Simulation</term><term>Humans</term><term>Iliac Artery</term><term>Surveys and Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Surgical simulation has been shown to enhance the training of general surgery residents. Since catheter-based techniques have become an important part of the vascular surgeon's armamentarium, we explored whether simulation might impact the acquisition of catheter skills by surgical residents.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">16926560</PMID><DateCreated><Year>2006</Year><Month>08</Month><Day>23</Day></DateCreated><DateCompleted><Year>2006</Year><Month>10</Month><Day>10</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-4932</ISSN><JournalIssue CitedMedium="Print"><Volume>244</Volume><Issue>3</Issue><PubDate><Year>2006</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Annals of surgery</Title><ISOAbbreviation>Ann. Surg.</ISOAbbreviation></Journal><ArticleTitle>Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study.</ArticleTitle><Pagination><MedlinePgn>343-52</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Surgical simulation has been shown to enhance the training of general surgery residents. Since catheter-based techniques have become an important part of the vascular surgeon's armamentarium, we explored whether simulation might impact the acquisition of catheter skills by surgical residents.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Twenty general surgery residents received didactic training in the techniques of catheter intervention. Residents were then randomized with 10 receiving additional training with the Procedicus, computer-based, haptic simulator. All 20 residents then participated in 2 consecutive mentored catheter-based interventions for lower extremity occlusive disease in an OR/angiography suite. Resident performance was graded by attending surgeons blinded to the resident's training status, using 18 procedural steps as well as a global rating scale.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">There were no differences between the 2 resident groups with regard to demographics or scores on a visuospatial test administered at study outset. Overall, residents exposed to simulation scored higher than controls during the first angio/OR intervention: procedural steps (simulation/control) (50 +/- 6 vs. 33 +/- 9, P = 0.0015); global rating scale (30 +/- 7 vs. 19 +/- 5, P = 0.0052). The advantage provided by simulator training persisted with the second intervention (53 +/- 6 vs. 36 +/- 7, P = 0.0006); global rating scale (33 +/- 6 vs. 21 +/- 6, P = 0.0015). Moreover, simulation training, particularly for the second intervention, led to enhancement in almost all of the individual measures of performance.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Simulation is a valid tool for instructing surgical residents and fellows in basic endovascular techniques and should be incorporated into surgical training programs. Moreover, simulators may also benefit the large number of vascular surgeons who seek retraining in catheter-based intervention.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chaer</LastName><ForeName>Rabih A</ForeName><Initials>RA</Initials><AffiliationInfo><Affiliation>Columbia University, Weill Cornell Division of Vascular Surgery, New York Presbyterian Hospital, New York, NY 10021, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Derubertis</LastName><ForeName>Brian G</ForeName><Initials>BG</Initials></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Stephanie C</ForeName><Initials>SC</Initials></Author><Author ValidYN="Y"><LastName>Bush</LastName><ForeName>Harry L</ForeName><Initials>HL</Initials></Author><Author ValidYN="Y"><LastName>Karwowski</LastName><ForeName>John K</ForeName><Initials>JK</Initials></Author><Author ValidYN="Y"><LastName>Birk</LastName><ForeName>Daniel</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Morrissey</LastName><ForeName>Nicholas J</ForeName><Initials>NJ</Initials></Author><Author ValidYN="Y"><LastName>Faries</LastName><ForeName>Peter L</ForeName><Initials>PL</Initials></Author><Author ValidYN="Y"><LastName>McKinsey</LastName><ForeName>James F</ForeName><Initials>JF</Initials></Author><Author ValidYN="Y"><LastName>Kent</LastName><ForeName>K Craig</ForeName><Initials>KC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg</MedlineTA><NlmUniqueID>0372354</NlmUniqueID><ISSNLinking>0003-4932</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Ann Surg. 2002 Oct;236(4):458-63; 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