HapticV1, PascalFrancis, Corpus, bibRecord, 000C69

Simulation improves resident performance in catheter-based intervention : Results of a randomized, controlled study

Identifieur interne : 000C69 ( PascalFrancis/Corpus ); précédent : 000C68; suivant : 000C70

Simulation 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 Kent

Source :

Annals of surgery [ 0003-4932 ] ; 2006.

RBID : Pascal:06-0424265

Descripteurs français

Pascal (Inist)
- Simulation, Homme, Interne(étudiant), Résident, Evaluation performance, Performance, Cathéter, Résultat, Randomisation, Médecine, Chirurgie, Traitement, Etudiant en médecine.

English descriptors

KwdEn :
- Catheter, Human, Medicine, Performance, Performance evaluation, Randomization, Resident, Resident(student), Result, Simulation, Surgery, Treatment.

Abstract

Objectives: 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. 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. 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. Conclusion: 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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0003-4932`
A02	`01`			`@0 ANSUA5`
A03		`1`		`@0 Ann. surg.`
A05				`@2 244`
A06				`@2 3`
A08	`01`	`1`	`ENG`	`@1 Simulation improves resident performance in catheter-based intervention : Results of a randomized, controlled study`
A09	`01`	`1`	`ENG`	`@1 126th Annual Meeting of the American Surgical Association, Boston, MA, April 20-22, 2006. Part I`
A11	`01`	`1`		`@1 CHAER (Rabih A.)`
A11	`02`	`1`		`@1 DERUBERTIS (Brian G.)`
A11	`03`	`1`		`@1 LIN (Stephanie C.)`
A11	`04`	`1`		`@1 BUSH (Harry L.)`
A11	`05`	`1`		`@1 KARWOWSKI (John K.)`
A11	`06`	`1`		`@1 BIRK (Daniel)`
A11	`07`	`1`		`@1 MORRISSEY (Nicholas J.)`
A11	`08`	`1`		`@1 FARIES (Peter L.)`
A11	`09`	`1`		`@1 MCKINSEY (James F.)`
A11	`10`	`1`		`@1 KENT (K. Craig)`
A14	`01`			`@1 Columbia University, Weill Cornell Division of Vascular Surgery, New York Presbyterian Hospital @2 New York, NY @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut. @Z 9 aut. @Z 10 aut.`
A18	`01`	`1`		`@1 American Surgical Association @2 Beverly, MA @3 USA @9 org-cong.`
A20				`@1 343-352`
A21				`@1 2006`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 2016 @5 354000133575210010`
A44				`@0 0000 @1 © 2006 INIST-CNRS. All rights reserved.`
A45				`@0 12 ref.`
A47	`01`	`1`		`@0 06-0424265`
A60				`@1 P @2 C @3 AR @3 CT`
A61				`@0 A`
A64	`01`	`1`		`@0 Annals of surgery`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Objectives: 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. 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. 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. Conclusion: 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.
C02	`01`	`X`		`@0 002B01`
C03	`01`	`X`	`FRE`	`@0 Simulation @5 02`
C03	`01`	`X`	`ENG`	`@0 Simulation @5 02`
C03	`01`	`X`	`SPA`	`@0 Simulación @5 02`
C03	`02`	`X`	`FRE`	`@0 Homme @5 03`
C03	`02`	`X`	`ENG`	`@0 Human @5 03`
C03	`02`	`X`	`SPA`	`@0 Hombre @5 03`
C03	`03`	`X`	`FRE`	`@0 Interne(étudiant) @5 05`
C03	`03`	`X`	`ENG`	`@0 Resident(student) @5 05`
C03	`03`	`X`	`SPA`	`@0 Interno(estudiante) @5 05`
C03	`04`	`X`	`FRE`	`@0 Résident @5 06`
C03	`04`	`X`	`ENG`	`@0 Resident @5 06`
C03	`04`	`X`	`SPA`	`@0 Residente @5 06`
C03	`05`	`X`	`FRE`	`@0 Evaluation performance @5 08`
C03	`05`	`X`	`ENG`	`@0 Performance evaluation @5 08`
C03	`05`	`X`	`SPA`	`@0 Evaluación prestación @5 08`
C03	`06`	`X`	`FRE`	`@0 Performance @5 09`
C03	`06`	`X`	`ENG`	`@0 Performance @5 09`
C03	`06`	`X`	`SPA`	`@0 Rendimiento @5 09`
C03	`07`	`X`	`FRE`	`@0 Cathéter @5 11`
C03	`07`	`X`	`ENG`	`@0 Catheter @5 11`
C03	`07`	`X`	`SPA`	`@0 Catéter @5 11`
C03	`08`	`X`	`FRE`	`@0 Résultat @5 12`
C03	`08`	`X`	`ENG`	`@0 Result @5 12`
C03	`08`	`X`	`SPA`	`@0 Resultado @5 12`
C03	`09`	`X`	`FRE`	`@0 Randomisation @5 14`
C03	`09`	`X`	`ENG`	`@0 Randomization @5 14`
C03	`09`	`X`	`SPA`	`@0 Aleatorización @5 14`
C03	`10`	`X`	`FRE`	`@0 Médecine @5 15`
C03	`10`	`X`	`ENG`	`@0 Medicine @5 15`
C03	`10`	`X`	`SPA`	`@0 Medicina @5 15`
C03	`11`	`X`	`FRE`	`@0 Chirurgie @5 17`
C03	`11`	`X`	`ENG`	`@0 Surgery @5 17`
C03	`11`	`X`	`SPA`	`@0 Cirugía @5 17`
C03	`12`	`X`	`FRE`	`@0 Traitement @5 25`
C03	`12`	`X`	`ENG`	`@0 Treatment @5 25`
C03	`12`	`X`	`SPA`	`@0 Tratamiento @5 25`
C03	`13`	`X`	`FRE`	`@0 Etudiant en médecine @4 INC @5 86`
N21				`@1 282`

A30	`01`	`1`	`ENG`	`@1 American Surgical Association. Annual Meeting @2 126 @3 Boston, MA USA @4 2006-04-20`

Format Inist (serveur)

NO :	PASCAL 06-0424265 INIST
ET :	Simulation improves resident performance in catheter-based intervention : Results of a randomized, controlled study
AU :	CHAER (Rabih A.); DERUBERTIS (Brian G.); LIN (Stephanie C.); BUSH (Harry L.); KARWOWSKI (John K.); BIRK (Daniel); MORRISSEY (Nicholas J.); FARIES (Peter L.); MCKINSEY (James F.); KENT (K. Craig)
AF :	Columbia University, Weill Cornell Division of Vascular Surgery, New York Presbyterian Hospital/New York, NY/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut., 10 aut.)
DT :	Publication en série; Congrès; Article; Commentaire; Niveau analytique
SO :	Annals of surgery; ISSN 0003-4932; Coden ANSUA5; Etats-Unis; Da. 2006; Vol. 244; No. 3; Pp. 343-352; Bibl. 12 ref.
LA :	Anglais
EA :	Objectives: 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. 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. 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. Conclusion: 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.
CC :	002B01
FD :	Simulation; Homme; Interne(étudiant); Résident; Evaluation performance; Performance; Cathéter; Résultat; Randomisation; Médecine; Chirurgie; Traitement; Etudiant en médecine
ED :	Simulation; Human; Resident(student); Resident; Performance evaluation; Performance; Catheter; Result; Randomization; Medicine; Surgery; Treatment
SD :	Simulación; Hombre; Interno(estudiante); Residente; Evaluación prestación; Rendimiento; Catéter; Resultado; Aleatorización; Medicina; Cirugía; Tratamiento
LO :	INIST-2016.354000133575210010
ID :	06-0424265

Links to Exploration step

Pascal:06-0424265

Le document en format XML

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<author><name sortKey="Morrissey, Nicholas J" sort="Morrissey, Nicholas J" uniqKey="Morrissey N" first="Nicholas J." last="Morrissey">Nicholas J. Morrissey</name>
<affiliation><inist:fA14 i1="01"><s1>Columbia University, Weill Cornell Division of Vascular Surgery, New York Presbyterian Hospital</s1>
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<affiliation><inist:fA14 i1="01"><s1>Columbia University, Weill Cornell Division of Vascular Surgery, New York Presbyterian Hospital</s1>
<s2>New York, NY</s2>
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<author><name sortKey="Mckinsey, James F" sort="Mckinsey, James F" uniqKey="Mckinsey J" first="James F." last="Mckinsey">James F. Mckinsey</name>
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<author><name sortKey="Kent, K Craig" sort="Kent, K Craig" uniqKey="Kent K" first="K. Craig" last="Kent">K. Craig Kent</name>
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<s2>New York, NY</s2>
<s3>USA</s3>
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<series><title level="j" type="main">Annals of surgery</title>
<title level="j" type="abbreviated">Ann. surg.</title>
<idno type="ISSN">0003-4932</idno>
<imprint><date when="2006">2006</date>
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<seriesStmt><title level="j" type="main">Annals of surgery</title>
<title level="j" type="abbreviated">Ann. surg.</title>
<idno type="ISSN">0003-4932</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Catheter</term>
<term>Human</term>
<term>Medicine</term>
<term>Performance</term>
<term>Performance evaluation</term>
<term>Randomization</term>
<term>Resident</term>
<term>Resident(student)</term>
<term>Result</term>
<term>Simulation</term>
<term>Surgery</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Simulation</term>
<term>Homme</term>
<term>Interne(étudiant)</term>
<term>Résident</term>
<term>Evaluation performance</term>
<term>Performance</term>
<term>Cathéter</term>
<term>Résultat</term>
<term>Randomisation</term>
<term>Médecine</term>
<term>Chirurgie</term>
<term>Traitement</term>
<term>Etudiant en médecine</term>
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<front><div type="abstract" xml:lang="en">Objectives: 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. 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. 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. Conclusion: 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.</div>
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<fA08 i1="01" i2="1" l="ENG"><s1>Simulation improves resident performance in catheter-based intervention : Results of a randomized, controlled study</s1>
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<fA09 i1="01" i2="1" l="ENG"><s1>126th Annual Meeting of the American Surgical Association, Boston, MA, April 20-22, 2006. Part I</s1>
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<fA11 i1="01" i2="1"><s1>CHAER (Rabih A.)</s1>
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<fA11 i1="02" i2="1"><s1>DERUBERTIS (Brian G.)</s1>
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<fA11 i1="03" i2="1"><s1>LIN (Stephanie C.)</s1>
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<fA11 i1="04" i2="1"><s1>BUSH (Harry L.)</s1>
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<fA11 i1="05" i2="1"><s1>KARWOWSKI (John K.)</s1>
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<fA11 i1="06" i2="1"><s1>BIRK (Daniel)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>MORRISSEY (Nicholas J.)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>FARIES (Peter L.)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>MCKINSEY (James F.)</s1>
</fA11>
<fA11 i1="10" i2="1"><s1>KENT (K. Craig)</s1>
</fA11>
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<fA18 i1="01" i2="1"><s1>American Surgical Association</s1>
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<s9>org-cong.</s9>
</fA18>
<fA20><s1>343-352</s1>
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<fC01 i1="01" l="ENG"><s0>Objectives: 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. 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. 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. Conclusion: 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.</s0>
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<s5>05</s5>
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<s5>06</s5>
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<fC03 i1="04" i2="X" l="ENG"><s0>Resident</s0>
<s5>06</s5>
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<fC03 i1="04" i2="X" l="SPA"><s0>Residente</s0>
<s5>06</s5>
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<fC03 i1="05" i2="X" l="FRE"><s0>Evaluation performance</s0>
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<fC03 i1="05" i2="X" l="ENG"><s0>Performance evaluation</s0>
<s5>08</s5>
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<s5>08</s5>
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<fC03 i1="06" i2="X" l="FRE"><s0>Performance</s0>
<s5>09</s5>
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<fC03 i1="06" i2="X" l="ENG"><s0>Performance</s0>
<s5>09</s5>
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<s5>11</s5>
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<s5>11</s5>
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<s5>12</s5>
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<s5>12</s5>
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<fC03 i1="09" i2="X" l="FRE"><s0>Randomisation</s0>
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<s5>14</s5>
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<fC03 i1="09" i2="X" l="SPA"><s0>Aleatorización</s0>
<s5>14</s5>
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<s5>15</s5>
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<s5>15</s5>
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<s5>17</s5>
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<fC03 i1="11" i2="X" l="SPA"><s0>Cirugía</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Traitement</s0>
<s5>25</s5>
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<fC03 i1="12" i2="X" l="ENG"><s0>Treatment</s0>
<s5>25</s5>
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<fC03 i1="12" i2="X" l="SPA"><s0>Tratamiento</s0>
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<s4>INC</s4>
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<fN21><s1>282</s1>
</fN21>
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<pR><fA30 i1="01" i2="1" l="ENG"><s1>American Surgical Association. Annual Meeting</s1>
<s2>126</s2>
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<s4>2006-04-20</s4>
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<server><NO>PASCAL 06-0424265 INIST</NO>
<ET>Simulation improves resident performance in catheter-based intervention : Results of a randomized, controlled study</ET>
<AU>CHAER (Rabih A.); DERUBERTIS (Brian G.); LIN (Stephanie C.); BUSH (Harry L.); KARWOWSKI (John K.); BIRK (Daniel); MORRISSEY (Nicholas J.); FARIES (Peter L.); MCKINSEY (James F.); KENT (K. Craig)</AU>
<AF>Columbia University, Weill Cornell Division of Vascular Surgery, New York Presbyterian Hospital/New York, NY/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut., 10 aut.)</AF>
<DT>Publication en série; Congrès; Article; Commentaire; Niveau analytique</DT>
<SO>Annals of surgery; ISSN 0003-4932; Coden ANSUA5; Etats-Unis; Da. 2006; Vol. 244; No. 3; Pp. 343-352; Bibl. 12 ref.</SO>
<LA>Anglais</LA>
<EA>Objectives: 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. 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. 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. Conclusion: 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.</EA>
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<FD>Simulation; Homme; Interne(étudiant); Résident; Evaluation performance; Performance; Cathéter; Résultat; Randomisation; Médecine; Chirurgie; Traitement; Etudiant en médecine</FD>
<ED>Simulation; Human; Resident(student); Resident; Performance evaluation; Performance; Catheter; Result; Randomization; Medicine; Surgery; Treatment</ED>
<SD>Simulación; Hombre; Interno(estudiante); Residente; Evaluación prestación; Rendimiento; Catéter; Resultado; Aleatorización; Medicina; Cirugía; Tratamiento</SD>
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Simulation improves resident performance in catheter-based intervention : Results of a randomized, controlled study

Simulation improves resident performance in catheter-based intervention : Results of a randomized, controlled study

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