We evaluated focused training in coronary artery anastomosis with a porcine heart model and portable task station

Brown, John W.

Calhoon, John H.

Carpenter, Andrea J.

Fann, James I.

Feins, Richard H.

Hicks, George L.

Kalani, Maziyar

Merrill, Walter H.

Murray, Gordon F.

Poston, Robert S.

PubMed

ObjectiveWe evaluated focused training in coronary artery anastomosis with a porcine heart model and portable task station.MethodsAt “Boot Camp,” 33 first-year cardiothoracic surgical residents participated in 4-hour coronary anastomosis sessions (6–7 attending surgeons per group of 8–9 residents). At beginning, midpoint, and session end, anastomosis components were assessed on a 3-point rating scale (1 good, 2 average, 3 below average). Performances were video recorded and reviewed by 3 surgeons in a blinded fashion. Participants completed questionnaires at session end, with follow-up surveys at 6 months.ResultsTen to 18 end-to-side anastomoses with porcine model and task station were performed. Initial assessments ranged from 2.11 ± 0.58 (forceps use) to 2.44 ± 0.48 (needle angles). Midpoint scores ranged from 1.76 ± 0.63 (forceps use) to 1.91 ± 0.49 (needle angles). Session end scores ranged from 1.29 ± 0.45 (needle holder use) to 1.58 ± 0.50 (needle transfer and suture management and tension; P < .001). Video recordings confirmed improved performance (interrater reliability >0.5). All respondents agreed that task station and porcine model were good methods of training. At 6 months, respondents noted that the anastomosis session provided a basis for training; however, only slightly more than half continued to practice outside the operating room.ConclusionsFour-hour focused training with porcine model and task station resulted in improved ability to perform anastomoses. Boot Camp may be useful in preparing residents for coronary anastomosis in the clinical setting, but emphasis on simulation development and deliberate practice is necessary

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Simulation in coronary artery anastomosis early in cardiothoracic surgical residency training: The Boot Camp experience 

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Simulation in coronary artery anastomosis early in cardiothoracic surgical residency training: The Boot Camp experience

Objective—We evaluated focused training in coronary artery anastomosis with a porcine heart
model and portable task station.
Methods—At “Boot Camp,” 33 first-year cardiothoracic surgical residents participated in 4-hour
coronary anastomosis sessions (6–7 attending surgeons per group of 8–9 residents). At beginning,
midpoint, and session end, anastomosis components were assessed on a 3-point rating scale (1
good, 2 average, 3 below average). Performances were video recorded and reviewed by 3 surgeons
in a blinded fashion. Participants completed questionnaires at session end, with follow-up surveys
at 6 months.
Results—Ten to 18 end-to-side anastomoses with porcine model and task station were
performed. Initial assessments ranged from 2.11 ± 0.58 (forceps use) to 2.44 ± 0.48 (needle
angles). Midpoint scores ranged from 1.76 ± 0.63 (forceps use) to 1.91 ± 0.49 (needle angles).
Session end scores ranged from 1.29 ± 0.45 (needle holder use) to 1.58 ± 0.50 (needle transfer and
suture management and tension; P  0.5). All respondents agreed that task station and porcine model were good
methods of training. At 6 months, respondents noted that the anastomosis session provided a basis
for training; however, only slightly more than half continued to practice outside the operating
room.
Conclusions—Four-hour focused training with porcine model and task station resulted in
improved ability to perform anastomoses. Boot Camp may be useful in preparing residents for
coronary anastomosis in the clinical setting, but emphasis on simulation development and
deliberate practice is necessary

https://cdr.lib.unc.edu/downloads/0c483t22s

Simulation in coronary artery anastomosis early in cardiothoracic surgical residency training: The Boot Camp experience

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Elsevier - Publisher Connector

Carolina Digital Repository

Elsevier - Publisher Connector

Carolina Digital Repository