The Incorporation of Hands-On Surgical Training in a Congenital Heart Surgery Training Curriculum
- PMID: 33307072
- DOI: 10.1016/j.athoracsur.2020.11.018
The Incorporation of Hands-On Surgical Training in a Congenital Heart Surgery Training Curriculum
Abstract
Background: The monthly in-house Hands-On Surgical Training (HOST) program was incorporated into the congenital heart surgery (CHS) curriculum for surgical trainees within our institution VSports手机版. This study evaluated whether there was an improvement and retention of technical skills throughout the curriculum via objective assessment methods. .
Methods: Twelve 3-dimensional-printed surgical heart models were included into the year-long curriculum. The monthly sessions were attended by all trainees and staff surgeons V体育安卓版. Proctors demonstrated the operation on a model, which was followed by 2 attempts by each trainee. Attempts were recorded for objective assessment. On completion of the curriculum trainees repeated 4 procedures an additional 2 times after a delay to assess skill retention. .
Results: Twelve sessions were completed by 7 trainees within the curriculum. Objective assessments were performed in 7 sessions. Eighty-one percent of trainees' scores improved between the 2 attempts, with a mean improvement of 13% (attempt 1: HOST-CHS score of 79, attempt 2: HOST-CHS score of 89; P < . 001). Similarly, 91% of procedural times improved by a mean of 25% (attempt 1, 1:22:00 [hours:minutes:seconds]; attempt 2, 1:01:21; P < . 001). During individual procedure analysis, statistical significance remained in 3 of 7 procedures (P < . 05). Four procedures were assessed for skill retention after a delay (2-14 months). Scores decreased by 4% in 47% of trainees during attempt 3 (attempt 2: HOST-CHS score of 94, attempt 3: HOST-CHS score of 91; P = . 34) but improved in 79% during attempt 4 (attempt 3: HOST-CHS score of 91, attempt 4: HOST-CHS score of 99; P = . 004), matching their previous performance V体育ios版. .
Conclusions: The monthly HOST course was successfully incorporated into a training curriculum for CHS surgeons using objective assessments to measure technical performance. Trainees demonstrated an improvement across all evaluated procedures and retained their skills when reassessed after a delay highlighting its value in CHS training. VSports最新版本.
Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved V体育平台登录. .
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