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Does Simulation-Based Training Improve Procedural Skills of Beginners in Interventional Cardiology?--A Stratified Randomized Study.
Voelker, Wolfram; Petri, Nils; Tönissen, Christoph; Störk, Stefan; Birkemeyer, Ralf; Kaiser, Erhard; Oberhoff, Martin.
Afiliação
  • Voelker W; Department of Internal Medicine I-Cardiology, Würzburg University, Germany.
  • Petri N; Department of Internal Medicine I-Cardiology, Würzburg University, Germany.
  • Tönissen C; Department of Cardiology, Leopoldina Hospital, Schweinfurt, Germany.
  • Störk S; Department of Internal Medicine I-Cardiology, Würzburg University, Germany.
  • Birkemeyer R; Comprehensive Heart Failure Center Würzburg, Würzburg University, Germany.
  • Kaiser E; Heart Clinic Ulm, Ulm, Germany.
  • Oberhoff M; Cardiology Practice Frankfurt, Frankfurt, Germany.
J Interv Cardiol ; 29(1): 75-82, 2016 Feb.
Article em En | MEDLINE | ID: mdl-26671629
ABSTRACT

OBJECTIVE:

To assess whether mentored simulation-based-training can improve the procedural skills of beginners in coronary interventional procedures.

BACKGROUND:

Simulation based-catheter training is a valuable tool to practice interventional procedures. Whether this type of training enhances the procedural skills of fellows learning percutaneous coronary interventions has never been studied.

METHODS:

Eighteen cardiology fellows were randomized either into the simulation-based training (n = 9) or the control group (n = 9). The simulation group received 7.5 hours of virtual reality (VR) simulation training, whereas the control group attended 4.5 hours of lectures. Each participant had to perform a simple (pre-evaluation) and a more complex (post-evaluation) catheter intervention on a pulsatile coronary flow model in a catheterization laboratory. All procedures were videotaped, analyzed, and rated by 3 expert interventionalists, who were blinded to the randomization. To assess the individual performance level, a "skills score" was determined, comprising 14 performance characteristics (5-level Likert scale, maximum score of 70 points).

RESULTS:

The "skills score" increased by 5.8 ± 6.1 points in the VR simulation group and decreased by 6.7 ± 8.4 in the control group (P = 0.003) from the simple stenosis at pre- to the more complex lesion at post-evaluation demonstrating the effectiveness of simulation-based training.

CONCLUSION:

This pilot study suggests that curriculum-based mentored VR simulation training improves the performance level of cardiology fellows in coronary interventions. Further investigation to evaluate the effect on clinical outcomes is warranted.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Cardiologia / Competência Clínica / Intervenção Coronária Percutânea / Treinamento por Simulação Tipo de estudo: Clinical_trials / Prognostic_studies Limite: Adult / Female / Humans / Male Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Cardiologia / Competência Clínica / Intervenção Coronária Percutânea / Treinamento por Simulação Tipo de estudo: Clinical_trials / Prognostic_studies Limite: Adult / Female / Humans / Male Idioma: En Ano de publicação: 2016 Tipo de documento: Article