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Bienvenido

Titulo Artículo : Impact of visualization on simulation training for vascular anastomosis
Titulo Revista: The Journal of thoracic and cardiovascular surgery

ISBN

1097-685X
Autores Buu-Khanh Lam
Tim Brandys
Harry Lapierre
Viren Naik
Talal Al-Atassi
Tarek Malas
Año de publicacion 2018

Suplemento

Numero 4 Volumen 155
Pagina Inicial 1686 Pagina Final 1693
Idioma: Inglés Base de datos bibliográfica: Medline-PubMed
Resumen : Objective: There is mounting evidence supporting the benefit of surgical simulation on the learning of skills independently and in a patient-safe environment. The objective of this study was to examine the effect of visualization of surgical steps via instructional media on performance of an end-to-side microvascular anastomosis. Methods: Thirty-two first- and second-year surgical trainees from the University of Ottawa received an expert-guided, didactic lecture on vascular anastomosis and performed an end-to-side anastomosis on a procedural model to assess baseline skills. Assessments were performed by 2 blinded, expert observers using validated measurements of skill. Subjects were then proctored to perform anastomoses using the model. Subjects were then randomized to watch an instructional video on performance of vascular anastomosis using visualization as the education strategy. One week later, subjects were again assessed for technical skill on the model. The primary outcome was the score achieved on the Objective Structured Assessment of Technical Skill (OSATS) scale. Secondary outcomes included an anastomosis-specific End-Product Rating Score and time to completion. Results: Compared with residents who received expert-guided simulator training alone, those who used the supplementary multimedia scored significantly greater on OSATS (17.4 ± 2.9 vs 14.2 ± 3.2, P = .0013) and on End-Product Rating Score (11.24 ± 3.0 vs 7.4 ± 4.1, P = .011). However, performance time did not differ between groups (15.7 vs 14.3 minutes, P = .79).
Palabras Claves : Anastamosis
Clinical competence
Microsurgery
Teaching
single blind randomized control trial

Tipo de acceso:

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Publico Objetivo: Posgrado , Docentes , Educadores Medicos ,