Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction William P. Robinson,

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Presentation transcript:

Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction William P. Robinson, MD, Donald T. Baril, MD, Odette Taha, BS, Andres Schanzer, MD, Anne C. Larkin, MD, Jean Bismuth, MD, Erica L. Mitchell, MD, Louis M. Messina, MD Journal of Vascular Surgery Volume 58, Issue 1, Pages 247-253.e2 (July 2013) DOI: 10.1016/j.jvs.2013.04.052 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Open abdominal aortic aneurysm (AAA) simulation model. A, Wide view showing bench model AAA simulator attached to operating room table with self-retaining “bowel” and “renal vein” retractors in place. Iliac artery and aortic clamps have been applied. B, Close view showing completed tube graft repair with “aortic sac” still open around graft. Journal of Vascular Surgery 2013 58, 247-253.e2DOI: (10.1016/j.jvs.2013.04.052) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Simulated open abdominal aortic aneurysm (AAA) repair study (SOAAAR) structure. PGY, Postgraduate year. Journal of Vascular Surgery 2013 58, 247-253.e2DOI: (10.1016/j.jvs.2013.04.052) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Impact of lab coordinator vs faculty instruction on improvement in overall operative competence. †P = NS, post-test vs pretest; *P = .02, post-test vs pretest. Scale: 1, Unable to perform the procedure, or part observed, under supervision; 2, Able to perform the procedure, or part observed, under supervision; 3, Able to perform the procedure with minimum supervision (needed occasional help); 4, Competent to perform the procedure unsupervised (could deal with complications that arose). Journal of Vascular Surgery 2013 58, 247-253.e2DOI: (10.1016/j.jvs.2013.04.052) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 4 Impact of level of training on improvement in overall operative competence. PGY, Postgraduate year. *P = .03, post-test vs pretest; †P = NS, post-test vs pretest. Scale: 1, Unable to perform the procedure, or part observed, under supervision; 2, Able to perform the procedure, or part observed, under supervision; 3, Able to perform the procedure with minimum supervision (needed occasional help); 4, Competent to perform the procedure unsupervised (could deal with complications that arose). Journal of Vascular Surgery 2013 58, 247-253.e2DOI: (10.1016/j.jvs.2013.04.052) Copyright © 2013 Society for Vascular Surgery Terms and Conditions