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A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery  Erica L. Mitchell, MD, Nick Sevdalis, PhD, Sonal Arora,

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Presentation on theme: "A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery  Erica L. Mitchell, MD, Nick Sevdalis, PhD, Sonal Arora,"— Presentation transcript:

1 A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery 
Erica L. Mitchell, MD, Nick Sevdalis, PhD, Sonal Arora, MBBS, MRCS, PhD, Amir F. Azarbal, MD, Timothy K. Liem, MD, Gregory J. Landry, MD, Gregory L. Moneta, MD  Journal of Vascular Surgery  Volume 55, Issue 4, Pages (April 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Questionnaire administered to 2010 graduating general surgery chief residents. Residents were asked to report on their operative experience as well as their self-reported confidence levels in performing the listed vascular exposures. PGY, Postgraduate year. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Example of the checklist used to assess the resident procedural understanding of the supraceliac aorta. The same checklists were used before and after the cadaver dissection course. AAA, Abdominal aortic aneurysm; NGT, nasogastric tube. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Prior operative experience for study participants. Mean number and standard deviation (SD) of cases performed for the listed vascular procedures for all 22 postgraduate 3 and 4 general surgery residents. Iliac, Iliac artery and vein bifurcations; renal, proximal and distal renal arteries; SMA, superior mesenteric artery; Sub/vert, subclavian/vertebral arteries; Sup cel, supraceliac. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Mean oral examination scores calculated as percentage correct of checklist for the individual dissections. Procedural understanding was significantly higher for all five procedures postcourse for all 22 residents. Iliac, Iliac artery and vein bifurcations; Renal, proximal and distal renal arteries; SMA, superior mesenteric artery; Sub/vert, subclavian/vertebral arteries; Sup cel, supraceliac. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Mean self-reported operative confidence levels for the five vascular exposures precourse and postcourse. Operative confidence was reported using a Likert scale anchored at 1 (not confident at all or never performed unsupervised), 3 (average confidence or perform unsupervised half of the time) and 5 (very confident at all times or always perform unsupervised). Mean operative confidence was significantly higher postcourse for all 22 residents. Iliac, Iliac artery and vein bifurcations; Renal, proximal and distal renal arteries; SMA, superior mesenteric artery; Sub/vert, subclavian/vertebral arteries; Sup cel, supraceliac. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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