Should simulator-based endovascular training be integrated into general surgery residency programs?

Marc A. Passman, Paul S. Fleser, Jeffery Dattilo, Raul J. Guzman, Thomas C. Naslund

    Research output: Contribution to journalArticle

    21 Citations (Scopus)

    Abstract

    Background: The impact of high-fidelity simulators as an adjunct for endovascular training of general surgery residents has not yet been defined. The purpose of this study was to evaluate general surgery resident perspectives on the value of a simulator-based endovascular training program by using various measurement tools. Methods: General surgery residents in postgraduate years 1 to 5 (n = 50) participated in a focused endovascular training course covering aortoiliac, renal, and carotid artery disease. The components of the course included didactic lecture, self-learning course material and computer training modules, hands-on exposure to endovascular instruments, and endovascular procedure simulation using a mobile SimSuite unit (Medical Simulation Corporation, Denver, CO). Course participants completed pre- and postcourse questionnaires, knowledge-based testing, and endovascular simulator metric testing. Results: Of the 50 general surgery residents who completed the precourse questionnaire and knowledge-based testing, 41 completed the entire program including the postcourse questionnaire and knowledge-based testing, and 33 completed endovascular simulation metric testing. Subjective responses from pre- and postcourse surveys highlighting the residents' perceptions of the potential role of endovascular simulation as part of general surgery residency training showed favorable responses. On completion of the course, mean knowledge-based test scores had statistically significant improvement (pretest, n = 50, 59.5% ± 12.1% correct and posttest, n = 41, 69.1% ± 15.4% correct [P = .003]). For metric testing of a simulated endovascular procedure (n = 33), 93.9% completed all of the defined tasks within the allotted time period (mean time, 12.2 ± 4.36 minutes; range, 4.1-26.6 minutes; 95% confidence interval for mean 10.8-13.6 minutes). Conclusions: Based on subjective and objective measures, general surgery residents found valuable and benefited in knowledge base from a focused simulator-based endovascular training program. Integrating endovascular simulation into general surgery resident training and its influence on resident interest in vascular specialization as a career choice holds future potential.

    Original languageEnglish (US)
    Pages (from-to)212-219
    Number of pages8
    JournalAmerican Journal of Surgery
    Volume194
    Issue number2
    DOIs
    StatePublished - Aug 1 2007

    Fingerprint

    Internship and Residency
    Endovascular Procedures
    Career Choice
    Education
    Carotid Artery Diseases
    Knowledge Bases
    Renal Artery
    Carbon Monoxide
    Blood Vessels
    Learning
    Confidence Intervals
    Surveys and Questionnaires

    All Science Journal Classification (ASJC) codes

    • Surgery

    Cite this

    Should simulator-based endovascular training be integrated into general surgery residency programs? / Passman, Marc A.; Fleser, Paul S.; Dattilo, Jeffery; Guzman, Raul J.; Naslund, Thomas C.

    In: American Journal of Surgery, Vol. 194, No. 2, 01.08.2007, p. 212-219.

    Research output: Contribution to journalArticle

    Passman, Marc A. ; Fleser, Paul S. ; Dattilo, Jeffery ; Guzman, Raul J. ; Naslund, Thomas C. / Should simulator-based endovascular training be integrated into general surgery residency programs?. In: American Journal of Surgery. 2007 ; Vol. 194, No. 2. pp. 212-219.
    @article{80df92aeded24aef95cdd8043544fb19,
    title = "Should simulator-based endovascular training be integrated into general surgery residency programs?",
    abstract = "Background: The impact of high-fidelity simulators as an adjunct for endovascular training of general surgery residents has not yet been defined. The purpose of this study was to evaluate general surgery resident perspectives on the value of a simulator-based endovascular training program by using various measurement tools. Methods: General surgery residents in postgraduate years 1 to 5 (n = 50) participated in a focused endovascular training course covering aortoiliac, renal, and carotid artery disease. The components of the course included didactic lecture, self-learning course material and computer training modules, hands-on exposure to endovascular instruments, and endovascular procedure simulation using a mobile SimSuite unit (Medical Simulation Corporation, Denver, CO). Course participants completed pre- and postcourse questionnaires, knowledge-based testing, and endovascular simulator metric testing. Results: Of the 50 general surgery residents who completed the precourse questionnaire and knowledge-based testing, 41 completed the entire program including the postcourse questionnaire and knowledge-based testing, and 33 completed endovascular simulation metric testing. Subjective responses from pre- and postcourse surveys highlighting the residents' perceptions of the potential role of endovascular simulation as part of general surgery residency training showed favorable responses. On completion of the course, mean knowledge-based test scores had statistically significant improvement (pretest, n = 50, 59.5{\%} ± 12.1{\%} correct and posttest, n = 41, 69.1{\%} ± 15.4{\%} correct [P = .003]). For metric testing of a simulated endovascular procedure (n = 33), 93.9{\%} completed all of the defined tasks within the allotted time period (mean time, 12.2 ± 4.36 minutes; range, 4.1-26.6 minutes; 95{\%} confidence interval for mean 10.8-13.6 minutes). Conclusions: Based on subjective and objective measures, general surgery residents found valuable and benefited in knowledge base from a focused simulator-based endovascular training program. Integrating endovascular simulation into general surgery resident training and its influence on resident interest in vascular specialization as a career choice holds future potential.",
    author = "Passman, {Marc A.} and Fleser, {Paul S.} and Jeffery Dattilo and Guzman, {Raul J.} and Naslund, {Thomas C.}",
    year = "2007",
    month = "8",
    day = "1",
    doi = "10.1016/j.amjsurg.2006.11.029",
    language = "English (US)",
    volume = "194",
    pages = "212--219",
    journal = "American Journal of Surgery",
    issn = "0002-9610",
    publisher = "Elsevier Inc.",
    number = "2",

    }

    TY - JOUR

    T1 - Should simulator-based endovascular training be integrated into general surgery residency programs?

    AU - Passman, Marc A.

    AU - Fleser, Paul S.

    AU - Dattilo, Jeffery

    AU - Guzman, Raul J.

    AU - Naslund, Thomas C.

    PY - 2007/8/1

    Y1 - 2007/8/1

    N2 - Background: The impact of high-fidelity simulators as an adjunct for endovascular training of general surgery residents has not yet been defined. The purpose of this study was to evaluate general surgery resident perspectives on the value of a simulator-based endovascular training program by using various measurement tools. Methods: General surgery residents in postgraduate years 1 to 5 (n = 50) participated in a focused endovascular training course covering aortoiliac, renal, and carotid artery disease. The components of the course included didactic lecture, self-learning course material and computer training modules, hands-on exposure to endovascular instruments, and endovascular procedure simulation using a mobile SimSuite unit (Medical Simulation Corporation, Denver, CO). Course participants completed pre- and postcourse questionnaires, knowledge-based testing, and endovascular simulator metric testing. Results: Of the 50 general surgery residents who completed the precourse questionnaire and knowledge-based testing, 41 completed the entire program including the postcourse questionnaire and knowledge-based testing, and 33 completed endovascular simulation metric testing. Subjective responses from pre- and postcourse surveys highlighting the residents' perceptions of the potential role of endovascular simulation as part of general surgery residency training showed favorable responses. On completion of the course, mean knowledge-based test scores had statistically significant improvement (pretest, n = 50, 59.5% ± 12.1% correct and posttest, n = 41, 69.1% ± 15.4% correct [P = .003]). For metric testing of a simulated endovascular procedure (n = 33), 93.9% completed all of the defined tasks within the allotted time period (mean time, 12.2 ± 4.36 minutes; range, 4.1-26.6 minutes; 95% confidence interval for mean 10.8-13.6 minutes). Conclusions: Based on subjective and objective measures, general surgery residents found valuable and benefited in knowledge base from a focused simulator-based endovascular training program. Integrating endovascular simulation into general surgery resident training and its influence on resident interest in vascular specialization as a career choice holds future potential.

    AB - Background: The impact of high-fidelity simulators as an adjunct for endovascular training of general surgery residents has not yet been defined. The purpose of this study was to evaluate general surgery resident perspectives on the value of a simulator-based endovascular training program by using various measurement tools. Methods: General surgery residents in postgraduate years 1 to 5 (n = 50) participated in a focused endovascular training course covering aortoiliac, renal, and carotid artery disease. The components of the course included didactic lecture, self-learning course material and computer training modules, hands-on exposure to endovascular instruments, and endovascular procedure simulation using a mobile SimSuite unit (Medical Simulation Corporation, Denver, CO). Course participants completed pre- and postcourse questionnaires, knowledge-based testing, and endovascular simulator metric testing. Results: Of the 50 general surgery residents who completed the precourse questionnaire and knowledge-based testing, 41 completed the entire program including the postcourse questionnaire and knowledge-based testing, and 33 completed endovascular simulation metric testing. Subjective responses from pre- and postcourse surveys highlighting the residents' perceptions of the potential role of endovascular simulation as part of general surgery residency training showed favorable responses. On completion of the course, mean knowledge-based test scores had statistically significant improvement (pretest, n = 50, 59.5% ± 12.1% correct and posttest, n = 41, 69.1% ± 15.4% correct [P = .003]). For metric testing of a simulated endovascular procedure (n = 33), 93.9% completed all of the defined tasks within the allotted time period (mean time, 12.2 ± 4.36 minutes; range, 4.1-26.6 minutes; 95% confidence interval for mean 10.8-13.6 minutes). Conclusions: Based on subjective and objective measures, general surgery residents found valuable and benefited in knowledge base from a focused simulator-based endovascular training program. Integrating endovascular simulation into general surgery resident training and its influence on resident interest in vascular specialization as a career choice holds future potential.

    UR - http://www.scopus.com/inward/record.url?scp=34347332457&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=34347332457&partnerID=8YFLogxK

    U2 - 10.1016/j.amjsurg.2006.11.029

    DO - 10.1016/j.amjsurg.2006.11.029

    M3 - Article

    VL - 194

    SP - 212

    EP - 219

    JO - American Journal of Surgery

    JF - American Journal of Surgery

    SN - 0002-9610

    IS - 2

    ER -