The Incorporation of Hands-On Surgical Training in a Congenital Heart Surgery Training Curriculum
The Incorporation of Hands-On Surgical Training in a Congenital Heart Surgery Training Curriculum
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DOI：
10.1016/j.athoracsur.2020.11.018
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发表时间：
2021-10-19
影响因子：
4.6
通讯作者：
Yoo, Shi-Joon
中科院分区：
文献类型：
--
作者：
Hussein, Nabil;Honjo, Osami;Yoo, Shi-Joon
背景。每月一次的内部实践外科培训 (HOST) 计划已纳入我们机构内外科学员的先天性心脏病外科 (CHS) 课程中。本研究通过客观评估方法评估整个课程中技术技能是否得到提高和保留。方法。为期一年的课程中包括 12 个 3 维打印的外科心脏模型。所有学员和外科医生都参加了每月的课程。监考人员在模型上演示了操作，随后每位学员进行了 2 次尝试。记录尝试以进行客观评估。课程完成后，受训者在延迟后重复 4 个程序另外 2 次，以评估技能保留情况。结果。 7 名学员在课程范围内完成了 12 节课程。客观评估分7次进行。 81% 的受训者分数在两次尝试之间有所提高，平均提高了 13%（尝试 1：HOST-CHS 分数为 79，尝试 2：HOST-CHS 分数为 89；P < .001）。同样，91% 的手术时间平均缩短了 25%（尝试 1，1:22:00 [小时:分钟:秒]；尝试 2，1:01:21；P < .001）。在单个程序分析期间，7 个程序中的 3 个仍具有统计显着性 (P < .05)。对四个程序在延迟（2-14 个月）后的技能保留进行了评估。在尝试 3 期间，47% 的受训者的分数下降了 4%（尝试 2：HOST-CHS 分数为 94，尝试 3：HOST-CHS 分数为 91；P = .34），但在尝试 4 期间分数提高了 79%（尝试 3：HOST-CHS 分数为 91，尝试 4：HOST-CHS 分数为 99；P = .004），与之前的水平相匹配性能。结论。每月的 HOST 课程已成功纳入 CHS 外科医生的培训课程，使用客观评估来衡量技术表现。学员在所有评估程序中都表现出了改进，并在延迟后重新评估时保留了他们的技能，突显了其在 CHS 培训中的价值。 (C) 2021 年胸外科医师协会
Background. The monthly in-house Hands-On Surgical Training (HOST) program was incorporated into the congenital heart surgery (CHS) curriculum for surgical trainees within our institution. This study evaluated whether there was an improvement and retention of technical skills throughout the curriculum via objective assessment methods.Methods. Twelve 3-dimensional-printed surgical heart models were included into the year-long curriculum. The monthly sessions were attended by all trainees and staff surgeons. Proctors demonstrated the operation on a model, which was followed by 2 attempts by each trainee. Attempts were recorded for objective assessment. On completion of the curriculum trainees repeated 4 procedures an additional 2 times after a delay to assess skill retention.Results. Twelve sessions were completed by 7 trainees within the curriculum. Objective assessments were performed in 7 sessions. Eighty-one percent of trainees' scores improved between the 2 attempts, with a mean improvement of 13% (attempt 1: HOST-CHS score of 79, attempt 2: HOST-CHS score of 89; P < .001). Similarly, 91% of procedural times improved by a mean of 25% (attempt 1, 1:22:00 [hours:minutes:seconds]; attempt 2, 1:01:21; P < .001). During individual procedure analysis, statistical significance remained in 3 of 7 procedures (P < .05). Four procedures were assessed for skill retention after a delay (2-14 months). Scores decreased by 4% in 47% of trainees during attempt 3 (attempt 2: HOST-CHS score of 94, attempt 3: HOST-CHS score of 91; P = .34) but improved in 79% during attempt 4 (attempt 3: HOST-CHS score of 91, attempt 4: HOST-CHS score of 99; P = .004), matching their previous performance.Conclusions. The monthly HOST course was successfully incorporated into a training curriculum for CHS surgeons using objective assessments to measure technical performance. Trainees demonstrated an improvement across all evaluated procedures and retained their skills when reassessed after a delay highlighting its value in CHS training. (C) 2021 by The Society of Thoracic Surgeons