作者: Simon K. Neequaye , Rajesh Aggarwal , Isabelle Van Herzeele , Ara Darzi , Nicholas J. Cheshire
DOI: 10.1016/J.JVS.2007.05.041
关键词: Global Rating 、 Virtual reality 、 Skills training 、 Modalities 、 MEDLINE 、 Error analysis 、 Rating scale 、 Medical physics 、 Vascular imaging 、 Surgery 、 Medicine 、 Cardiology and Cardiovascular Medicine
摘要: Objective Evolving endovascular therapies have transformed the management of vascular disease. At same time, increasing use non-invasive imaging techniques has reduced opportunities to gain required basic wire and catheter handling skills by performing diagnostic catheterizations. This article reviews evidence for alternative tools currently available training assessment. Methods A Literature search was performed on pubmed using combinations following keywords; endovascular, skills, training, simulation, assessment learning curve. Additional articles were retrieved from reference lists identified papers as well discussion with experts in arena medical education. Results Available alternatives patients inclue synthetic models, anesthetized animals, human cadavers virtual reality (VR) simulation. VR simulation is a useful tool enabling objective demonstration improved performance both simulated subsequent in-vivo performance. Assessment modalities reviewed include time action analysis, error global rating scales, procedure specific checklists simulators. been widely validated Rating scales are presently only that demonstrated utility outside lab. Conclusion The structured proficiency based curriculum already available. Organization programs needs evolve make full modern capability technical non-technical training.