Endovascular skills training and assessment

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 RatingVirtual realitySkills trainingModalitiesMEDLINEError analysisRating scaleMedical physicsVascular imagingSurgeryMedicineCardiology 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.

参考文章(76)
Vivek Datta, Sean Mackay, Mirren Mandalia, Ara Darzi, The use of electromagnetic motion tracking analysis to objectively measure open surgical skill in the laboratory-based model. Journal of The American College of Surgeons. ,vol. 193, pp. 479- 485 ,(2001) , 10.1016/S1072-7515(01)01041-9
H.V. Vinters, I. Yuki, Y. Murayama, F. Viñuela, D.T. Yeh, Y.L. Nien, A. Ishii, Swine Model of Carotid Artery Atherosclerosis: Experimental Induction by Surgical Partial Ligation and Dietary Hypercholesterolemia American Journal of Neuroradiology. ,vol. 27, pp. 1893- 1899 ,(2006)
Richard Reznick, Glenn Regehr, Helen MacRae, Jenepher Martin, Wendy McCulloch, Testing technical skill via an innovative “bench station” examination American Journal of Surgery. ,vol. 173, pp. 226- 230 ,(1997) , 10.1016/S0002-9610(97)89597-9
Peter H. Lin, Changyi Chen, Scott M. Surowiec, Brian Conklin, Ruth L. Bush, Elliot L. Chaikof, Alan B. Lumsden, Victor Weiss, A Porcine Model of Carotid Artery Thrombosis for Thrombolytic Therapy and Angioplasty: Application of PTFE Graft-Induced Stenosis Journal of Endovascular Therapy. ,vol. 7, pp. 227- 235 ,(2000) , 10.1177/152660280000700310
Peter H. Lin, Ruth L. Bush, Eric K. Peden, Wei Zhou, Marlon Guerrero, Esteban A. Henao, Panagiotis Kougias, Imran Mohiuddin, Alan B. Lumsden, Carotid artery stenting with neuroprotection: assessing the learning curve and treatment outcome American Journal of Surgery. ,vol. 190, pp. 855- 863 ,(2005) , 10.1016/J.AMJSURG.2005.08.008
Jeffrey H. Hsu, Duraid Younan, Sudha Pandalai, Bryce T. Gillespie, Raj A. Jain, David W. Schippert, Craig R. Narins, Amit Khanna, Scott M. Surowiec, Mark G. Davies, Cynthia K. Shortell, Jeffrey M. Rhodes, David L. Waldman, Richard M. Green, Karl A. Illig, Use of computer simulation for determining endovascular skill levels in a carotid stenting model. Journal of Vascular Surgery. ,vol. 40, pp. 1118- 1125 ,(2004) , 10.1016/J.JVS.2004.08.026
Christopher U. Cates, Amar D. Patel, William J. Nicholson, Use of Virtual Reality Simulation for Mission Rehearsal for Carotid Stenting JAMA. ,vol. 297, pp. 261- 266 ,(2007) , 10.1001/JAMA.297.3.265-B
Manuel Maynar, Zhong Qian, Javier Hernandez, Fei Sun, Carmen DeMiguel, Veronica Crisostomo, Jesus Us�n, Luis-Fernando Pineda, Carmen G. Espinoza, Wilfrido R. Casta�eda, An animal model of abdominal aortic aneurysm created with peritoneal patch: technique and initial results. CardioVascular and Interventional Radiology. ,vol. 26, pp. 168- 176 ,(2003) , 10.1007/S00270-002-2598-1
Sean J. Hislop, Jeffrey H. Hsu, Craig R. Narins, Bryce T. Gillespie, Raj A. Jain, David W. Schippert, Anthony L. Almudevar, Karl A. Illig, Simulator assessment of innate endovascular aptitude versus empirically correct performance. Journal of Vascular Surgery. ,vol. 43, pp. 47- 55 ,(2006) , 10.1016/J.JVS.2005.09.035