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The successful application of simulation-based training in thoracic surgery residency
Harold M Burkhart1, Jeffrey B Riley, Sarah E Hendrickson
1Division of Cardiovascular Surgery, Mayo Clinic and Foundation, 200 First St SW, Rochester, MN 55905, USA. burkhart.harold@mayo.edu
The Journal of Thoracic and Cardiovascular Surgery
|December 30, 2009
Summary
Clinical simulation significantly boosted thoracic surgery residents' confidence and skills in cardiopulmonary bypass (CPB) procedures. This training method proved superior to traditional education, enhancing practical application and knowledge retention.
Area of Science:
- Medical Simulation
- Cardiovascular Surgery Education
- Thoracic Surgery Training
Background:
- Cardiopulmonary bypass (CPB) is a critical component of cardiac surgical care.
- Effective training in CPB principles and conduct is essential for resident proficiency.
- Traditional educational methods may not fully address the complexities of CPB.
Purpose of the Study:
- To develop and evaluate a clinical simulation program for cardiopulmonary bypass (CPB).
- To enhance resident confidence and proficiency in CPB.
- To assess the effectiveness of simulation-based training compared to traditional methods.
Main Methods:
- Fifteen residents with no prior CPB experience participated in a didactic and hands-on simulation course.
- A computer-controlled hydraulic model in a multidisciplinary simulation center was used for training.
- Participants underwent pretraining and posttraining assessments of confidence, knowledge, and application.
Main Results:
- Confidence scores significantly increased from 59% to 92% (P < .001).
- Application scores improved significantly from 62% to 85% (P < .0001).
- Cognitive item scores showed no significant difference (P=.3636), but participants found simulation superior to traditional education.
Conclusions:
- Simulation-based training effectively enhances confidence and knowledge application in CPB for thoracic surgery residents.
- Scenario-based simulation in a dedicated environment is a valuable adjunct to traditional CPB education.
- This approach has the potential to significantly improve thoracic resident training.
