A Proficiency Based Stepwise Endovascular Curricular Training (PROSPECT) Program Enhances Operative Performance in...

Area of Science:

• Medical Education
• Surgical Training
• Endovascular Interventions

Background:

• Optimizing surgical training is crucial for advancing healthcare and ensuring patient safety.
• The impact of proficiency-based training on operating room performance in vascular surgery remains under-investigated.

Purpose of the Study:

• To evaluate the effectiveness of a Proficiency based Stepwise Endovascular Curricular Training program (PROSPECT) on endovascular skill acquisition.
• To assess the transferability of skills learned through PROSPECT to real-life endovascular interventions.

Main Methods:

• A randomized controlled trial involving 32 general surgical trainees.
• Trainees were assigned to either the PROSPECT program (e-learning and simulation), e-learning alone, or traditional training.
• Technical performance, operative metrics, and patient outcomes were assessed during endovascular interventions.

Main Results:

• PROSPECT-trained trainees demonstrated superior technical performance (Global Rating Scale and Examiner Checklist scores) compared to other groups.
• Supervisors reported increased confidence in PROSPECT-trained physicians performing both basic and complex procedures.
• No significant differences were observed in procedural parameters or complication rates; proficiency was maintained for 3 months.

Conclusions:

• A structured, proficiency-based endovascular curriculum incorporating e-learning and simulation should be integrated into surgical training.
• This approach enhances trainee performance and contributes to safer patient care in endovascular procedures.