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Technology-Enhanced Simulation Improves Trainee Readiness Transitioning to Cardiothoracic Training.

Patrick G Chan1, Lara W Schaheen1, Ernest G Chan1

  • 1Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Journal of Surgical Education
|March 14, 2018
PubMed
Summary

Technology-enhanced simulation training significantly improved cardiothoracic (CT) residents' knowledge and confidence in managing urgent patient scenarios. This early exposure enhances surgical readiness and patient safety during critical training transitions.

Keywords:
Interpersonal and Communication SkillsMedical KnowledgePatient CarePractice-Based Learning and ImprovementSystem-Based Practicecardiothoracic emergenciescardiothoracic trainingobjective structured clinical examinationsresident assessmentsurgical education

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Cardiothoracic Surgery

Background:

  • Transitioning to cardiothoracic (CT) surgical training presents significant challenges for residents and patient care.
  • Early exposure to urgent and emergent CT patient problems is crucial for developing necessary cognitive skills.

Purpose of the Study:

  • To evaluate the effectiveness of technology-enhanced simulation modules in improving cognitive skills and readiness for managing urgent/emergent CT patient problems.
  • To assess resident preparedness and confidence during the transition from general surgery to CT surgical training.

Main Methods:

  • A technology-enhanced simulation curriculum including didactics, hands-on simulation, virtual models, and mock oral examinations was implemented.
  • Participants included 25 traditional and integrated cardiothoracic residents.
  • Knowledge was assessed using validated pre- and post-tests, and performance was evaluated via objective structured clinical examinations (OSCEs).

Main Results:

  • Knowledge base significantly increased by 7.9% (76.0% to 83.9%, p < 0.01).
  • Trained raters deemed 93.6% of OSCE responses adequate.
  • 92% of participants rated the sessions as important or very important for developing confidence in managing CT scenarios.

Conclusions:

  • Technology-enhanced simulation effectively improved residents' cognitive skills and readiness in managing CT patients.
  • Post-course feedback indicated enhanced resident confidence and preparedness.
  • This training approach has significant implications for improving patient safety during critical transition periods in CT surgery training.