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Congenital Heart Surgery Skill Training Using Simulation Models: Not an Option but a Necessity
Shi-Joon Yoo1,2, Nabil Hussein3, David J Barron4
1Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, Toronto, Canada.
Journal of Korean Medical Science
|October 4, 2022
Summary
Surgical simulation using 3D-printed and silicone-molded models offers a realistic, risk-free training environment for congenital heart surgeons (CHS). This advanced simulation should become a mandatory part of CHS training to improve patient outcomes.
Area of Science:
- Cardiovascular Surgery
- Medical Simulation
- Surgical Education
Background:
- Congenital heart surgery (CHS) training traditionally relies on preceptorship, exposing trainees to patients under supervision.
- Operating room training is inefficient, and the learning curve concept is unacceptable for patient safety.
- Previous surgical simulation models for CHS were scarce and lacked realism.
Purpose of the Study:
- To highlight the benefits and necessity of advanced surgical simulation in congenital heart surgery training.
- To introduce novel 3D printing and silicone-molding techniques for creating realistic CHS simulation models.
- To advocate for mandatory simulation training for all congenital heart surgeons.
Main Methods:
- Development of realistic, silicone-molded surgical simulation models using 3D printing technology.
- Utilizing these models for stress-free, efficient training with immediate feedback from proctors.
- Comparing simulation training to aviation industry standards for pilot training.
Main Results:
- Realistic simulation models for most congenital heart surgical procedures are now available.
- Silicone-molded models enable efficient, stress-free CHS training with instant feedback.
- Simulation training effectively bypasses patient risk and the traditional learning curve.
Conclusions:
- Surgical simulation is crucial for congenital heart surgeon training, offering a safe and effective learning environment.
- The development of advanced 3D printed and silicone-molded models has overcome previous limitations in CHS simulation.
- Simulation training should transition from optional to a mandatory component of congenital heart surgery education.

