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Consensus on technical procedures for simulation-based training in thoracic surgery: an international needs

Tamim Ahmad Haidari1,2, Leizl Joy Nayahangan3, Flemming Bjerrum3,4

  • 1Department of Cardiothoracic Surgery, University Hospital of Copenhagen, Rigshospitalet, Copenhagen, Denmark.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|February 22, 2023
PubMed
Summary

This study identified and prioritized 17 technical procedures for thoracic surgery simulation training. The top 5 include VATS lobectomy and robotic-assisted thoracic surgery, crucial for surgical curriculum development.

Keywords:
Core curriculumDelphi TechniqueEducationNeeds assessmentSimulation trainingThoracic Surgery

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Area of Science:

  • Thoracic Surgery
  • Medical Education
  • Surgical Simulation

Background:

  • Thoracic surgical training requires standardized technical procedures.
  • Simulation-based education is increasingly vital for surgical skill acquisition.
  • A consensus on essential procedures for thoracic surgery curriculum is needed.

Purpose of the Study:

  • To identify and prioritize technical procedures for simulation-based training.
  • To integrate these procedures into the thoracic surgical curriculum.

Main Methods:

  • A 3-round Delphi survey was conducted with 34 global thoracic surgery key opinion leaders.
  • Round 1 brainstormed procedures; Round 2 assessed frequency, competency, risk, and feasibility.
  • Round 3 involved elimination and re-ranking to finalize the prioritized list.

Main Results:

  • High response rates achieved across all three Delphi rounds (80%, 89%, 100%).
  • Seventeen technical procedures were selected for simulation-based training.
  • Top procedures include VATS lobectomy, VATS segmentectomy, and robotic-assisted thoracic surgery techniques.

Conclusions:

  • A consensus-driven list of 17 procedures suitable for simulation training was established.
  • These prioritized procedures should be integrated into thoracic surgical curricula worldwide.
  • This initiative enhances the training of newly qualified thoracic surgeons.