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Simulation-based training in cardiac surgery: a systematic review.

Arian Arjomandi Rad1,2, Dorfam Hajzamani2, Peyman Sardari Nia2

  • 1Medical Sciences Division, University of Oxford, Oxford, UK.

Interdisciplinary Cardiovascular and Thoracic Surgery
|May 23, 2023
PubMed
Summary
This summary is machine-generated.

Simulation-based training in cardiac surgery enhances trainee skills and confidence. While validity testing is limited, simulation positively impacts surgical practice and patient outcomes.

Keywords:
Cardiac surgerySimulation validationSimulation-based trainingSurgical simulation

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Area of Science:

  • Cardiovascular Surgery
  • Medical Education
  • Surgical Simulation

Background:

  • In-patient surgical training in cardiac surgery faces challenges due to increasing complexity and scrutiny.
  • Simulation-based training offers a valuable adjunct to traditional apprenticeship models.

Purpose of the Study:

  • To systematically review the evidence on simulation-based training in adult cardiac surgery.
  • To evaluate the validity, impact on skills, and clinical practice changes associated with surgical simulation.

Main Methods:

  • A PRISMA-guided systematic database search of EMBASE, MEDLINE, Cochrane, and Google Scholar (inception–2022).
  • Inclusion of original articles on simulation-based training in adult cardiac surgery.
  • Data extraction focused on study characteristics, simulation type, methodology, and outcomes.

Main Results:

  • 28 studies were included, analyzing animal-based and non-tissue-based simulation models.
  • Validity assessment was reported for only 4 models, indicating a scarcity of rigorous testing.
  • All studies showed improvements in trainee confidence, knowledge, and surgical skills (accuracy, speed, dexterity).
  • Clinical impacts included the initiation of minimally invasive programs and improved board exam pass rates.

Conclusions:

  • Surgical simulation provides significant benefits for cardiac surgery trainees.
  • Further research is required to fully elucidate the direct impact of simulation on clinical practice and patient outcomes.