Lozano-Ruiz C, Iborra-Ortega E, Landaluce-Chaves M, Ocaña-Guaita J, Gómez QM

Language: Spanish
References: 10
Page: 96-102
PDF size: 304.77 Kb.

ABSTRACT

Introduction: simulation as teaching is becoming established as a priority, specifically in the period by COVID-19 it was the only possibility to continue training residents in Vascular Surgery. More and more sophisticated and realistic clinical simulation scenarios are being developed. Objective: to analyze the feasibility of online training sessions on open vascular surgery techniques using simulators during the COVID-19 pandemic. Material and methods: third, fourth and/or fifth year residents of Vascular Surgery. Two types of sessions were performed: carotid endarterectomy and bypass anastomosis. These meetings were done by Zoom^® application and the sessions lasted two hours. The participants received the box with instruments with a bovine patch and a biological prosthetic bypass. They had to videotape the performance of the carotid patch or bypass closure. Results: six workshops were held with the participation of 63 students from eighteen Spanish hospitals. Thirty-two participants participated in the carotid endarterectomy session and 31 in the bypass session. Two vascular surgeons analyzed the exercises and samples using a final product scoring system. Participants recommended the course to other students and would repeat the course with the same format. Conclusions: online practice is feasible with a high participation rate and good participant ratings. Sharing experiences online could replace some face-to-face activities.

REFERENCES

1. Hoopes S, Pham T, Lindo FM, Antosh DD. Home surgical skill training resources for obstetrics and gynecology trainees during a pandemic. Obstet Gynecol 2020; 136 (1): 56-64. doi: 10.1097/AOG.0000000000003931.

2. Jarry Trujillo C, Achurra Tirado P, Escalona Vivas G, Crovari Eulufi F, Varas Cohen J. Surgical training during COVID-19: a validated solution to keep on practicing. Br J Surg. 2020; 107 (11): e468-e469. doi: 10.1002/bjs.11923.

3. Quezada J, Achurra P, Jarry C, Asbun D, Tejos R, Inzunza M, et al. Minimally invasive telementoring opportunity—the mito project. Surg Endosc. 2020; 34 (6): 2585-2592. doi: 10.1007/s00464-019-07024.

4. Robinson WP, Doucet DR, Simons JP, Wyman A, Aiello FA, Arous E, et al. An intensive vascular surgical skills and simulation course for vascular trainees improves procedural knowledge and selfrated procedural competence. J Vasc Surg. 2017; 65 (3): 907-915.e3. doi: 10.1016/j.jvs.2016.12.065.

5. Mitchell EL, Sheahan MG, Schwiesow M. Simulation in vascular surgery. In: Stefanidis D, Korndorffer Jr. SR, editor. Comprehensive healthcare simulation: surgery and surgical subspecialties. Springer, Cham; 2019. pp. 327-347.

6. Duschek N, Assadian A, Lamont PM, Klemm K, Schmidli J, Mendel H, et al. Simulator training on pulsatile vascular models significantly improves surgical skills and the quality of carotid patch plasty. J Vasc Surg. 2013; 57 (4): 1148-1154. doi: 10.1016/j.jvs.2012.08.109.

7. Maertens H, Aggarwal R, Moreels N, Vermassen F, Van Herzeele I. A Proficiency based stepwise endovascular curricular training (PROSPECT) program enhances operative performance in real life: a randomised controlled trial. Eur J Vasc Endovasc Surg. 2017; 54 (3): 387-396. doi: 10.1016/j.ejvs.2017.06.011.

8. Pavlidis I, Zavlin D, Khatri AR, Wesley A, Panagopoulos G, Echo A. Absence of stressful conditions accelerates dexterous skill acquisition in surgery. Sci Rep. 2019; 9 (1): 1747. doi: 10.1038/s41598-019-38727-z.

9. Reznick R, Regehr G, MacRae H, Martin J, McCulloch W. Testing technical skill via an innovative "bench station" examination. Am J Surg. 1997; 173 (3): 226-230. doi: 10.1016/S0002- 9610(97)89597-9.

10. Duran C, Bismuth J, Mitchell E. A nationwide survey of vascular surgery trainees reveals trends in operative experience, confidence, and attitudes about simulation. J Vasc Surg. 2013; 58 (2): 524-528. doi: 10.1016/j.jvs.2012.12.072.