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Evaluation Method of Training Simulation on Biological Models for Cardiovascular Surgery Residents
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  • Carlos Brandão,
  • Luis Roberto Dallan,
  • Fabrício Dinato,
  • Rosangela Monteiro,
  • Alfredo Fiorelli,
  • Fábio Jatene
Carlos Brandão
University of Sao Paulo Heart Institute

Corresponding Author:carlos.brandao@incor.usp.br

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Luis Roberto Dallan
University of Sao Paulo Hospital of Clinics
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Fabrício Dinato
University of São Paulo
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Rosangela Monteiro
University of Sao Paulo Heart Institute
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Alfredo Fiorelli
University of Sao Paulo Heart Institute
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Fábio Jatene
Heart Institute (InCor), University of São Paulo Medical School
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Abstract

Objectives: The goal of this study was to describe and evaluate our simulation training program on biological models for the cardiovascular surgery residency program at our institution. Material and Methods: Since 2016, with the purpose to develop better practical performance and evaluate the improvement of resident’s surgical skills, it was implemented a simulation training program, composed of some elemental procedures in cardiovascular surgery. It was established one wet lab session weekly lasting 2 hours, coached by 2 expert cardiovascular surgeons. Bovine and porcine hearts were used as biological models. At the end of the hands on program, an objective assessment consisting of 2 practical modules was applied and performance was rated by way of a 5-point scale. In addition, to provide a subjective assessment, each resident filled out a questionnaire consisting of 3 items reviewing the overall quality of the workshops on a 10-point scale. Results: The objective evaluation applied at the end of the training program consisted by valve replacement and coronary artery bypass grafting (CABG) modules. The mean performance rating scores for valve replacement module ranged from 4.2 to 4.79, and to CABG, from 4.33 to 4.87. Regarding subjective assessment, all items evaluated, such as expert’s didactics, simulation performance and biological simulator fidelity, received high grades (above 9 on a 10-point scale). Conclusions: Simulator training on biological models for cardiac surgery medical residents is a simple and effective learning method of surgical skills.
21 Dec 2020Submitted to Journal of Cardiac Surgery
21 Jan 2021Submission Checks Completed
21 Jan 2021Assigned to Editor
21 Jan 2021Reviewer(s) Assigned
22 Jan 2021Review(s) Completed, Editorial Evaluation Pending
22 Jan 2021Editorial Decision: Revise Minor
29 Jan 20211st Revision Received
05 Feb 2021Submission Checks Completed
05 Feb 2021Assigned to Editor
05 Feb 2021Review(s) Completed, Editorial Evaluation Pending
05 Feb 2021Editorial Decision: Accept
Jul 2021Published in Journal of Cardiac Surgery volume 36 issue 7 on pages 2247-2252. 10.1111/jocs.15524