Tsang J S, Naughton P A, Leong S, Hill A D K, Kelly C J, Leahy A L
Department of Vascular Surgery, RCSI, Beaumont Hospital, Dublin, Ireland.
Surgeon. 2008 Aug;6(4):214-20. doi: 10.1016/s1479-666x(08)80031-5.
Shortened trainingtimes duetothe European Working Time Directive (EWTD) and increased public scrutiny of surgical competency have led to a move away from the traditional apprenticeship model of training. Virtual reality (VR) simulation is a fascinating innovation allowing surgeons to develop without the need to practice on real patients and it may be a solution to achieve competency within a shortened training period.
A Medline search was performed to identify studies and commentaries on the use of VR simulators in endovascular training.
Three studies on carotid stenting and four on peripheral vascular angioplasty demonstrate that simulator training is a valid, feasible and acceptable training tool. One randomised study reports that these skills learned on simulators are transferable to the operating room.
VR simulators have a role in competency based, structured training of vascular interventionalists and should improve patient safety.
由于欧洲工作时间指令（EWTD）导致培训时间缩短，以及公众对外科手术能力的审查增加，使得培训模式逐渐从传统的学徒制转变。虚拟现实（VR）模拟是一项引人入胜的创新技术，它使外科医生无需在真实患者身上练习即可得到技能提升，并且它可能是在缩短培训期内实现能力提升的一种解决方案。
进行了一项医学文献数据库检索，以确定关于VR模拟器在血管内介入培训中应用的研究和评论。
三项关于颈动脉支架置入术的研究和四项关于外周血管成形术的研究表明，模拟器训练是一种有效、可行且可接受的培训工具。一项随机研究报告称，在模拟器上所学的这些技能可转移至手术室。
VR模拟器在基于能力的血管介入专家结构化培训中发挥着作用，并且应该会提高患者安全性。
