De Raet Jan M, Arroyo Jaime, Büchner Sumy, Siregard Sabrina, Andreas Martin, Halvorsen Fredrik, Grabosch Antje, Stubbendorff Mandy
Department of Cardiac Surgery, Heart Center Leipzig, University of Leipzig, Leipzig, Germany.
Interact Cardiovasc Thorac Surg. 2013 Jun;16(6):772-6. doi: 10.1093/icvts/ivt075. Epub 2013 Feb 28.
Gaining cardiac surgical competence is a complex, multifactorial process that may take years of experience and on-the-job training. It is critical to provide suitable educational opportunities to gain the necessary knowledge, judgment and skills. In response to the multitude of factors (e.g. European Working Time Directive) currently influencing cardiac surgical training, there have been concerted efforts to reform training practices. Simulation plays an increasingly important role in the educational process and serves to fill the most important gap in the current training model, i.e. operative exposure. Therefore, a contest has been written out for cardiac surgical trainees to construct their own coronary anastomosis simulator using everyday materials.
Cardiac surgical trainees were invited to construct their own coronary anastomosis simulator. An international jury of cardiac surgeons assessed the simulator and its presentation according to preset developmental criteria (low fidelity concept, innovative character, general presentation and description, general attractiveness to the scholar, ergonomical issues, perceived haptics, number of applicable components, transportability, ease of construction, repeatability and overall costs of the simulator).
Six prototypes of simulators built by cardiac surgical trainees were generated. A general evaluation of each simulator prototype is provided according to the preset developmental criteria.
All simulator prototypes have provided a considerable contribution to the field of surgical simulation. By designing simulator prototypes, the trainees have demonstrated their 'out of the box' thinking capability, which is of paramount importance for the development of future innovative surgical techniques and procedures. The Valladolid cardiac team coronary anastomosis simulator box was selected for the EACTS Ethicon Simulation Award 2011. This project will be mass produced and distributed to the participants of structured simulation sessions for coronary anastomoses.
获得心脏外科手术能力是一个复杂的、多因素的过程，可能需要数年的经验和在职培训。提供合适的教育机会以获取必要的知识、判断力和技能至关重要。针对当前影响心脏外科培训的众多因素（如欧洲工作时间指令），人们已齐心协力改革培训方法。模拟在教育过程中发挥着越来越重要的作用，有助于填补当前培训模式中最重要的空白，即手术操作经验。因此，已为心脏外科实习医生编写了一个竞赛项目，要求他们使用日常材料制作自己的冠状动脉吻合模拟器。
邀请心脏外科实习医生制作自己的冠状动脉吻合模拟器。一个由心脏外科医生组成的国际评审团根据预先设定的开发标准（低保真概念、创新性、总体展示与描述、对学者的总体吸引力、人体工程学问题、触觉感受、适用组件数量、可运输性、制作简易程度、可重复性以及模拟器的总体成本）对模拟器及其展示进行评估。
心脏外科实习医生制作了六个模拟器原型。根据预先设定的开发标准对每个模拟器原型进行了总体评估。
所有模拟器原型都为手术模拟领域做出了重要贡献。通过设计模拟器原型，实习医生展示了他们的“跳出框框”的思维能力，这对于未来创新手术技术和程序的发展至关重要。巴利亚多利德心脏团队冠状动脉吻合模拟器盒荣获2011年欧洲心胸外科协会（EACTS）爱惜康模拟奖。该项目将进行批量生产，并分发给冠状动脉吻合结构化模拟课程的参与者。
