心脏外科模拟课程的经验:住院医师和教员调查结果。

Experience With the Cardiac Surgery Simulation Curriculum: Results of the Resident and Faculty Survey.

作者信息

Mokadam Nahush A, Fann James I, Hicks George L, Nesbitt Jonathan C, Burkhart Harold M, Conte John V, Coore Daniel N, Ramphal Paul S, Shen K Robert, Walker Jennifer D, Feins Richard H

机构信息

Division of Cardiothoracic Surgery, University of Washington, Seattle, Washington.

Department of Cardiothoracic Surgery, Stanford University, Stanford, California.

出版信息

Ann Thorac Surg. 2017 Jan;103(1):322-328. doi: 10.1016/j.athoracsur.2016.06.074. Epub 2016 Aug 25.

Abstract

BACKGROUND

The Cardiac Surgery Simulation Curriculum was developed at 8 institutions from 2010 to 2013. A total of 27 residents were trained by 18 faculty members. A survey was conducted to gain insight into the initial experience.

METHODS

Residents and faculty were sent a 72- and 68-question survey, respectively. In addition to demographic information, participants reported their view of the overall impact of the curriculum. Focused investigation into each of the 6 modules was obtained. Participants evaluated the value of the specific simulators used. Institutional biases regarding implementation of the curriculum were evaluated.

RESULTS

Twenty (74%) residents and 14 (78%) faculty responded. The majority (70%) of residents completed this training in their first and second year of traditional-track programs. The modules were well regarded with no respondents having an unfavorable view. Both residents and faculty found low, moderate, and high fidelity simulators to be extremely useful, with particular emphasis on utility of high fidelity components. The vast majority of residents (85%) and faculty (100%) felt more comfortable in the resident skill set and performance in the operating room. Simulation of rare adverse events allowed for development of multidisciplinary teams to address them. At most institutions, the conduct of this curriculum took precedence over clinical obligations (64%).

CONCLUSIONS

The Cardiac Surgery Simulation Curriculum was implemented with robust adoption among the investigating centers. Both residents and faculty viewed the modules favorably. Using this curriculum, participants indicated an improvement in resident technical skills and were enthusiastic about training in adverse events and crisis management.

摘要

背景

心脏外科模拟课程于2010年至2013年在8家机构开展。共有27名住院医师接受了18名教员的培训。开展了一项调查以深入了解初始体验。

方法

分别向住院医师和教员发放了一份包含72个问题和68个问题的调查问卷。除人口统计学信息外,参与者报告了他们对该课程总体影响的看法。对6个模块中的每一个进行了重点调查。参与者评估了所使用的特定模拟器的价值。评估了各机构在课程实施方面的偏差。

结果

20名(74%)住院医师和14名(78%)教员做出了回应。大多数(70%)住院医师在传统培训项目的第一年和第二年完成了此项培训。这些模块广受好评,没有受访者持负面看法。住院医师和教员都认为低、中、高保真模拟器非常有用,尤其强调了高保真组件的实用性。绝大多数住院医师(85%)和教员(100%)感觉住院医师在手术室的技能和表现方面更得心应手。模拟罕见的不良事件促使多学科团队的形成以应对这些事件。在大多数机构,该课程的开展优先于临床工作(64%)。

结论

心脏外科模拟课程在各研究中心得到了大力采用。住院医师和教员对这些模块评价都很高。通过使用该课程,参与者表示住院医师的技术技能有所提高,并且对不良事件及危机管理培训充满热情。

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