介入心脏病学中的模拟器训练
Simulator Training in Interventional Cardiology.
作者信息
Joshi Abhishek, Wragg Andrew
机构信息
Barts and The London NHS Trust, Bart's Heart Centre, St Bartholomew's Hospital, London, UK.
出版信息
Interv Cardiol. 2016 May;11(1):70-73. doi: 10.15420/icr.2016.11.1.70.
Abstract
Simulator training in interventional cardiology is becoming a central part of early career acquisition of technical and non-technical skills. Its use is now mandated by national training organisations. Haptic simulators, part-task trainers, immersive environments and simulated patients can provide benchmarked, reproducible and safe opportunities for trainees to develop without exposing patients to the learning curve. However, whilst enthusiasm persists and trainee-centred evidence has been encouraging, simulation does not yet have a clear link to improved clinical outcomes. In this article we describe the range of simulation options, review the evidence for their efficacy in training and discuss the delivery of training in technical skills as well as human factor training and crisis resource management. We also review the future direction and barriers to the progression of simulation training.
摘要
介入心脏病学的模拟训练正成为早期职业生涯中获取技术和非技术技能的核心部分。目前，国家培训组织已强制要求使用模拟训练。触觉模拟器、部分任务训练器、沉浸式环境和模拟患者可为学员提供标准化、可重复且安全的机会，使其能够在不使患者承受学习曲线影响的情况下得到发展。然而，尽管热情持续高涨，且以学员为中心的证据也令人鼓舞，但模拟训练与改善临床结果之间尚未建立明确的联系。在本文中，我们描述了模拟训练的各种选择，回顾了其在培训中有效性的证据，并讨论了技术技能培训以及人为因素培训和危机资源管理的培训方式。我们还审视了模拟训练的未来方向和发展障碍。
相似文献
1
Simulator Training in Interventional Cardiology.
Interv Cardiol. 2016 May;11(1):70-73. doi: 10.15420/icr.2016.11.1.70.
2
The relevance of low-fidelity virtual reality simulators compared with other learning methods in basic endovascular skills training.
J Vasc Surg. 2019 Jan;69(1):227-235. doi: 10.1016/j.jvs.2018.10.047.
3
Endovascular repair of ruptured abdominal aortic aneurysm: technical and team training in an immersive virtual reality environment.
Cardiovasc Intervent Radiol. 2014 Aug;37(4):920-7. doi: 10.1007/s00270-013-0765-1. Epub 2013 Nov 7.
4
Mentored simulation training improves procedural skills in cardiac catheterization: a randomized, controlled pilot study.
Circ Cardiovasc Interv. 2012 Oct;5(5):672-9. doi: 10.1161/CIRCINTERVENTIONS.112.970772. Epub 2012 Oct 9.
5
Developing cross-specialty endovascular simulation training.
Clin Teach. 2014 Oct;11(6):411-5. doi: 10.1111/tct.12174.
6
Simulation-based training in laparoscopic urology - Pros and cons.
Indian J Urol. 2018 Oct-Dec;34(4):245-253. doi: 10.4103/iju.IJU_213_18.
7
Effectiveness of laparoscopic computer simulator versus usage of box trainer for endoscopic surgery training of novices.
J Surg Educ. 2011 Jul-Aug;68(4):282-9. doi: 10.1016/j.jsurg.2011.02.007. Epub 2011 May 4.
8
Development and validation of a surgical training simulator with haptic feedback for learning bone-sawing skill.
J Biomed Inform. 2014 Apr;48:122-9. doi: 10.1016/j.jbi.2013.12.010. Epub 2013 Dec 28.
9
The current role of simulation in urological training.
Cent European J Urol. 2015;68(2):207-11. doi: 10.5173/ceju.2015.522. Epub 2015 Mar 27.
10
Endoscopic correction of vesicoureteral reflux simulator curriculum as an effective teaching tool: Pilot study.
J Pediatr Urol. 2016 Feb;12(1):45.e1-6. doi: 10.1016/j.jpurol.2015.06.017. Epub 2015 Aug 19.
引用本文的文献
1
An Innovative Application of High-Fidelity Medical Simulators to Objectively Demonstrate the Impact of Sports on the Development of Fine Motor Skills-A Pilot Study.
Sensors (Basel). 2025 Aug 27;25(17):5316. doi: 10.3390/s25175316.
2
A virtual patient authoring tool for transcatheter aortic valve replacement.
Int J Comput Assist Radiol Surg. 2025 Feb;20(2):379-389. doi: 10.1007/s11548-024-03293-x. Epub 2024 Dec 19.
3
High-fidelity pose estimation for real-time extended reality (XR) visualization for cardiac catheterization.
Sci Rep. 2024 Nov 6;14(1):26962. doi: 10.1038/s41598-024-76384-z.
4
The Development of a Low-Cost, High-Fidelity Simulator for Complex IVC Filter Retrieval.
Cardiovasc Intervent Radiol. 2024 Oct;47(10):1420-1422. doi: 10.1007/s00270-024-03769-y. Epub 2024 Jul 17.
5
Echocardiographic-Fluoroscopic Fusion Imaging Improves Interventionalists' Learning Curve for Percutaneous Left Atrial Appendage Closure-Initial, Single-Center, Retrospective Observations.
J Cardiovasc Dev Dis. 2024 Feb 29;11(3):82. doi: 10.3390/jcdd11030082.
6
Simulation versus theoretical learning for the transradial approach: a randomized controlled trial in interventional cardiology.
Tunis Med. 2023 Jan 7;101(1):47-53.
7
COVID-19 and the Digitalisation of Cardiovascular Training and Education-A Review of Guiding Themes for Equitable and Effective Post-graduate Telelearning.
Front Cardiovasc Med. 2021 Jul 2;8:666119. doi: 10.3389/fcvm.2021.666119. eCollection 2021.
8
Special Ultrasound Phantom for Interventional Training: Construction, Advantages, and Application.
J Med Ultrasound. 2018 Oct-Dec;26(4):210-214. doi: 10.4103/JMU.JMU_40_18. Epub 2018 Jun 18.
本文引用的文献
1
Targeting clinical outcomes: Endovascular simulation improves diagnostic coronary angiography skills.
Catheter Cardiovasc Interv. 2016 Feb 15;87(3):383-8. doi: 10.1002/ccd.26089. Epub 2015 Jul 21.
2
Operator learning curve for transradial percutaneous coronary interventions: implications for the initiation of a transradial access program in contemporary US practice.
Cardiovasc Revasc Med. 2014 Jun;15(4):195-9. doi: 10.1016/j.carrev.2014.03.001. Epub 2014 Mar 13.
3
Transfer of learning and patient outcome in simulated crisis resource management: a systematic review.
Can J Anaesth. 2014 Jun;61(6):571-82. doi: 10.1007/s12630-014-0143-8. Epub 2014 Mar 25.
4
The role of a simulator-based course in coronary angiography on performance in real life cath lab.
BMC Med Educ. 2014 Mar 12;14:49. doi: 10.1186/1472-6920-14-49.
5
ImaGiNe Seldinger: first simulator for Seldinger technique and angiography training.
Comput Methods Programs Biomed. 2013 Aug;111(2):419-34. doi: 10.1016/j.cmpb.2013.05.014. Epub 2013 Jun 17.
6
Effectiveness of part-task training and increasing-difficulty training strategies: a meta-analysis approach.
Hum Factors. 2013 Apr;55(2):461-70. doi: 10.1177/0018720812451994.
7
Clinical outcomes after myocardial revascularization according to operator training status: cohort study of 22,697 patients undergoing percutaneous coronary intervention or coronary artery bypass graft surgery.
Eur Heart J. 2013 Oct;34(37):2887-95. doi: 10.1093/eurheartj/eht161. Epub 2013 May 14.
8
ACCF/AHA/SCAI 2013 update of the clinical competence statement on coronary artery interventional procedures: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training (writing committee to revise the 2007 clinical competence statement on cardiac interventional procedures).
Circulation. 2013 Jul 23;128(4):436-72. doi: 10.1161/CIR.0b013e318299cd8a. Epub 2013 May 8.
9
Simulation technology for resuscitation training: a systematic review and meta-analysis.
Resuscitation. 2013 Sep;84(9):1174-83. doi: 10.1016/j.resuscitation.2013.04.016. Epub 2013 Apr 23.
10
Patient outcomes in simulation-based medical education: a systematic review.
J Gen Intern Med. 2013 Aug;28(8):1078-89. doi: 10.1007/s11606-012-2264-5.
Zotero 插件