Luo Fuliang, Luo Xiaokang, Li Bo, Tang Yue, Sun Hansong
Beijing Key Laboratory of Preclinical Research and Evaluation for Cardiovascular Implant Materials, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Centre for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Center of Cardiac Surgery for Adults, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Centre for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
J Card Surg. 2019 Jun;34(6):440-446. doi: 10.1111/jocs.14055. Epub 2019 Apr 18.
A "boot camp" program is commonly adopted in surgical skills training. Due to a shortage of cardiac surgeons, establishment of a well-designed training curriculum for cardiac surgery residents is needed in developing countries.
We established a comprehensive 3-module training curriculum, including: (1) the cardiopulmonary bypass establishment technique, (2) coronary artery anastomosis and (3) basic surgical skills of thoracoscopy. Each module was designed for one technique, with a training time of 1 week. Each module included theoretical knowledge learning, demonstration by senior surgeons, and practice through simulators and in vivo animal experiment. A series of questionnaires were used to assess the training effect.
We organized 50 person-times of training. The overall satisfaction of residents participating in the entire 3-module training was 7.88 points (from a full score of 10 points). The satisfaction of each module was 8.94, 8.13, and 7.63, respectively. The survey suggested the training could increase trainees' confidence in the operation (P < 0.05). Some trainees also proposed some suggestions for the further improvement of the curriculum.
It is feasible to develop a multimodule comprehensive surgical skill training curriculum for cardiac surgery residents in China, whose confidence can be effectively enhanced.
“新兵训练营”项目常用于外科技能培训。由于心脏外科医生短缺，发展中国家需要为心脏外科住院医师建立精心设计的培训课程。
我们建立了一个包含三个模块的综合培训课程，包括：（1）体外循环建立技术，（2）冠状动脉吻合术，以及（3）胸腔镜基本手术技能。每个模块针对一项技术进行设计，培训时间为1周。每个模块包括理论知识学习、资深外科医生示范以及通过模拟器和体内动物实验进行实践。使用一系列问卷来评估培训效果。
我们组织了50人次的培训。参与整个三模块培训的住院医师总体满意度为7.88分（满分10分）。每个模块的满意度分别为8.94分、8.13分和7.63分。调查表明该培训可提高学员对手术的信心（P < 0.05）。一些学员还对课程的进一步改进提出了一些建议。
为中国心脏外科住院医师开发多模块综合外科技能培训课程是可行的，且能有效增强他们的信心。
