Animal Experimental Centre, Beijing Key Laboratory of Preclinical Research and Evaluation for Cardiovascular Implant Materials, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Centre for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College; Beijing-China.
Department of Cardiovascular Surgery, Beijing Jishuitan Hospital; Beijing-China.
Anatol J Cardiol. 2020 Sep;24(3):153-159. doi: 10.14744/AnatolJCardiol.2020.37460.
Many countries are facing a shortage of cardiac surgeons, who are crucial in meeting the demands of growing number of patients in need of coronary artery bypass grafting. This situation poses a serious challenge, especially in China. The purpose of this study is to determine whether cardiac surgeons are suitable for training in coronary artery anastomosis at an earlier stage in their career.
We divided 12 cardiac surgeons with no prior experience in coronary artery anastomosis into senior and junior groups for training and assessment. All trainees received training in coronary artery anastomosis for a defined period. We performed in vivo and in vitro examinations before and after training, respectively. Additionally, we assessed individual surgical performance of surgeons by using performance rating scores, including different aspects of surgical skills rated on a five-point scale.
The post-training scores (overall, junior, senior) were significantly higher than the pre-training scores (overall, junior, and senior). We observed no differences in pre-training and post-training scores between the junior and senior groups.
Senior surgeons did not had any significant advantages over junior surgeons with respect to coronary artery anastomosis in the absence of training. Junior surgeons achieved the same results as the senior surgeons after training.
许多国家都面临着心脏外科医生短缺的问题，而心脏外科医生对于满足日益增多的冠状动脉旁路移植术患者的需求至关重要。这种情况带来了严峻的挑战，尤其是在中国。本研究旨在确定心脏外科医生在职业生涯的早期阶段是否适合接受冠状动脉吻合术的培训。
我们将 12 名没有冠状动脉吻合术经验的心脏外科医生分为高级和初级两组进行培训和评估。所有受训者都接受了一定时间的冠状动脉吻合术培训。我们分别在培训前后进行了体内和体外检查。此外，我们还使用绩效评分评估了外科医生的个体手术表现，其中包括五个等级评定的不同手术技能方面。
培训后的评分（整体、初级、高级）明显高于培训前的评分（整体、初级和高级）。我们在初级和高级组之间没有观察到培训前后评分的差异。
在没有培训的情况下，与初级外科医生相比，高级外科医生在冠状动脉吻合术方面没有明显优势。初级外科医生在接受培训后取得了与高级外科医生相同的结果。
