White Abigail, Singh Gurmeet, Moon Michael C, Zheng Bin, Turner Simon R
Department of Surgery, University of Alberta, Edmonton, Alberta, Canada; Mazankowski Alberta Heart Institute, Alberta Health Services, Edmonton, Alberta, Canada.
Department of Surgery, University of Alberta, Edmonton, Alberta, Canada; Mazankowski Alberta Heart Institute, Alberta Health Services, Edmonton, Alberta, Canada; Department of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.
Can J Cardiol. 2021 Oct;37(10):1639-1643. doi: 10.1016/j.cjca.2021.04.020. Epub 2021 May 6.
The apprenticeship model of surgical education, relying solely on operating room training, may be insufficient to meet current needs of cardiac surgery trainees. Challenges such as resident duty hour restrictions, increasing case complexity, and novel techniques limit direct intraoperative experience. Simulation is a widely accepted educational tool in surgery. The purpose of this study was to establish an understanding of the current use of simulation in Canadian cardiac surgery and to examine the attitudes of Canadian educators and residents toward simulation training. Canadian cardiac surgery residents and faculty surgeons were surveyed at each of the 12 Canadian academic institutions. Simulation was used in all 12 academic programs, with the average use being 3 to 4 times a year. The most common simulators used were anastomotic task trainers and porcine heart models. Simulation sessions were deemed incomplete, lacking clearly stated learning objectives and evaluations. There was an overall desire from both residents and faculty surgeons to have more simulation use at their centres. This study identified that although simulation is used and valued within Canada, it is not yet employed to maximum potential. Simulation cannot replace operative experience, but current demands on surgeons and residents mandates a broader, more effective application of simulation as an educational adjunct.
外科教育的学徒模式仅依赖手术室培训，可能不足以满足当前心脏外科受训人员的需求。诸如住院医师值班时间限制、病例复杂性增加以及新技术等挑战限制了直接的术中经验。模拟是外科领域广泛接受的教育工具。本研究的目的是了解加拿大心脏外科模拟技术的当前使用情况，并考察加拿大教育工作者和住院医师对模拟培训的态度。对加拿大12所学术机构中的每一所机构的心脏外科住院医师和外科教员进行了调查。所有12个学术项目都使用了模拟技术，平均每年使用3至4次。最常用的模拟器是吻合任务训练器和猪心模型。模拟课程被认为不完整，缺乏明确阐述学习目标和评估。住院医师和外科教员总体上都希望在他们的中心更多地使用模拟技术。本研究表明，虽然模拟技术在加拿大得到了使用和重视，但尚未发挥其最大潜力。模拟不能取代手术经验，但当前对外科医生和住院医师的要求要求更广泛、更有效地将模拟作为一种教育辅助手段加以应用。
