Takahashi Kenichiro, Tanaka Chiharu, Numaguchi Ryosuke, Kuroda Yoshinori, Nemoto Hiroko, Yoshino Kunihiko, Noda Mika, Inoue Yoshinori, Wada Kumiko
Department of Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan.
Department of Cardiovascular Surgery, Tokai University Hachioji Hospital, Tokyo, Japan.
JTCVS Open. 2021 Dec;8:524-533. doi: 10.1016/j.xjon.2021.08.019. Epub 2021 Aug 21.
The coronavirus disease 2019 pandemic presents in-person exposure risk during surgical education. We aimed to validate the feasibility of fully remote faculty-supervised surgical training sessions focused on coronary artery bypass grafting using a synthetic simulator and online videochat software.
This observational study organized 24 sessions of 2-hour remote training. Each session involved 3 trainees, 1 faculty member, and 1 host. A total of 70 trainees and 24 faculty members were enrolled. The participants joined the remote sessions via online videochat and performed focused training in coronary artery anastomosis using a commercially available simulator. A survey was conducted to validate the feasibility of the remote sessions. Performance improvement of the trainees who repeatedly participated (n = 13) were analyzed comparing initial and final scores of various performance indicators.
All trainees and faculty members were satisfied with the efficacy of the remote session. Additionally, most trainees (79%) and faculty members (95%) agreed that the remote training sessions were equivalent to conventional onsite training seminars. A significant improvement between initial and last sessions was observed in the scoring components of near side (3.4 ± 1.0 vs 4.1 ± 0.9; = .02), far side (3.3 ± 0.8 vs 3.9 ± 0.8; = .03), external appearance (3.5 ± 0.8 vs 4.2 ± 0.7; = .01), and internal appearance (2.8 ± 0.9 vs 4.0 ± 0.9; = .004).
Faculty-supervised remote surgical training sessions were executed with satisfactory results. This methodology may have important implications for surgical education during the coronavirus disease 2019 pandemic.
2019年冠状病毒病大流行给外科手术教学带来了面对面接触的风险。我们旨在验证使用合成模拟器和在线视频聊天软件进行完全远程的、由教员监督的冠状动脉搭桥手术培训课程的可行性。
这项观察性研究组织了24次时长为2小时的远程培训课程。每次课程有3名学员、1名教员和1名主持人参与。共有70名学员和24名教员参与。参与者通过在线视频聊天加入远程课程，并使用市售模拟器进行冠状动脉吻合的集中培训。进行了一项调查以验证远程课程的可行性。分析了重复参与的学员（n = 13）的表现改善情况，比较了各项表现指标的初始分数和最终分数。
所有学员和教员对远程课程的效果都很满意。此外，大多数学员（79%）和教员（95%）都认为远程培训课程等同于传统的现场培训研讨会。在近端（3.4±1.0对4.1±0.9；P = 0.02）、远端（3.3±0.8对3.9±0.8；P = 0.03）、外观（3.5±0.8对4.2±0.7；P = 0.01）和内部外观（2.8±0.9对4.0±0.9；P = 0.004）的评分部分，观察到初始课程和最后课程之间有显著改善。
由教员监督的远程外科手术培训课程取得了令人满意的结果。这种方法可能对2019年冠状病毒病大流行期间的外科手术教学具有重要意义。
