Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction

William P. Robinson, Donald T. Baril, Odette Taha, Andres Schanzer, Anne C. Larkin, Jean Bismuth, Erica Mitchell, Louis M. Messina

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective: We assessed the impact of abdominal aortic aneurysm (AAA)-specific simulation training on resident performance in simulated open AAA repair (SOAAAR) and determined whether simulation training required dedicated faculty instruction. Methods: We randomized 18 residents (postgraduate years 3-5) to an AAA simulation course consisting of two mandatory practice sessions proctored either by a surgical skills lab coordinator (Group A, n = 8) or by a vascular surgery faculty instructor (Group B, n = 10). All residents received a detailed manual and video demonstrating the technique of open AAA repair. Using a validated tool, vascular faculty who were blinded to resident identity, level of training, and randomization status graded SOAAAR performance via videos that were recorded before and after the course. Results: Characteristics and baseline scores between Groups A and B were not different. Postcourse, there was a no significant improvement in performance in Group A. Group B performance was improved significantly from baseline with regard to task-specific checklist scores (44.1 ± 6.3 vs 34.9 ±.5; P =.02), global rating scores (28.4 ±.6 vs 25.3 ± 5.0; P =.049), and overall assessment of operative competence (P =.02). Time to complete SOAAAR improved in both groups (P =.02). Baseline performance varied significantly with year of training as measured by task-specific checklist scores, global rating scores, final product analysis, time to complete repair, and overall operative competence. Improvement varied inversely with year of training (P

Original languageEnglish (US)
JournalJournal of Vascular Surgery
Volume58
Issue number1
DOIs
StatePublished - Jul 2013

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Abdominal Aortic Aneurysm
Checklist
Mental Competency
Blood Vessels
Random Allocation
Simulation Training

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction. / Robinson, William P.; Baril, Donald T.; Taha, Odette; Schanzer, Andres; Larkin, Anne C.; Bismuth, Jean; Mitchell, Erica; Messina, Louis M.

In: Journal of Vascular Surgery, Vol. 58, No. 1, 07.2013.

Research output: Contribution to journalArticle

Robinson, William P. ; Baril, Donald T. ; Taha, Odette ; Schanzer, Andres ; Larkin, Anne C. ; Bismuth, Jean ; Mitchell, Erica ; Messina, Louis M. / Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction. In: Journal of Vascular Surgery. 2013 ; Vol. 58, No. 1.
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