The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 5 , Pages 1275-1281 , May 2010

Simulation in coronary artery anastomosis early in cardiothoracic surgical residency training: The Boot Camp experience

Presented in abstract at the Thirty-fourth Annual Meeting of The Western Thoracic Surgical Association, Banff, Alberta, Canada, June 24–27, 2009.

  • James I. Fann, MD

      Affiliations

    • Stanford University, Stanford, Calif
    • VA Palo Alto Health Care System, Palo Alto, Calif
    • Corresponding Author InformationAddress for reprints: James I. Fann, MD, Department of Cardiothoracic Surgery, Stanford University, 300 Pasteur Dr, Stanford, CA 94305.
    • ,
  • John H. Calhoon, MD

      Affiliations

    • University of Texas HSC, San Antonio, Tex
    • ,
  • Andrea J. Carpenter, MD, PhD

      Affiliations

    • University of Texas HSC, San Antonio, Tex
    • ,
  • Walter H. Merrill, MD

      Affiliations

    • University of Cincinnati, Cincinnati, Ohio
    • ,
  • John W. Brown, MD

      Affiliations

    • Indiana University, Indianapolis, Ind
    • ,
  • Robert S. Poston, MD

      Affiliations

    • Boston University, Boston, Mass
    • ,
  • Maziyar Kalani, BS

      Affiliations

    • Stanford University, Stanford, Calif
    • ,
  • Gordon F. Murray, MD

      Affiliations

    • West Virginia University, Morgantown, WV
    • ,
  • George L. Hicks Jr., MD

      Affiliations

    • University of Rochester, Rochester, NY
    • ,
  • Richard H. Feins, MD

      Affiliations

    • University of North Carolina, Chapel Hill, NC

Received 29 June 2009 ,Revised 22 July 2009 ,Accepted 9 August 2009.

References 

  1. Reznick RK, MacRae H. Teaching surgical skills—changes in the wind. N Engl J Med. 2006;355:2664–2669
  2. Reznick R, Regehr G, MacRae H, Martin J, McCulloch W. Testing technical skill via an innovative “bench station” examination. Am J Surg. 1996;172:226–230
  3. Beard JD, Jolly BC, Newbie DI, Thomas WE, Donnelly TJ, Southgate LJ. Assessing the technical skills of surgical trainees. Br J Surg. 2005;92:778–782
  4. Carpenter AJ, Yang SC, Uhlig PN, Colson YL. Envisioning simulation in the future of thoracic surgical education. J Thorac Cardiovasc Surg. 2008;135:477–484
  5. Fann JI, Caffarelli AD, Georgette G, Howard SK, Gaba DM, Youngblood P, et al. Improvement in coronary anastomosis with cardiac surgery simulation. J Thorac Cardiovasc Surg. 2008;136:1486–1491
  6. Stanbridge RD, O'Regan D, Cherian A, Ramanan R. Use of pulsatile beating heart model for training surgeons in beating heart surgery. Heart Surg Forum. 1999;2:300–304
  7. Reuthebuch O, Lang A, Groscurth P, Lachat M, Turina M, Zund G. Advanced training model for beating heart coronary artery surgery: the Zurich heart-trainer. Eur J Cardiothorac Surg. 2002;22:244–248
  8. Ramphal PS, Coore DN, Craven MP, Forbes NF, Newman SM, Coye AA, et al. A high fidelity tissue-based cardiac surgical simulator. Eur J Cardiothorac Surg. 2005;27:910–916
  9. Munsch C. Establishing and using a cardiac surgical skills laboratory (monograph). Leeds (UK) The Royal College of Surgeons of England. 2005;
  10. Gaba DM, Howard SK, Flanagan B, Smith BE, Fish KJ, Botney R. Assessment of clinical performance during simulated crises using both technical and behavioral ratings. Anesthesiology. 1998;89:8–18
  11. Moulton CA, Dubrowski A, MacRae H, Graham B, Grober E, Reznick R. Teaching surgical skills: what kind of practice makes perfect?. Ann Surg. 2006;244:400–409
  12. Wanzel KR, Matsumoto ED, Hamstra SJ, Anastakis DJ. Teaching technical skills: training on a simple, inexpensive, and portable model. Plast Reconstr Surg. 2002;109:258–264
  13. Grober ED, Hamstra SJ, Wanzel KR, Reznick RK, Matsumoto ED, Sidhu RS, et al. The educational impact of bench model fidelity on the acquisition of technical skill. Ann Surg. 2004;240:374–381
  14. Atkins JL, Kalu PU, Lannon DA, Green CJ, Butler PE. Training in microsurgical skills: does course-based learning deliver?. Microsurgery. 2005;25:481–485
  15. Anastakis DJ, Wanzel KR, Brown MH, McIlroy JH, Hamstra SJ, Ali J, et al. Evaluating the effectiveness of a 2-year curriculum in a surgical skills center. Am J Surg. 2003;185:378–385
  16. Ericsson KA. The influence of experience and deliberate practice on the development superior expert performance. In:  Ericsson KA,  Charness N,  Feltovich RJ,  Hoffman RR editor. The Cambridge handbook of expertise and expert performance. Cambridge (UK): Cambridge University Press; 2006;p. 683–703
  17. Ericsson KA, Krampe RT, Tesch-Romer C. The role of deliberate practice in the acquisition of expert performance. Psychol Rev. 1993;100:363–406
  18. Donovan JJ, Radosevich DJ. A meta-analytic review of the distribution of practice effect: now you see it, now you don't. J Appl Psychol. 1999;84:795–805
  19. Anastakis DJ, Regehr G, Reznick RK, Cusimano M, Murnaghan J, Brown M, et al. Assessment of technical skills transfer from the bench training model to the human model. Am J Surg. 1999;177:167–170
  20. Datta V, Bann S, Beard J, Mandalia M, Darzi A. Comparison of bench test evaluations of surgical skill with live operating performance assessments. J Am Coll Surg. 2004;199:603–606
  21. Grantcharov TP, Kristiansen VB, Bendix J, Bardram L, Rosenberg J, Funch-Jensen R. Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg. 2004;91:146–150
  22. Seymour NE, Gallagher AG, Roman SA, O'Brien MK, Bansal VK, Andersen DK, et al. Virtual reality training improves operating room performance. Ann Surg. 2002;236:458–464
  23. Sidhu RS, Park J, Brydges R, MacRae HM, Dubrowski A. Laboratory-based vascular anastomosis training: a randomized controlled trial evaluating the effects of bench model fidelity and level of training on skill acquisition. J Vasc Surg. 2007;45:343–349
  24. Martin JA, Regehr G, Reznick R, MacRae H, Murnaghan J, Hutchison C, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997;84:273–278
  25. Scott DJ, Rege RV, Bergen PA, Guo WA, Laycock R, Tesfay ST, et al. Measuring operative performance after laparoscopic skills training: edited videotape versus direct observation. J Laparoendosc Adv Surg Tech A. 2000;10:183–190

 Disclosures: Supported by the Thoracic Surgery Directors Association and Western Thoracic Surgical Association Doty Award. Corporate sponsors for this session included Sorin Group, Cryolife, Inc, Scanlan International, Deknatel, and Ethicon.

PII: S0022-5223(09)01145-3

doi: 10.1016/j.jtcvs.2009.08.045

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 5 , Pages 1275-1281 , May 2010

Article Tools

* Image Usage & Resolution