The Journal of Thoracic and Cardiovascular Surgery
Volume 143, Issue 2 , Pages 264-272.e9 , February 2012

Evaluation of simulation training in cardiothoracic surgery: The Senior Tour perspective

  • James I. Fann, MD

      Affiliations

    • Stanford University and 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 Drive, Stanford, CA 94305.
  • ,
  • Richard H. Feins, MD

      Affiliations

    • University of North Carolina, Chapel Hill, NC
  • ,
  • George L. Hicks Jr., MD

      Affiliations

    • University of Rochester, Rochester, NY
  • ,
  • Jonathan C. Nesbitt, MD

      Affiliations

    • Vanderbilt University, Nashville, Tenn
  • ,
  • John W. Hammon, MD

      Affiliations

    • Wake Forest School of Medicine, Winston-Salem, NC
  • ,
  • Fred A. Crawford Jr., MD

      Affiliations

    • Medical University of South Carolina, Charleston, SC
  • ,
  • Senior Tour in Cardiothoracic Surgery

Received 27 April 2011 ,Revised 27 July 2011 ,Accepted 4 October 2011.

References 

  1. 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
  2. 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
  3. Fann JI, Calhoon JH, Carpenter AJ, Merrill WH, Brown JW, Poston RS, et al. Simulation in coronary artery anastomosis early in cardiothoracic surgical residency training: the Boot Camp experience. J Thorac Cardiovasc Surg. 2010;139:1275–1281
  4. Feins RH. Expert commentary: cardiothoracic surgical simulation. J Thorac Cardiovasc Surg. 2008;135:485–486
  5. Hicks GL, Gangemi J, Angona RE, Ramphal PS, Feins RH, Fann JI. Cardiopulmonary bypass simulation at the Boot Camp. J Thorac Cardiovasc Surg. 2011;141:284–292
  6. Tesche LJ, Feins RH, Dedmon MM, Newton KN, Egan TM, Haithcock BE, et al. Simulation experience enhances medical students’ interest in cardiothoracic surgery. Ann Thorac Surg. 2010;90:1967–1974
  7. 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
  8. Carter YM, Marshall MB. Open lobectomy simulator is an effective tool for teaching thoracic surgical skills. Ann Thorac Surg. 2009;87:1546–1550
  9. Joyce DL, Dhillon TS, Caffarelli AD, Joyce DD, Tsirigotis DN, Burdon TA, et al. Simulation and skills training in mitral valve surgery. J Thorac Cardiovasc Surg. 2011;141:107–112
  10. Lodge D, Grantcharov T. Training and assessment of technical skills and competency in cardiac surgery. Eur J Cardiothorac Surg. 2011;39:287–293
  11. Solomon B, Bizekis C, Dellis SL, Donington JS, Oliker A, Balsam LB, et al. Simulating video-assisted thoracoscopic lobectomy: a virtual reality cognitive task simulation. J Thorac Cardiovasc Surg. 2011;141:249–255
  12. Hicks GL, Brown JW, Calhoon JH, Merrill WH. You never know unless you try. J Thorac Cardiovasc Surg. 2008;136:814–815
  13. Palter VN, Grantcharov T, Harvey A, Macrae HM. Ex vivo technical skills training transfers to the operating room and enhances cognitive learning: a randomized controlled trial. Ann Surg. 2011;253:886–889
  14. Reznick RK, MacRae H. Teaching surgical skills—changes in the wind. N Engl J Med. 2006;355:2664–2669
  15. 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
  16. Beard JD, Jolly BC, Newbie DI, Thomas WEG, Donnelly TJ, Southgate LJ. Assessing the technical skills of surgical trainees. Br J Surg. 2005;92:778–782
  17. 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
  18. Schiralli MP, Hicks GL, Angona RE, Gangemi JJ. An inexpensive cardiac bypass cannulation simulator: facing challenges of modern training. Ann Thorac Surg. 2010;89:2056–2057
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. Ericsson KA, Krampe RT, Tesch-Romer C. The role of deliberate practice in the acquisition of expert performance. Psychol Rev. 1993;100:363–406
  26. 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
  27. 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
  28. Verrier ED. Joint Council on Thoracic Surgical Education: an investment in our future. J Thorac Cardiovasc Surg. 2011;141:318–321
  29. Surgeons as Educators course. Available at: http://www.facs.org/education/sre/saeintro.html. Accessed October 12, 2011.

 This study was supported by the Thoracic Surgery Directors Association and the Joint Council for Thoracic Surgery Education, the Thoracic Surgery Foundation for Research and Education Simulation Grant (J.I.F. and R.H.F.), and the Western Thoracic Surgical Association Doty Award (J.I.F.). Corporate sponsors of this session included the Chamberlain Group, Sorin Group, Cryolife, Inc, St Jude Medical, Teleflex Medical, and Lifelike BioTissue.

 Disclosures: Authors have nothing to disclose with regard to commercial support.

 Members of the Senior Tour in Cardiothoracic Surgery: James A. Alexander, MD, Fred A. Crawford, Jr, MD, Thomas M. Daniel, MD, L. Penfield Faber, MD, John W. Hammon, MD, Kamal A. Mansour, MD, William F. Northrup III, MD, D. Glenn Pennington, MD, Bruce A. Reitz, MD, W. Steves Ring, MD, Norman J. Snow, MD, Donald C. Watson, MD, and Walter G. Wolfe, MD.

PII: S0022-5223(11)01098-1

doi: 10.1016/j.jtcvs.2011.10.013

The Journal of Thoracic and Cardiovascular Surgery
Volume 143, Issue 2 , Pages 264-272.e9 , February 2012