Navigation Links
Heart surgeons-in-training benefit from hands-on homework
Date:10/23/2011

Vancouver Residents in cardiac surgery who receive extra training on a take-home simulator do a better job once they get into the operating room, Dr. Buu-Khanh Lam today told the Canadian Cardiovascular Congress 2011, co-hosted by the Heart and Stroke Foundation and the Canadian Cardiovascular Society.

Dr. Lam and a multidisciplinary surgical team developed a kit containing sutures, forceps, and miniature tubing that can be taken home by trainees to practice a highly technical operation called microvascular anastomosis. The procedure, which involves joining two arteries together, is the "bread and butter" of coronary artery bypass surgery and is performed hundreds of thousands of times a year in North America, says Dr. Lam, director of surgical undergraduate education at the University of Ottawa and director of the University of Ottawa Heart Institute Valve Clinic.

It is difficult for residents to get enough surgical training for such a delicate procedure, he says, because cardiac cases are more complex, there are work hour restrictions for medical professionals, and the medical environment is more litigious. In addition, the high-stress environment of the operating room may not be conducive to the acquisition of a new skill. "We wanted to develop a training strategy so that new surgeons had more opportunities to practice on their own in order to become more proficient in the operating room," he explains.

To date the use of simulation in cardiac surgical training has been limited.

To test the benefits of at-home practice with the device, they recruited 39 first- and second-year surgical trainees. All received traditional tutorials and hands-on sessions. In addition, half of the trainees were also given the kit and asked to practice 10 more times and keep a log of practice hours.

Two weeks later, all trainees returned to the lab to perform a micro-anastomosis under operating room conditions. They were assessed by expert observers who were not aware which of the doctors had done the extra take-home practice. Each received a score based on their surgical skill, technical ability, knowledge of the instruments, quality of the procedure, and the time it took to complete the surgery.

Those who had done the simulator training at home scored higher on all counts.

"The take-home message is that even in a highly specialized environment, deliberate practice has a significant impact on performance," says Dr. Lam. "The more surgeries you perform, the better you are at it. This is the future of cardiac surgery training."

"Canadians are in good hands with our highly skilled cardiac surgeons," says Heart and Stroke Foundation spokesperson Dr. Beth Abramson. "This simple training method is an exciting advance because it strengthens the safety net for the large number of people who have vascular surgery each year." Indeed, the leading cause of hospitalization in Canada continues to be heart disease and stroke, accounting for almost 17 per cent of total hospitalizations.

Dr. Abramson says that training, especially in cardiac surgery, requires a very long learning curve. "There are not enough patients for rapid training," she says. "Simulators like those used for pilot training replicate real-life scenarios and conditions in order for trainees to train in all conditions and build their training hours."

"We are producing good, confident surgeons," says Dr. Lam, adding that this extra training in micro-anastomosis can benefit doctors who are doing surgery on arteries elsewhere in the body.


'/>"/>

Contact: Amanda Bates
amanda@curvecommunications.com
604-306-0027
Heart and Stroke Foundation of Canada
Source:Eurekalert

Related medicine news :

1. ICU Patients at Risk for Rare Heart Rhythm Problem
2. Cook With Love This Valentines Day With Heart-Smart Recipes
3. Study finds racial gaps continue in heart disease awareness
4. Highmark Foundation Awards $120,000 to the American Heart Association
5. Womens Heart Disease Awareness Still Lacking
6. American Heart Association Rapid Access Journal Report: Study Finds Racial Gaps Continue in Heart Disease Awareness, Low Knowledge of Heart Attack Warning Signs Among Women
7. Migraine Linked to Increased Heart Attack Risk
8. PERSONALABS Offers Discounted Healthy Heart Online Blood Tests in February
9. Compound shows promise against intractable heart failure
10. New American Heart Association Survey Finds Heart Disease and Stroke Patients Face Significant Barriers in Obtaining Quality, Affordable Care
11. Ex-President Clinton Undergoes Heart Procedure
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the American ... Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in Boston. ... including advance care planning, healthcare costs and patient and family engagement. , AIR ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture ... said Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package ... Final Cut Pro X . Simply select a ProHand generator and drag it ...
(Date:6/25/2016)... City, Oklahoma (PRWEB) , ... June 25, 2016 ... ... helping both athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic ... the Oklahoma City area —Johnson is one of the first doctors to perform ...
(Date:6/24/2016)... ... 24, 2016 , ... A recent article published June 14 on ... article goes on to state that individuals are now more comfortable seeking to undergo ... such as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills ...
(Date:6/24/2016)... ... 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out of ... verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. ... throw rocks at my other children and say he was going to kill them. ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... and SAN CLEMENTE, Calif. , June 24, 2016 ... mobile pulmonary function testing company, is now able to perform sophisticated ... by ndd Medical Technologies , Inc. Patients ... hospital-based labs.  Thanks to ndd,s EasyOne PRO ® , ARL patients ... get any needed testing done in the comfort of her own ...
(Date:6/24/2016)... June 24, 2016   Pulmatrix, Inc ., (NASDAQ: ... innovative inhaled drugs, announced today that it was added ... reconstituted its comprehensive set of U.S. and global ... is an important milestone for Pulmatrix," said Chief Executive ... awareness of our progress in developing drugs for crucial ...
(Date:6/23/2016)... , June 23, 2016  MedSource announced today ... its e-clinical software solution of choice.  This latest ... possible value to their clients by offering a ... preferred relationship establishes nowEDC as the EDC platform ... MedSource,s full-service clients.  "nowEDC has long been a ...
Breaking Medicine Technology: