In a 39-session simulation curriculum, first-year cardiothoracic residents improved their aortic valve replacement skill scores from the first to the final session¶

Claim · All claims
Evidence · 1 study · quant-synthesis r1 · q2
Currency · newest study 2023 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? 27 first-year cardiothoracic surgery residents in a 39-session SBT curriculum improved from an average Likert score of 3.89 to 4.61 on the AVR assessment tool. → EL-Andari R 2023

Evidence¶

EL-Andari R 2023¶

EL-Andari R, Bozso SJ, Kang JJH, Fialka NM, Adams C, Nagendran J. (2023). Teaching heart valve surgery techniques using simulators: a systematic review. Canadian Journal of Surgery. https://doi.org/10.1503/cjs.017921

q2 · i? · quant-synthesis · r1

Curriculum study reported in the review: 27 first-year cardiothoracic residents completed a 39-session curriculum using component-based task training and skill repetition, progressing from individual tasks to complete procedures, scored on 5-point Likert scales. Means and CIs are descriptive; no effect size printed.

"Residents showed improvement from their first session with the AVR assessment tool to their final session (average Likert score 3.89, 95% confidence interval [CI] 3.57–4.22 v. 4.61, 95% CI 4.43–4.79)."

Discussion¶

Related Claims¶

• Simulation-based training significantly improves surgical trainees' time to completion, technical errors, skills scores and theoretical knowledge in heart valve surgery — a broader claim this one bears on
• Mitral valve simulator performance scores increase with training level, from general surgery residents to cardiothoracic residents to attending surgeons — related
• A 3-week high-fidelity mitral valve repair simulation program improved residents' scores on all 11 OSATS assessment points and reduced completion time — related
• Four weeks of minimally invasive mitral valve simulation training reduced task completion time and raised skills scores for both students and residents — related
• Three months of bovine-heart mitral valve repair simulation improved coaptation depth and regurgitation scores in junior and senior residents — related
• In a randomized trial of robotic mitral annuloplasty training, wet-laboratory, dry-laboratory and control groups improved on time-based scores while the virtual reality group did not — related
• Junior and non-cardiothoracic residents show larger time improvements from coronary anastomosis simulation than senior residents — related