A 3-week high-fidelity mitral valve repair simulation program improved residents' scores on all 11 OSATS assessment points and reduced completion time¶
Claim · All claims
Evidence · 1 study · reviewr2·q2
Currency · newest study 2023 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q2 i? Eleven cardiothoracic residents with no previous clinical mitral valve experience showed significant improvement on all 11 points of a modified Objective Structured Assessment of Technical Skills, and mean completion time fell from 31 (SD 9) to 25 (SD 6) minutes (p = 0.03). → 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? · review · r2
Pre-post simulation program reported in the review: 11 first- to third-year cardiothoracic surgery residents used a 3-pronged approach of instructional videos, a plastic mitral valve model, and evaluation on a porcine heart model with annuloplasty rings; performance videos from peripheral and head-mounted cameras were used for assessment.
"There was a significant improvement in feedback scores on all 11 points of the assessment. Furthermore, mean time to completion was significantly reduced after the program (31 [SD 9] min v. 25 [SD 6] min) (p = 0.03)."
Discussion¶
Related Claims¶
- In a 39-session simulation curriculum, first-year cardiothoracic residents improved their aortic valve replacement skill scores from the first to the final session — related
- Mitral valve simulator performance scores increase with training level, from general surgery residents to cardiothoracic residents to attending surgeons — 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
- A 2-day endoscopic mitral annuloplasty course significantly improved operative speed, suture accuracy and theoretical knowledge — related
- 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
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