Simulation improves trainee scores on individual technical subtasks of coronary anastomosis¶
Claim · All claims
Evidence · 1 study · quant-synthesisr3·q2
Currency · newest study 2022 · 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? Simulation was associated with significant improvement in all analysed subtask scores, including arteriotomy, graft orientation, spacing, knot tying and economy of time. → O'Dwyer M 2022
Evidence¶
O'Dwyer M 2022¶
O'Dwyer M, Fleming CA, Ahern S, Barrett S, Raftery NB, Ní Dhonnchú T, Doddakula K. (2022). Objective improvement with coronary anastomosis simulation training: meta-analysis. BJS Open. https://doi.org/10.1093/bjsopen/zrab147
q2 · i? · quant-synthesis · r3
Subanalysis of OSAT component scores for individual anastomosis steps (Fig. S1), subclassified as described in the data-extraction methods. The article reports significant improvement in all listed subtasks, with heterogeneity present in many of them; no effect sizes are printed.
"Simulation was associated with significant improvement in all trainee scores in arteriotomy, graft orientation, bite/depth of bite, spacing, use of castro/needle holder, use of forceps, needle angles, needle transfer, suture management, knot tying, hand mechanics, use of both hands, economy of time and configuration of anastomosis."
Discussion¶
Related Claims¶
- The coronary anastomosis learning curve on a simulator stabilizes after about 30 anastomoses — related
- Coronary anastomosis simulation training is associated with faster task completion than no formal simulation training — related
- Coronary anastomosis simulation training is associated with higher objective skill scores than no formal simulation training — a broader claim this one bears on
- Simulator fidelity does not significantly affect improvement rates in coronary anastomosis simulation training — related
- Attending surgeon supervision does not significantly improve coronary anastomosis simulation scores in medical students — related
- Junior and non-cardiothoracic residents show larger time improvements from coronary anastomosis simulation than senior residents — related
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