BACKGROUND: Methods of surgical training that do not put patients at risk are desirable. A high-fidelity simulation of carotid endarterectomy under local anaesthesia was tested as a tool for assessment of vascular surgical competence, as an adjunct to training. METHODS: Sixty procedures were performed by 30 vascular surgeons (ten junior trainees, ten senior trainees and ten consultants) in a simulated operating theatre. Each performed in a non-crisis scenario followed by a crisis scenario. Performance was assessed live by means of rating scales for technical and non-technical skills. RESULTS: There was a significant difference in technical skills with ascending grade for both generic and procedure-specific technical skill scores in both scenarios (P < 0.001 for all comparisons). Similarly, there was also a significant difference in non-technical skill with ascending grade for both scenarios (P < 0.001). There was a highly significant correlation between technical and non-technical performance in both scenarios (non-crisis: r(s) = 0.80, P < 0.001; crisis: r(s) = 0.85, P < 0.001). Inter-rater reliability was high (alpha > or = 0.80 for all scales). CONCLUSION: High-fidelity simulation offers competency-based assessment for all grades and may provide a useful training environment for junior trainees and more experienced surgeons. Copyright (c) 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
BACKGROUND: Methods of surgical training that do not put patients at risk are desirable. A high-fidelity simulation of carotid endarterectomy under local anaesthesia was tested as a tool for assessment of vascular surgical competence, as an adjunct to training. METHODS: Sixty procedures were performed by 30 vascular surgeons (ten junior trainees, ten senior trainees and ten consultants) in a simulated operating theatre. Each performed in a non-crisis scenario followed by a crisis scenario. Performance was assessed live by means of rating scales for technical and non-technical skills. RESULTS: There was a significant difference in technical skills with ascending grade for both generic and procedure-specific technical skill scores in both scenarios (P < 0.001 for all comparisons). Similarly, there was also a significant difference in non-technical skill with ascending grade for both scenarios (P < 0.001). There was a highly significant correlation between technical and non-technical performance in both scenarios (non-crisis: r(s) = 0.80, P < 0.001; crisis: r(s) = 0.85, P < 0.001). Inter-rater reliability was high (alpha > or = 0.80 for all scales). CONCLUSION: High-fidelity simulation offers competency-based assessment for all grades and may provide a useful training environment for junior trainees and more experienced surgeons. Copyright (c) 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Authors: A Bucknor; A Karthikesalingam; S R Markar; P J Holt; I Jones; T G Allen-Mersh Journal: Ann R Coll Surg Engl Date: 2010-11-30 Impact factor: 1.891
Authors: Jay N Nathwani; Carly E Glarner; Katherine E Law; Robert J McDonald; Amy B Zelenski; Jacob A Greenberg; Eugene F Foley Journal: J Surg Educ Date: 2016-11-25 Impact factor: 2.891
Authors: Tanika Kelay; Emmanuel Ako; Christopher Cook; Mohammad Yasin; Matthew Gold; Kah Leong Chan; Fernando Bello; Roger K Kneebone; Iqbal S Malik Journal: BMJ Simul Technol Enhanc Learn Date: 2018-11-29
Authors: Jessica L Sparks; Dustin L Crouch; Kathryn Sobba; Douglas Evans; Jing Zhang; James E Johnson; Ian Saunders; John Thomas; Sarah Bodin; Ashley Tonidandel; Jeff Carter; Carl Westcott; R Shayn Martin; Amy Hildreth Journal: JAMA Surg Date: 2017-09-01 Impact factor: 14.766
Authors: Tanika Kelay; Kah Leong Chan; Emmanuel Ako; Mohammad Yasin; Charis Costopoulos; Matthew Gold; Roger K Kneebone; Iqbal S Malik; Fernando Bello Journal: Adv Simul (Lond) Date: 2017-09-20