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The role of a simulator-based course in coronary angiography on performance in real life cath lab

Jensen, Ulf J.; Jensen, Jens; Olivecrona, Göran LU ; Ahlberg, Gunnar; Lagerquist, Bo and Tornvall, Per (2014) In BMC Medical Education 14.
Abstract
Background: The aim of this study was to explore if a course consisting of lectures combined with simulator training in coronary angiography (CA) could accelerate the early learning curve when performing CA on patients. Knowledge in performing CA is included in the curriculum for the general cardiologist. The method, according to American College of Cardiology and European Society of Cardiology guidelines, for this training is not well defined but simulator training is proposed to be an option. However, the transfer effect from a CA simulator to performance in real world cath lab is not validated. Methods: Fifty-four residents without practical skills in CA completed the course and 12 continued to training in invasive cardiology. These... (More)
Background: The aim of this study was to explore if a course consisting of lectures combined with simulator training in coronary angiography (CA) could accelerate the early learning curve when performing CA on patients. Knowledge in performing CA is included in the curriculum for the general cardiologist. The method, according to American College of Cardiology and European Society of Cardiology guidelines, for this training is not well defined but simulator training is proposed to be an option. However, the transfer effect from a CA simulator to performance in real world cath lab is not validated. Methods: Fifty-four residents without practical skills in CA completed the course and 12 continued to training in invasive cardiology. These residents were tracked in the Swedish Coronary Angiography and Angioplasty Registry and compared to a control group of 46 novel operators for evaluation of performance metrics. A total of 4472 CAs were analyzed. Results: Course participants demonstrated no consistent acceleration in the early learning curve in real world cath lab. They had longer fluoroscopy time compared to controls (median 360 seconds (IQR 245-557) vs. 289 seconds (IQR 179-468), p < 0.001). Safety measures also indicated more complications appearing at the ward, in particular when using the femoral approach (6.25% vs. 2.53%, p < 0.001). Conclusions: Since the results of this retrospective non-randomized study were negative, the role of a structured course including simulator training for skills acquisition in CA is still uncertain. Randomized transfer studies are warranted to justify further use of simulators for training in CA (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Learning curve, Simulator, Performance, Coronary angiography
in
BMC Medical Education
volume
14
publisher
BioMed Central
external identifiers
  • wos:000334459000002
  • scopus:84899100424
ISSN
1472-6920
DOI
10.1186/1472-6920-14-49
language
English
LU publication?
yes
id
63cff595-b08c-4116-8de3-fddfc9afe74b (old id 4439381)
date added to LUP
2014-07-01 07:43:53
date last changed
2017-08-06 04:04:54
@article{63cff595-b08c-4116-8de3-fddfc9afe74b,
  abstract     = {Background: The aim of this study was to explore if a course consisting of lectures combined with simulator training in coronary angiography (CA) could accelerate the early learning curve when performing CA on patients. Knowledge in performing CA is included in the curriculum for the general cardiologist. The method, according to American College of Cardiology and European Society of Cardiology guidelines, for this training is not well defined but simulator training is proposed to be an option. However, the transfer effect from a CA simulator to performance in real world cath lab is not validated. Methods: Fifty-four residents without practical skills in CA completed the course and 12 continued to training in invasive cardiology. These residents were tracked in the Swedish Coronary Angiography and Angioplasty Registry and compared to a control group of 46 novel operators for evaluation of performance metrics. A total of 4472 CAs were analyzed. Results: Course participants demonstrated no consistent acceleration in the early learning curve in real world cath lab. They had longer fluoroscopy time compared to controls (median 360 seconds (IQR 245-557) vs. 289 seconds (IQR 179-468), p &lt; 0.001). Safety measures also indicated more complications appearing at the ward, in particular when using the femoral approach (6.25% vs. 2.53%, p &lt; 0.001). Conclusions: Since the results of this retrospective non-randomized study were negative, the role of a structured course including simulator training for skills acquisition in CA is still uncertain. Randomized transfer studies are warranted to justify further use of simulators for training in CA},
  articleno    = {49},
  author       = {Jensen, Ulf J. and Jensen, Jens and Olivecrona, Göran and Ahlberg, Gunnar and Lagerquist, Bo and Tornvall, Per},
  issn         = {1472-6920},
  keyword      = {Learning curve,Simulator,Performance,Coronary angiography},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Medical Education},
  title        = {The role of a simulator-based course in coronary angiography on performance in real life cath lab},
  url          = {http://dx.doi.org/10.1186/1472-6920-14-49},
  volume       = {14},
  year         = {2014},
}