A novel homemade simulator for training and assessing competency of totally implantable venous access port implantation via venous cutdown.
Journal
Journal of the Chinese Medical Association : JCMA
ISSN: 1728-7731
Titre abrégé: J Chin Med Assoc
Pays: Netherlands
ID NLM: 101174817
Informations de publication
Date de publication:
01 02 2022
01 02 2022
Historique:
pubmed:
3
1
2022
medline:
26
2
2022
entrez:
2
1
2022
Statut:
ppublish
Résumé
Total implantable venous access port (TIVAP) by cephalic vein cutdown (CVCD) is one of the first procedures surgery residents can be performed independently under supervision. There is currently a lack of affordable simulators for teaching and assessing TIVAP competency to improve patient safety. A panel of 10 experts divided the TIVAP by CVCD procedure into 9 steps. A homemade, low-cost ($3 USD) simulator was then designed for practicing standardized procedural steps in the context of a simulation-based mastery learning course. Residents were given a simulator for at-home practice and completed a survey evaluating the simulator and their learning experience. Twenty-eight first-year surgery residents participated in the course and completed the survey. They were highly satisfied with the simulator (mean score = 8.7 of 10) and generally agreed with its anatomical appearance and functional fidelity. They also appreciated the educational value of using this simulator to learn and practice basic techniques and procedural steps. Our novel, homemade simulator of CVCD TIVAP implantation is a cost-effective way of achieving procedural competence of a basic operation for inexperienced surgery residents. We envision the same principle can be applied to other procedures to enhance resident education.
Identifiants
pubmed: 34974508
doi: 10.1097/JCMA.0000000000000654
pii: 02118582-202202000-00020
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
259-262Informations de copyright
Copyright © 2021, the Chinese Medical Association.
Déclaration de conflit d'intérêts
Conflicts of interest: The authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.
Références
Niederhuber JE, Ensminger W, Gyves JW, Liepman M, Doan K, Cozzi E. Totally implanted venous and arterial access system to replace external catheters in cancer treatment. Surgery. 1982;92:706–12.
Hashimoto S, Otsubo R, Adachi M, Doi R, Shibata K, Sano I, et al. Cephalic vein cut-down for totally implantable central venous access devices with preoperative ultrasonography by surgical residents. In Vivo. 2019;33:2079–85.
Schreckenbach T, Münch I, El Youzouri H, Bechstein WO, Habbe N. The safety level of total central venous access port implantation performed by residents. J Surg Educ. 2019;76:182–92.
Higgins M, Madan C, Patel R. Development and decay of procedural skills in surgery: a systematic review of the effectiveness of simulation-based medical education interventions. Surgeon. 2021;19:e67–77.
Meling TR, Meling TR. The impact of surgical simulation on patient outcomes: a systematic review and meta-analysis. Neurosurg Rev. 2021;44:843–54.
Dawe SR, Pena GN, Windsor JA, Broeders JA, Cregan PC, Hewett PJ, et al. Systematic review of skills transfer after surgical simulation-based training. Br J Surg. 2014;101:1063–76.
Wu CF, Fu JY, Wen CT, Chiu CH, Hsieh MJ, Liu YH, et al. Long-term results of a standard algorithm for intravenous port implantation. J Pers Med. 2021;11:344.
Limbs & Things LTD. Ultrasound Central Venous Catheter Insertion Simulator Mk 3. Available at https://limbsandthings.com/uk/products/kkm93c/kkm93c-ultrasound-central-venous-catheter-insertion-simulator-mk-3 . Accessed May 29, 2021.
Charalambou A, Segaren N, Haldar A, Vaghela KR, Aftab S, Montgomery A, et al. Validation of a virtual reality simulator for percutaneous pedicle screw insertion. Surg Technol Int. 2021;38:415–21.
Bagai A, O’Brien S, Al Lawati H, Goyal P, Ball W, Grantcharov T, et al. Mentored simulation training improves procedural skills in cardiac catheterization: a randomized, controlled pilot study. Circ Cardiovasc Interv. 2012;5:672–9.