FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2014987407> ?p ?o ?g. }

• W2014987407 endingPage "503" @default.
• W2014987407 startingPage "496" @default.
• W2014987407 abstract "ObjectivesThere is mounting evidence supporting the benefit of surgical skills practice in a simulated environment. However, the use of simulation in cardiac surgical training has been limited. The purpose of the current trial was to examine the effect of independent and deliberate simulator practice, during nonclinical time, on the performance of an end-to-side microvascular anastomosis in an in vivo model.MethodsThis single-blinded, randomized controlled trial received institutional review board approval. Thirty-nine first- and second-year surgical trainees were randomized to an expert-guided tutorial on a procedural trainer or to the expert-guided tutorial combined with self-directed practice on the same procedural trainer. Self-directed practice consisted of 10 anastomoses performed on the procedural trainer: a low-fidelity, commercially available bench model using 4-mm polytetrafluoroethylene graft as simulated blood vessel. Two weeks after the tutorial, subjects performed an end-to-side anastomosis in a live porcine model, under realistic operating room conditions. Assessment of outcomes was performed by 2 blinded, expert observers, uings validated measurements of technical skill. The primary outcome was the score on the Objective Structured Assessment of Technical Skill (OSATS) scale. Secondary outcomes included an anastomosis-specific end-product evaluation and time to completion. Statistical analysis was conducted using nonparametric, univariate techniques.ResultsCompared with residents who received expert-guided simulator training alone, those who in addition practiced on a simulator independently after hours scored significantly higher on the OSATS scale (23.7 ± 4.7 vs 18.5 ± 3.9, P = .003). Residents who practiced independently also scored significantly higher on the end-product evaluation (11.4 ± 3.2 vs 8.9 ± 2.1, P = .02) and performed the anastomosis significantly faster (777 seconds vs 977 seconds, P = .04). Interrater reliability was high between the expert observers (intraclass correlation coefficient = 0.8).ConclusionsResidents who had the opportunity for self-directed simulator practice performed an end-to-side anastomosis more adeptly, more quickly, and with a higher quality end product. The results of this randomized trial suggest that independent training on a procedural trainer did transfer to improved performance in an operating room environment. Simulator training should be incorporated into cardiovascular surgical curricula and residents should have access to this modality for independent after-hours practice to improve operating room performance. There is mounting evidence supporting the benefit of surgical skills practice in a simulated environment. However, the use of simulation in cardiac surgical training has been limited. The purpose of the current trial was to examine the effect of independent and deliberate simulator practice, during nonclinical time, on the performance of an end-to-side microvascular anastomosis in an in vivo model. This single-blinded, randomized controlled trial received institutional review board approval. Thirty-nine first- and second-year surgical trainees were randomized to an expert-guided tutorial on a procedural trainer or to the expert-guided tutorial combined with self-directed practice on the same procedural trainer. Self-directed practice consisted of 10 anastomoses performed on the procedural trainer: a low-fidelity, commercially available bench model using 4-mm polytetrafluoroethylene graft as simulated blood vessel. Two weeks after the tutorial, subjects performed an end-to-side anastomosis in a live porcine model, under realistic operating room conditions. Assessment of outcomes was performed by 2 blinded, expert observers, uings validated measurements of technical skill. The primary outcome was the score on the Objective Structured Assessment of Technical Skill (OSATS) scale. Secondary outcomes included an anastomosis-specific end-product evaluation and time to completion. Statistical analysis was conducted using nonparametric, univariate techniques. Compared with residents who received expert-guided simulator training alone, those who in addition practiced on a simulator independently after hours scored significantly higher on the OSATS scale (23.7 ± 4.7 vs 18.5 ± 3.9, P = .003). Residents who practiced independently also scored significantly higher on the end-product evaluation (11.4 ± 3.2 vs 8.9 ± 2.1, P = .02) and performed the anastomosis significantly faster (777 seconds vs 977 seconds, P = .04). Interrater reliability was high between the expert observers (intraclass correlation coefficient = 0.8). Residents who had the opportunity for self-directed simulator practice performed an end-to-side anastomosis more adeptly, more quickly, and with a higher quality end product. The results of this randomized trial suggest that independent training on a procedural trainer did transfer to improved performance in an operating room environment. Simulator training should be incorporated into cardiovascular surgical curricula and residents should have access to this modality for independent after-hours practice to improve operating room performance." @default.
• W2014987407 created "2016-06-24" @default.
• W2014987407 creator A5011317354 @default.
• W2014987407 creator A5011778942 @default.
• W2014987407 creator A5011783916 @default.
• W2014987407 creator A5046015350 @default.
• W2014987407 creator A5063893726 @default.
• W2014987407 creator A5075039366 @default.
• W2014987407 date "2011-09-01" @default.
• W2014987407 modified "2023-10-16" @default.
• W2014987407 title "A randomized evaluation of simulation training on performance of vascular anastomosis on a high-fidelity in vivo model: The role of deliberate practice" @default.
• W2014987407 cites W1967929908 @default.
• W2014987407 cites W1990739706 @default.
• W2014987407 cites W1993678914 @default.
• W2014987407 cites W2000401568 @default.
• W2014987407 cites W2001143212 @default.
• W2014987407 cites W2002999821 @default.
• W2014987407 cites W2027962643 @default.
• W2014987407 cites W2038185738 @default.
• W2014987407 cites W2038712641 @default.
• W2014987407 cites W2046745704 @default.
• W2014987407 cites W2047308256 @default.
• W2014987407 cites W2075057776 @default.
• W2014987407 cites W2083076590 @default.
• W2014987407 cites W2085487772 @default.
• W2014987407 cites W2086823319 @default.
• W2014987407 cites W2095860786 @default.
• W2014987407 cites W2104760973 @default.
• W2014987407 cites W2115173015 @default.
• W2014987407 cites W2131859553 @default.
• W2014987407 doi "https://doi.org/10.1016/j.jtcvs.2011.05.015" @default.
• W2014987407 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21742349" @default.
• W2014987407 hasPublicationYear "2011" @default.
• W2014987407 type Work @default.
• W2014987407 sameAs 2014987407 @default.
• W2014987407 citedByCount "102" @default.
• W2014987407 countsByYear W20149874072012 @default.
• W2014987407 countsByYear W20149874072013 @default.
• W2014987407 countsByYear W20149874072014 @default.
• W2014987407 countsByYear W20149874072015 @default.
• W2014987407 countsByYear W20149874072016 @default.
• W2014987407 countsByYear W20149874072017 @default.
• W2014987407 countsByYear W20149874072018 @default.
• W2014987407 countsByYear W20149874072019 @default.
• W2014987407 countsByYear W20149874072020 @default.
• W2014987407 countsByYear W20149874072021 @default.
• W2014987407 countsByYear W20149874072022 @default.
• W2014987407 countsByYear W20149874072023 @default.
• W2014987407 crossrefType "journal-article" @default.
• W2014987407 hasAuthorship W2014987407A5011317354 @default.
• W2014987407 hasAuthorship W2014987407A5011778942 @default.
• W2014987407 hasAuthorship W2014987407A5011783916 @default.
• W2014987407 hasAuthorship W2014987407A5046015350 @default.
• W2014987407 hasAuthorship W2014987407A5063893726 @default.
• W2014987407 hasAuthorship W2014987407A5075039366 @default.
• W2014987407 hasBestOaLocation W20149874071 @default.
• W2014987407 hasConcept C141071460 @default.
• W2014987407 hasConcept C160735492 @default.
• W2014987407 hasConcept C162324750 @default.
• W2014987407 hasConcept C168563851 @default.
• W2014987407 hasConcept C1862650 @default.
• W2014987407 hasConcept C19527891 @default.
• W2014987407 hasConcept C199360897 @default.
• W2014987407 hasConcept C2779328685 @default.
• W2014987407 hasConcept C2780463512 @default.
• W2014987407 hasConcept C41008148 @default.
• W2014987407 hasConcept C50522688 @default.
• W2014987407 hasConcept C71924100 @default.
• W2014987407 hasConcept C8443397 @default.
• W2014987407 hasConceptScore W2014987407C141071460 @default.
• W2014987407 hasConceptScore W2014987407C160735492 @default.
• W2014987407 hasConceptScore W2014987407C162324750 @default.
• W2014987407 hasConceptScore W2014987407C168563851 @default.
• W2014987407 hasConceptScore W2014987407C1862650 @default.
• W2014987407 hasConceptScore W2014987407C19527891 @default.
• W2014987407 hasConceptScore W2014987407C199360897 @default.
• W2014987407 hasConceptScore W2014987407C2779328685 @default.
• W2014987407 hasConceptScore W2014987407C2780463512 @default.
• W2014987407 hasConceptScore W2014987407C41008148 @default.
• W2014987407 hasConceptScore W2014987407C50522688 @default.
• W2014987407 hasConceptScore W2014987407C71924100 @default.
• W2014987407 hasConceptScore W2014987407C8443397 @default.
• W2014987407 hasFunder F4320310630 @default.
• W2014987407 hasIssue "3" @default.
• W2014987407 hasLocation W20149874071 @default.
• W2014987407 hasLocation W20149874072 @default.
• W2014987407 hasOpenAccess W2014987407 @default.
• W2014987407 hasPrimaryLocation W20149874071 @default.
• W2014987407 hasRelatedWork W1586374228 @default.
• W2014987407 hasRelatedWork W2003938723 @default.
• W2014987407 hasRelatedWork W2047967234 @default.
• W2014987407 hasRelatedWork W2089201504 @default.
• W2014987407 hasRelatedWork W2118496982 @default.
• W2014987407 hasRelatedWork W2364998975 @default.
• W2014987407 hasRelatedWork W2369162477 @default.
• W2014987407 hasRelatedWork W2439875401 @default.
• W2014987407 hasRelatedWork W4238867864 @default.
• W2014987407 hasRelatedWork W2525756941 @default.

• next