Education, Medical
Conditions
Keywords
Surgical education, Vascular anastomosis, Simulator, Randomized controlled trial
Brief summary
To determine if practicing an aorto-saphenous vein anastomosis on a low-fidelity surgical simulator allows trainees to produce a higher quality anastomosis in a shorter period of time, than a group that only learns by watching a video.
Detailed description
For many years, surgical training has been considered an apprenticeship, where the training experiences of residents, have been in real operative settings on living patients. We propose a study to demonstrate that - a low-fidelity simulation of an aorta-proximal vein graft anastomosis as in heart bypass surgery, using anatomical replicates (a special hydrogel polymer with properties similar to human vascular tissue) - is an effective, low-cost simulator for learning this surgical skill, and will provide the trainee with the ability to perform a better anastomosis in a shorter period of time. Hypothesis: Practicing an aorto-saphenous vein anastomosis on a low-fidelity surgical simulator will advance the trainees' learning curve. This will allow trainees to produce a higher quality anastomosis in a shorter period of time, than a group that only learns by watching a video and will lead to enhanced patient safety.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* 1st year surgical resident at The University of Western Ontario * Anastomosis naive - the subject must not have performed a human vascular anastomosis in the past (it is acceptable if they have observed one being performed in the past)
Exclusion criteria
* Completed a human vascular anastomosis as the primary operator/surgeon in the past
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of final vascular anastomosis based on validated scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Global rating of operative skill based on validated scale (final anastomosis) | — |
| Time taken to complete final anastomosis | — |
| Time taken to complete initial and final anastomosis (experimental group only) | — |
| Anastomotic leakage for final anastomosis | — |
| Anastomotic patency for final anastomosis | — |
Countries
Canada