Activities per year
DescriptionCritical aspects of Training Needs Analysis (TNA), Training Program Design (TPD), and Training Media Specification (TMS) were addressed in interviews with experienced (>10 years) cardiothoracic surgeons (n=5), cardiothoracic surgeons (in training) with minor experience (<5 years) (n=3), and cardiothoracic surgeons in training without any experience in OPCAB surgery (n=3).TNA: According to the interviewees the main tasks for the surgeon during OPCAB surgery are: keep stable hemodynamics (mentioned in 64% of the interviews) and efficient communication (45%). Only interviewees with minor or no experience in the OPCAB procedure mentioned making correct anastomoses (67%), most likely because experienced surgeons perform anastomoses routinely. Manipulating the heart to keep stable hemodynamics and accessthe lateral wall of the heart was perceived as a major challenge (73%). These observations inform the formulation of training needs in terms of "norm scenarios" which also guide further development and evaluation.TPD: A training program should cover the norm scenarios mentioned above. The interviews call for modulation of these scenarios with increased difficulty using arrhythmias (73%), differences in left ventricular function and difficulties in cardiac manipulation (54%).TMS: Essential characteristics for the simulator are a beating heart model (64%) and reactivity of hemodynamics to manipulation of the heart (64%). However, anatomically correct motion of the heart was considered not essential by 73%. Use of fluid in the coronaries was rated as highly desirable (82%).
DiscussionWe used an existing design method combined with interviews of main stakeholders to design an OPCAB surgery training program and simulator. This process, which to our knowledge has not been described before, leads to valuable, practical design indicators. The future will show if this ongoing work leads to a program and simulator that meet the specified needs.
|Number of pages||2|
|Publication status||Published - 15 Apr 2021|
|Event||26th Annual Meeting of the Society in Europe for Simulation Applied to Medicine, SESAM 2021 - Virtual|
Duration: 14 Apr 2021 → 16 Apr 2021
Conference number: 26
|Conference||26th Annual Meeting of the Society in Europe for Simulation Applied to Medicine, SESAM 2021|
|Abbreviated title||SESAM 2021|
|Period||14/04/21 → 16/04/21|
- Medical simulation
- Coronary artery bypass graft surgery
- Medical Simulator
- Simulator design
Lissandra Cunha (Panel member), Frank Ruben Halfwerk (Panel member), Sandro Savino (Panel member), Julie Craig (Panel member), Ecem Ebru Eryürekliler (Panel member), Zeynep Türen (Panel member) & Carla Sa Couto (Discussion leader)15 Apr 2021
Activity: Participating in or organising an event › Participating in a conference, workshop, ...