The new educational project Televascular Games during the Coronavirus Disease 2019 pandemic

Objective: To report methodology and first-year results of a new educational project called Televascular Games,” which took place during coronavirus disease 2019 pandemic. Methods: Complex aneurysmal aortic disease was discussed during a 2-hour competition webinar, according to three modalities. (1)...

Full description

Bibliographic Details
Main Authors: Emiliano Chisci, MD, Gianbattista Parlani, MD, Emanuele Gatta, MD, Giacomo Isernia, MD, Gianmarco de Donato, MD, Michele Antonello, MD, Gioele Simonte, MD, Tilo Kölbel, MD, Luca Bertoglio, MD, Kak Khee Yeung, MD, Konstantinos Donas, MD, Stefano Fazzini, MD, Nuno Dias, MD, Stefano Michelagnoli, MD
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428722001095
_version_ 1797975780775428096
author Emiliano Chisci, MD
Gianbattista Parlani, MD
Emanuele Gatta, MD
Giacomo Isernia, MD
Gianmarco de Donato, MD
Michele Antonello, MD
Gioele Simonte, MD
Tilo Kölbel, MD
Luca Bertoglio, MD
Kak Khee Yeung, MD
Konstantinos Donas, MD
Stefano Fazzini, MD
Nuno Dias, MD
Stefano Michelagnoli, MD
author_facet Emiliano Chisci, MD
Gianbattista Parlani, MD
Emanuele Gatta, MD
Giacomo Isernia, MD
Gianmarco de Donato, MD
Michele Antonello, MD
Gioele Simonte, MD
Tilo Kölbel, MD
Luca Bertoglio, MD
Kak Khee Yeung, MD
Konstantinos Donas, MD
Stefano Fazzini, MD
Nuno Dias, MD
Stefano Michelagnoli, MD
author_sort Emiliano Chisci, MD
collection DOAJ
description Objective: To report methodology and first-year results of a new educational project called Televascular Games,” which took place during coronavirus disease 2019 pandemic. Methods: Complex aneurysmal aortic disease was discussed during a 2-hour competition webinar, according to three modalities. (1) Planning case competition (PCC): Two to four preoperative computed tomography angiography (CTA) scans of an already performed selected case were submitted for the competition. CTA scans were uploaded anonymously, without any reference to the center or the surgeon who performed the case. The competitor had to prepare a presentation of how he or she would have diagnosed, sized, planned, treated, and followed up the case, of the medical therapy and of the bail-out maneuvers. (2) Challenging case competition (CCC): The competitor elaborates a presentation of an already treated case concerning an aortic topic and discusses sizing, planning, treatment, possible bail-out maneuvers and obtained results. For the CCC and PCC, the competitors with the best score were preselected to present and discuss their plan during the webinars. (3) Quiz competition: Two to six CTA scans of already performed selected aortic cases were submitted for the competition. A quiz with multiple choice questions was answered by the competitors. The top four competitors were selected for the webinars and then they discussed the cases during the webinar. Finally, at the end of the case discussion, the effective case resolution and follow-up were shown. A final winner was voted via televoting, based on six preestablished criteria. The project was endorsed by different national and international societies. Results: Between October 2020 and December 2021, there were 12 Italian and 1 international webinars with 1695 participants overall (mean, 130; range, 86-177). Competitors were 54 years of age (mean, 27 years; range, 22-38 years). Two editions were CCCs, two quiz competitions, and nine PCCs. The reliability of the interobserver sizing of competitors was κ = 0.43 and κ = 0.62 for the proximal and distal sealing measurements respectively and very good (κ = 0.88-0.95) in the evaluation of orientation of the vessels, presence of angulations, calcifications, and thrombus. The sizing discrepancy resulted in a significant variability of the planning (κ = 0.45). The project ranked 9.6 on a 10-point rating scale by all the participants and competitors. Conclusions: The formula of gaming and collegial discussion of aortic cases herein reported has proved valid and attractive during coronavirus disease 2019 pandemic period. The variability of the results on sizing and planning suggested to confer with a second opinion, especially for less experienced surgeons.
first_indexed 2024-04-11T04:40:52Z
format Article
id doaj.art-16c5fd4867314cc8a7a2c01a7a14293c
institution Directory Open Access Journal
issn 2468-4287
language English
last_indexed 2024-04-11T04:40:52Z
publishDate 2022-12-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj.art-16c5fd4867314cc8a7a2c01a7a14293c2022-12-28T04:18:41ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-12-0184638645The new educational project Televascular Games during the Coronavirus Disease 2019 pandemicEmiliano Chisci, MD0Gianbattista Parlani, MD1Emanuele Gatta, MD2Giacomo Isernia, MD3Gianmarco de Donato, MD4Michele Antonello, MD5Gioele Simonte, MD6Tilo Kölbel, MD7Luca Bertoglio, MD8Kak Khee Yeung, MD9Konstantinos Donas, MD10Stefano Fazzini, MD11Nuno Dias, MD12Stefano Michelagnoli, MD13Department of Surgery, Vascular and Endovascular Surgery Unit, Usl Toscana Centro, “San Giovanni di Dio” Hospital, Florence, Italy; Correspondence: Emiliano Chisci, MD, Department of Surgery, Vascular and Endovascular Surgery Unit, “San Giovanni di Dio” Hospital - via Torregalli, 3 - 50143 Florence, ItalyVascular Surgery Unit, S. Maria della Misericordia Hospital, University of Perugia, Perugia, ItalyVascular and Endovascular Surgery Unit, Ospedali Riuniti di Ancona, Ancona, ItalyVascular Surgery Unit, S. Maria della Misericordia Hospital, University of Perugia, Perugia, ItalyVascular and Endovascular Surgery Unit, Department of Medicine, Surgery and Neurological Sciences, University of Siena, Siena, ItalyVascular and Endovascular Surgery, Padova University, Padova, ItalyVascular Surgery Unit, S. Maria della Misericordia Hospital, University of Perugia, Perugia, ItalyGerman Aortic Center Hamburg, Department of Vascular Medicine, University Heart & Vascular Center, Hamburg, GermanyDivision of Vascular Surgery, IRCCS San Raffaele Scientific Institute, ''Vita-Salute'' University, Milan, ItalyDepartment of Surgery, Vascular Surgery, Amsterdam UMC, location VUmc and AMC, Amsterdam, the NetherlandsDepartment of Vascular Surgery, Asklepios Clinic Langen, Goethe-University of Frankfurt, Frankfurt, GermanyVascular Surgery Unit, Biomedicine and Prevention Department, University of Rome Tor Vergata, Rome, ItalyVascular Center, Department of Thoracic Surgery and Vascular Diseases, Skåne University Hospital, Skåne, Sweden; Department of Clinical Sciences Malmö, Lund University, Malmö, SwedenDepartment of Surgery, Vascular and Endovascular Surgery Unit, Usl Toscana Centro, “San Giovanni di Dio” Hospital, Florence, ItalyObjective: To report methodology and first-year results of a new educational project called Televascular Games,” which took place during coronavirus disease 2019 pandemic. Methods: Complex aneurysmal aortic disease was discussed during a 2-hour competition webinar, according to three modalities. (1) Planning case competition (PCC): Two to four preoperative computed tomography angiography (CTA) scans of an already performed selected case were submitted for the competition. CTA scans were uploaded anonymously, without any reference to the center or the surgeon who performed the case. The competitor had to prepare a presentation of how he or she would have diagnosed, sized, planned, treated, and followed up the case, of the medical therapy and of the bail-out maneuvers. (2) Challenging case competition (CCC): The competitor elaborates a presentation of an already treated case concerning an aortic topic and discusses sizing, planning, treatment, possible bail-out maneuvers and obtained results. For the CCC and PCC, the competitors with the best score were preselected to present and discuss their plan during the webinars. (3) Quiz competition: Two to six CTA scans of already performed selected aortic cases were submitted for the competition. A quiz with multiple choice questions was answered by the competitors. The top four competitors were selected for the webinars and then they discussed the cases during the webinar. Finally, at the end of the case discussion, the effective case resolution and follow-up were shown. A final winner was voted via televoting, based on six preestablished criteria. The project was endorsed by different national and international societies. Results: Between October 2020 and December 2021, there were 12 Italian and 1 international webinars with 1695 participants overall (mean, 130; range, 86-177). Competitors were 54 years of age (mean, 27 years; range, 22-38 years). Two editions were CCCs, two quiz competitions, and nine PCCs. The reliability of the interobserver sizing of competitors was κ = 0.43 and κ = 0.62 for the proximal and distal sealing measurements respectively and very good (κ = 0.88-0.95) in the evaluation of orientation of the vessels, presence of angulations, calcifications, and thrombus. The sizing discrepancy resulted in a significant variability of the planning (κ = 0.45). The project ranked 9.6 on a 10-point rating scale by all the participants and competitors. Conclusions: The formula of gaming and collegial discussion of aortic cases herein reported has proved valid and attractive during coronavirus disease 2019 pandemic period. The variability of the results on sizing and planning suggested to confer with a second opinion, especially for less experienced surgeons.http://www.sciencedirect.com/science/article/pii/S2468428722001095TelemedicineTelehealthTeleconsultationEducationTrainingThoraco-abdominal aortic disease
spellingShingle Emiliano Chisci, MD
Gianbattista Parlani, MD
Emanuele Gatta, MD
Giacomo Isernia, MD
Gianmarco de Donato, MD
Michele Antonello, MD
Gioele Simonte, MD
Tilo Kölbel, MD
Luca Bertoglio, MD
Kak Khee Yeung, MD
Konstantinos Donas, MD
Stefano Fazzini, MD
Nuno Dias, MD
Stefano Michelagnoli, MD
The new educational project Televascular Games during the Coronavirus Disease 2019 pandemic
Journal of Vascular Surgery Cases and Innovative Techniques
Telemedicine
Telehealth
Teleconsultation
Education
Training
Thoraco-abdominal aortic disease
title The new educational project Televascular Games during the Coronavirus Disease 2019 pandemic
title_full The new educational project Televascular Games during the Coronavirus Disease 2019 pandemic
title_fullStr The new educational project Televascular Games during the Coronavirus Disease 2019 pandemic
title_full_unstemmed The new educational project Televascular Games during the Coronavirus Disease 2019 pandemic
title_short The new educational project Televascular Games during the Coronavirus Disease 2019 pandemic
title_sort new educational project televascular games during the coronavirus disease 2019 pandemic
topic Telemedicine
Telehealth
Teleconsultation
Education
Training
Thoraco-abdominal aortic disease
url http://www.sciencedirect.com/science/article/pii/S2468428722001095
work_keys_str_mv AT emilianochiscimd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT gianbattistaparlanimd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT emanuelegattamd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT giacomoiserniamd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT gianmarcodedonatomd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT micheleantonellomd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT gioelesimontemd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT tilokolbelmd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT lucabertogliomd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT kakkheeyeungmd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT konstantinosdonasmd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT stefanofazzinimd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT nunodiasmd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT stefanomichelagnolimd theneweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT emilianochiscimd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT gianbattistaparlanimd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT emanuelegattamd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT giacomoiserniamd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT gianmarcodedonatomd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT micheleantonellomd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT gioelesimontemd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT tilokolbelmd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT lucabertogliomd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT kakkheeyeungmd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT konstantinosdonasmd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT stefanofazzinimd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT nunodiasmd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic
AT stefanomichelagnolimd neweducationalprojecttelevasculargamesduringthecoronavirusdisease2019pandemic