Remote simulator training of coronary artery bypass grafting during the coronavirus disease 2019 pandemicCentral MessagePerspective

Objectives: The coronavirus disease 2019 pandemic presents in-person exposure risk during surgical education. We aimed to validate the feasibility of fully remote faculty-supervised surgical training sessions focused on coronary artery bypass grafting using a synthetic simulator and online videochat...

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Main Authors: Kenichiro Takahashi, MD, Chiharu Tanaka, MD, PhD, Ryosuke Numaguchi, MD, PhD, Yoshinori Kuroda, MD, PhD, Hiroko Nemoto, MD, Kunihiko Yoshino, MD, Mika Noda, MD, PhD, Yoshinori Inoue, MD, Kumiko Wada, MD
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:JTCVS Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666273621002485
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author Kenichiro Takahashi, MD
Chiharu Tanaka, MD, PhD
Ryosuke Numaguchi, MD, PhD
Yoshinori Kuroda, MD, PhD
Hiroko Nemoto, MD
Kunihiko Yoshino, MD
Mika Noda, MD, PhD
Yoshinori Inoue, MD
Kumiko Wada, MD
author_facet Kenichiro Takahashi, MD
Chiharu Tanaka, MD, PhD
Ryosuke Numaguchi, MD, PhD
Yoshinori Kuroda, MD, PhD
Hiroko Nemoto, MD
Kunihiko Yoshino, MD
Mika Noda, MD, PhD
Yoshinori Inoue, MD
Kumiko Wada, MD
author_sort Kenichiro Takahashi, MD
collection DOAJ
description Objectives: The coronavirus disease 2019 pandemic presents in-person exposure risk during surgical education. We aimed to validate the feasibility of fully remote faculty-supervised surgical training sessions focused on coronary artery bypass grafting using a synthetic simulator and online videochat software. Methods: This observational study organized 24 sessions of 2-hour remote training. Each session involved 3 trainees, 1 faculty member, and 1 host. A total of 70 trainees and 24 faculty members were enrolled. The participants joined the remote sessions via online videochat and performed focused training in coronary artery anastomosis using a commercially available simulator. A survey was conducted to validate the feasibility of the remote sessions. Performance improvement of the trainees who repeatedly participated (n = 13) were analyzed comparing initial and final scores of various performance indicators. Results: All trainees and faculty members were satisfied with the efficacy of the remote session. Additionally, most trainees (79%) and faculty members (95%) agreed that the remote training sessions were equivalent to conventional onsite training seminars. A significant improvement between initial and last sessions was observed in the scoring components of near side (3.4 ± 1.0 vs 4.1 ± 0.9; P = .02), far side (3.3 ± 0.8 vs 3.9 ± 0.8; P = .03), external appearance (3.5 ± 0.8 vs 4.2 ± 0.7; P = .01), and internal appearance (2.8 ± 0.9 vs 4.0 ± 0.9; P = .004). Conclusions: Faculty-supervised remote surgical training sessions were executed with satisfactory results. This methodology may have important implications for surgical education during the coronavirus disease 2019 pandemic.
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spelling doaj.art-f16cca74a3dc480589d0e6f5792b594a2022-12-21T21:23:24ZengElsevierJTCVS Open2666-27362021-12-018524533Remote simulator training of coronary artery bypass grafting during the coronavirus disease 2019 pandemicCentral MessagePerspectiveKenichiro Takahashi, MD0Chiharu Tanaka, MD, PhD1Ryosuke Numaguchi, MD, PhD2Yoshinori Kuroda, MD, PhD3Hiroko Nemoto, MD4Kunihiko Yoshino, MD5Mika Noda, MD, PhD6Yoshinori Inoue, MD7Kumiko Wada, MD8Department of Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan; Address for reprints: Kenichiro Takahashi, MD, Department of Cardiovascular Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan.Department of Cardiovascular Surgery, Tokai University Hachioji Hospital, Tokyo, JapanDepartment of Cardiovascular Surgery, National Obihiro Hospital, Obihiro, JapanDepartment of Surgery II, Yamagata University Faculty of Medicine, Yamagata, JapanDepartment of Cardiovascular Surgery, Yokohama City University Hospital, Yokohama, JapanDepartment of Cardiovascular Surgery, St Luke's International Hospital, Tokyo, JapanDepartment of Cardiovascular Surgery, Fujita Health University, Aichi, JapanDepartment of Cardiovascular Surgery, National Hospital Organization Okayama Medical Center, Okayama, JapanDepartment of Cardiovascular Surgery, St Mary's Hospital, Kurume, JapanObjectives: The coronavirus disease 2019 pandemic presents in-person exposure risk during surgical education. We aimed to validate the feasibility of fully remote faculty-supervised surgical training sessions focused on coronary artery bypass grafting using a synthetic simulator and online videochat software. Methods: This observational study organized 24 sessions of 2-hour remote training. Each session involved 3 trainees, 1 faculty member, and 1 host. A total of 70 trainees and 24 faculty members were enrolled. The participants joined the remote sessions via online videochat and performed focused training in coronary artery anastomosis using a commercially available simulator. A survey was conducted to validate the feasibility of the remote sessions. Performance improvement of the trainees who repeatedly participated (n = 13) were analyzed comparing initial and final scores of various performance indicators. Results: All trainees and faculty members were satisfied with the efficacy of the remote session. Additionally, most trainees (79%) and faculty members (95%) agreed that the remote training sessions were equivalent to conventional onsite training seminars. A significant improvement between initial and last sessions was observed in the scoring components of near side (3.4 ± 1.0 vs 4.1 ± 0.9; P = .02), far side (3.3 ± 0.8 vs 3.9 ± 0.8; P = .03), external appearance (3.5 ± 0.8 vs 4.2 ± 0.7; P = .01), and internal appearance (2.8 ± 0.9 vs 4.0 ± 0.9; P = .004). Conclusions: Faculty-supervised remote surgical training sessions were executed with satisfactory results. This methodology may have important implications for surgical education during the coronavirus disease 2019 pandemic.http://www.sciencedirect.com/science/article/pii/S2666273621002485simulation-based trainingremote surgical educationoff-the-job trainingcoronary artery bypass graftingobjective structured assessment of technical skillsCOVID-19
spellingShingle Kenichiro Takahashi, MD
Chiharu Tanaka, MD, PhD
Ryosuke Numaguchi, MD, PhD
Yoshinori Kuroda, MD, PhD
Hiroko Nemoto, MD
Kunihiko Yoshino, MD
Mika Noda, MD, PhD
Yoshinori Inoue, MD
Kumiko Wada, MD
Remote simulator training of coronary artery bypass grafting during the coronavirus disease 2019 pandemicCentral MessagePerspective
JTCVS Open
simulation-based training
remote surgical education
off-the-job training
coronary artery bypass grafting
objective structured assessment of technical skills
COVID-19
title Remote simulator training of coronary artery bypass grafting during the coronavirus disease 2019 pandemicCentral MessagePerspective
title_full Remote simulator training of coronary artery bypass grafting during the coronavirus disease 2019 pandemicCentral MessagePerspective
title_fullStr Remote simulator training of coronary artery bypass grafting during the coronavirus disease 2019 pandemicCentral MessagePerspective
title_full_unstemmed Remote simulator training of coronary artery bypass grafting during the coronavirus disease 2019 pandemicCentral MessagePerspective
title_short Remote simulator training of coronary artery bypass grafting during the coronavirus disease 2019 pandemicCentral MessagePerspective
title_sort remote simulator training of coronary artery bypass grafting during the coronavirus disease 2019 pandemiccentral messageperspective
topic simulation-based training
remote surgical education
off-the-job training
coronary artery bypass grafting
objective structured assessment of technical skills
COVID-19
url http://www.sciencedirect.com/science/article/pii/S2666273621002485
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