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To evaluate the impact of simulation–based training for coronary interventions, a stratified randomized study was performed. 18 cardiology fellows with experience in diagnostic catheterizations, but not in interventional procedures were included. The simulation–based training group (S, n=9) received a 7 ½ hour curriculum based procedural training on three Virtual–Reality simulators: CathLabVR (CAE), VIST–C (Mentice) and AngioMentor Express (Simbionix). The control group (C, n=9) underwent education by lectures only. Pre– and post–evaluation took place in a cath lab. Each participant performed a simple (pre) and a more complex (post) coronary intervention on a pulsatile heart model (CoroSim™, Mecora Germany). All procedures were captured on video and, thereafter, analyzed by three blinded experienced interventionalists. To assess the proficiency of the participants, a score consisting of 14 single items was determined (five–level Likert scale, maximum score of 70 points).
For comparable baseline values (S: 47.2±8.5 C: 50.2±4.5) the proficiency score increased by 5.8 points in group S and decreased by 6.7 in group C (p=0.003, ANCOVA, dependent variable = change in overall proficiency score; group as factor; baseline score as covariate).
Curriculum based simulation training improves the proficiency of cardiology fellows in coronary interventions.
Poster Sessions, Expo North
Saturday, March 09, 2013, 3:45 p.m.–4:30 p.m.
Session Title: Vascular Medicine: Endovascular Therapy I
Abstract Category: 34. Vascular Medicine: Endovascular Therapy
Presentation Number: 1165–158
- 2013 American College of Cardiology Foundation