Simulation and industry partnership in vascular surgery education

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Abstract

Objective

Simulation training improves resident open and endovascular technique and increases efficiency in the operating room, meeting costs and allocating time to curriculum development are obstacles for the leadership of surgical residencies. In this paper, we provide a narrative review of the types of simulation and the role industry has in simulation. We also explain how our institution utilized medical device sponsorship in a cost-efficient, non-biased way.

Methods

Vascular surgery trainees and surgeons were invited to two local, in-person simulation events, focusing on the management of aortic aneurysms and peripheral vascular disease. Pre- and post-surveys were sent to participants, and the results were analyzed with descriptive statistics. Survey score means were compared via paired t-test with significance set at P < .05.

Results

Benchtop anastomotic models, animal/cadaveric models, and virtual reality have been adopted in many surgical programs and can each provide practice to different levels of skill. Although industry is supportive of simulation curriculums, little is published regarding the role it plays and ways to reduce conflict of interest. At our local simulation events, trainees showed significant improvement in confidence ratings.

Conclusions

Industry sponsorship has been able to support many educational endeavors. In our experience, we attempted to reduce conflict of interest by focusing on device company participation and nonpartisan, physician-lead didactics. There is a great need for future research in surgical education and industry partnership.

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血管外科教育中的模拟与行业合作
目的模拟训练可提高住院医生的开放手术和血管内手术技术,并提高手术室的效率,但成本和课程开发时间的分配是外科住院医生领导层面临的障碍。在本文中,我们将对模拟培训的类型和行业在模拟培训中的作用进行叙述性回顾。我们还解释了本机构如何以一种具有成本效益、无偏见的方式利用医疗设备赞助。方法 邀请血管外科学员和外科医生参加两次当地的现场模拟活动,重点是主动脉瘤和外周血管疾病的管理。对参与者进行了事前和事后调查,并对调查结果进行了描述性统计分析。通过配对 t 检验比较调查得分平均值,显著性设定为 P < .05。结果 许多外科课程都采用了台式吻合器模型、动物/穴位模型和虚拟现实技术,每种技术都能提供不同水平的技能练习。虽然业界支持模拟课程,但有关其所扮演的角色以及如何减少利益冲突的报道却很少。在我们当地的模拟活动中,受训者的信心评分有了显著提高。根据我们的经验,我们试图通过器械公司的参与和非党派、医生主导的教学来减少利益冲突。未来在外科教育和行业合作方面有很大的研究需求。
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