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Web Paper

Evaluating training for a simulated team in complex whole procedure simulations in the endovascular suite

Pages e18-e23 | Published online: 03 Jul 2009
 

Abstract

Introduction: Simulators supporting the development of technical skills for complex procedures are gaining prominence. Safe performance of complex procedures requires effective team interactions. Our research group creates ‘whole’ procedure simulations to produce the psychological fidelity of clinical settings. Recruitment of real interventional team (IT) members has proved challenging. Actors as a simulated team are expensive. We hypothesised that medical students and trainees in a vascular unit could authentically portray members of the endovascular suite for carotid stenting.

Methods: This paper describes the evaluation of a training programme for a simulated IT. Participants rated the extent to which programmes objectives were met and realism of simulations. Researchers’ field notes provided insight into strengths and weaknesses of the programme.

Results: Seven members from the vascular unit undertook training. Learning objectives were largely met. Nineteen simulations with 13 interventionalists were performed. Realism levels were at least moderate. Simulated IT members reported increased understanding of teamwork and roles in the endovascular suite.

Discussion: A simulated IT proved feasible. Authentic psychological fidelity complemented the physical fidelity of the simulated suite. Although there were areas for development in training, this approach might contribute considerably to interventionalist training and increase knowledge and skills of vascular trainees and medical students.

Additional information

Notes on contributors

Debra Nestel

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Isabelle Van Herzeele

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Rajesh Aggarwal

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Kevin Odonoghue

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Andrew Choong

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Rachel Clough

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Christopher Eades

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Jenna Lau

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Simon Neequaye

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Gurpal Ahluwalia

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

Ara Darzi

At the time of the study, all authors were associated with the Department of Biosurgery and Surgical Technology, Imperial College London.

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