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Research Article

Academia Journal of Educational Research 8(12): 500-508, December 2020
DOI: 10.15413/ajer.2020.0709
ISSN 2315-7704
2020 Academia Publishing

Abstract

 

Cadaveric open vascular surgery training program on the learning of intensive vascular surgical skills for junior vascular surgeons
 

Accepted 6th November, 2020

 
Chung-Dann Kan1, Wei-Ling Chen2, Chia-Hsun Lin3, Chiao-Po Hsu4, Jui-Chih Chang5, Jeng Wei6, Shih-Rong Hsieh7 and Jiunn-Jye Shue8

1Division of Cardiovascular Surgery, Department of Surgery National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, 704302, Taiwan.
2Food and Drug Administration, Ministry of Health Welfare, Taipei, 115202, Taiwan.
3Department of Cardiovascular Surgery,Shin Kong Wu Memorial Hospital, Taipei, 111045Taiwan.
4Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, 112201, Taiwan.
5Department of Surgery, Buddhist Tzu Chi General Hospital, Hualien 970473, Taiwan.
6Heart Center, Cheng-Hsin General Hospital, Taipei, 112401, Taiwan.
7Department of Cardiovascular Surgery, Taichung Tzu Chi Hospital, Taichung, 427213, Taiwan.
8Department of Cardiovascular and Thoracic Surgery, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung, 833401, Taiwan.

The number of open surgeries for cardiovascular diseases has dramatically decreased due to endovascular therapy's worldwide use—fewer opportunities for current junior vascular surgeons to learn and familiarize themselves with open surgical skills. The Taiwan Society organized the Taiwan Society for Vascular Surgery cadaveric open surgery workshop for Vascular Surgery (TSVS), the Japanese Society for Vascular Surgery (JSVS), and the TzuChi International Medical Association in June 2020 at the venue of TzuChi Medical Simulation Center. This open surgery workshop utilizes varied teaching methods-lecture, virtual operation, and cadaveric simulation training for innovative medical simulation training. This study aimed to investigate whether a simulation-based cadaveric surgical program improves objectively assessed educational effects on the junior surgeons' clinical operation skills, technical experience, and disease familiarity—a total of 40 surgical participants engaged in this workshop included 12 trainers and 28 trainees. Of the total 28 trainees, only included 24 questionnaires. The participant's three main job characteristics were as follows: 75% from medical center, 58.3% attending surgeons, and 66.6% working experience less than five years. This study used trainees' questionnaires to assess learner reaction. The outcome measures included learner opinion on the process of disease familiarity, change in operative confidence, and self-perceived competency, all of which were improved significantly (p< 0.001) after the workshop. Educational effects on the young surgeons were significantly enhanced than attending surgeons. For either job attribute or affiliation, there was no significant difference in TAOS after-class evaluation. However, trainees from non-medical centers progressed better than medical center trainees as the educational impacts were obvious. This cadaveric workshop cooperated with international researchers and applied methods, such as engaging participants in silent teacher mock operations. Hence, we must reconsider the indication and appropriate timing of intervention for endovascular surgery. “Making operations perfect” is the ultimate goal the training wishes to fulfill regarding medical care, further realizing the value and meaning of life.

Key words: Innovative medical simulation training course, Thoracoabdominal aortic aneurysms, Open repair surgery, Endovascular surgery, Medical humanities, competency, Medical knowledge, Distal bypass surgery, Practice-Based Learning and Improvement, Professionalism.
 

This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 

Cite this article as:

Kan CD, Chen WL, Lin CH, Hsu CP, Chang JC, Wei J, Hsieh SR, Shue JJ (2020). Cadaveric open vascular surgery training program on the learning of intensive vascular surgical skills for junior vascular surgeons. Acad. J. Educ. Res. 8(12): 500-508.

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