JTCVS Open (Dec 2021)

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

  • 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

Journal volume & issue
Vol. 8
pp. 524 – 533

Abstract

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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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