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October 17, 2022Annals of Vascular Surgery - Brief Reports and InnovationsOpen Access

Collaborative simulation rotation increases anastomosis scores by ~83% in junior surgery residents.

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Why the study?

Integrated CTS and VS residents must achieve operative independence faster than traditional trainees, making early technical skill development paramount.

Does a collaborative simulation rotation improve technical skills and confidence in junior cardiothoracic and vascular surgery residents?

Population

7 PGY-1 and 5 PGY-2 integrated CTS and VS residents at a single institution

Comparison

Post-simulation vs pre-simulation training

Design

Single-institution prospective pre-post study

Key result

A collaborative simulation rotation for junior cardiothoracic and vascular surgery residents significantly increased end-to-end anastomosis scores from 10.4 to 19 (P<0.001).

Authors

MJMichael J. JavorskiSSShawn ShahBRBrad F. Rosinski

Discussion

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Overview

May support simulation training for junior surgical residents; leaves open need for randomized trials on clinical outcomes.

Study Design

Type

Cohort (n=12)

Multicenter

No

Structured PICO

Does a collaborative simulation rotation improve technical skills and confidence in junior cardiothoracic and vascular surgery residents?

P
Population
12 PGY-1 and PGY-2 residents from integrated cardiothoracic and vascular surgery programs at a single institution evaluated before and after a collaborative simulation rotation.
E
Exposure
Collaborative simulation rotation including low-fidelity vascular anastomoses, high-fidelity cadaver operative simulation, and core surgical tasks
C
Comparator
Pre-simulation baseline (before training)
O
Outcome
Performance scores during end-to-end and end-to-side vascular anastomoses and self-rated confidence levelssurrogate

Main Result

Absolute Event Rate: 19% vs 10.4%

p-value: p=<0.001

A dedicated collaborative simulation rotation significantly accelerates technical skill progression and increases confidence among junior cardiothoracic and vascular surgery residents.

Cite This Study

Javorski et al. (2022) conducted a cohort in Surgical training (n=12). Collaborative simulation rotation vs. Pre-simulation baseline was evaluated on End-to-end anastomosis scores (p=<0.001). A collaborative simulation rotation for junior cardiothoracic and vascular surgery residents significantly increased end-to-end anastomosis scores from 10.4 to 19 (P<0.001).

synapsesocial.com/papers/6aa9f7b4cf2bca5c547e59d0https://doi.org/10.1016/j.avsurg.2022.100140
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Vascular Anastomoses and Dissection: A Six-Part Simulation Curriculum for Surgical Residents2024 · 1 citations
  2. 2Benefits of lower limb angioplasty training using a virtual reality simulator among vascular surgical residents2023 · 2 citations
  3. 3Enhancement of vascular anastomosis training using a novel simulation model with integrated leakage testing2026
  4. 4How do vascular surgery trainees optimise simulation-based learning? A qualitative study2024
  5. 5Simulation in Vascular Surgery Training2025 · 1 citations