Simulation in vascular access surgery training.
Rapidly growing technical developments and working time constraints call for changes in trainee formation. In reality, trainees spend fewer hours in the hospital and face more difficulties in acquiring the required qualifications in order to work independently as a specialist. Simulation-based training is a potential solution. It offers the possibility to learn basic technical skills, repeatedly perform key steps in procedures and simulate challenging scenarios in team training. Patients are not at risk and learning curves can be shortened. Advanced learners are able to train rare complications. Senior faculty member's presence is key to assess and debrief effective simulation training. In the field of vascular access surgery, simulation models are available for open as well as endovascular procedures. In this narrative review, we describe the theory of simulation, present simulation models in vascular (access) surgery, discuss the possible benefits for patient safety and the difficulties of implementing simulation in training.
Department of Cardiovascular Surgery, Swiss Cardiovascular Centre, University Hospital Bern, Bern - Switzerland.
Lukas Werner
LW
Widmer
Jürg
J
Schmidli
Matthias Kurt
MK
Widmer
Thomas Rudolf
TR
Wyss
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects / Q000193:education*; D002983:Clinical Competence; D003198:Computer Simulation; D003194:Computer-Assisted Instruction / Q000379:methods*; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods*; D006801:Humans; D007396:Internship and Residency; D008953:Models, Anatomic; D008955:Models, Cardiovascular; D061214:Patient Safety; D013663:Teaching / Q000379:methods*