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

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Title: Evaluating training for a simulated team in complex whole procedure simulations in the endovascular suite.
Authors: Nestel, Debra1 (AUTHOR) debra.nestel@med.monash.edu.au, Van Herzeele, Isabelle1 (AUTHOR), Aggarwal, Rajesh1 (AUTHOR), Odonoghue, Kevin1 (AUTHOR), Choong, Andrew1 (AUTHOR), Clough, Rachel1 (AUTHOR), Eades, Christopher1 (AUTHOR), Lau, Jenna1 (AUTHOR), Neequaye, Simon1 (AUTHOR), Ahluwalia, Gurpal1 (AUTHOR), Darzi, Ara1 (AUTHOR)
Source: Medical Teacher. Jan2009, Vol. 31 Issue 1, p18-e23. 6p. 1 Color Photograph, 5 Charts.
Subject Terms: *Occupational training, *Computer simulation, Medical care, Teams in the workplace, Clinical medicine
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. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Evaluating training for a simulated team in complex whole procedure simulations in the endovascular suite.
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  Data: <searchLink fieldCode="AR" term="%22Nestel%2C+Debra%22">Nestel, Debra</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> debra.nestel@med.monash.edu.au</i><br /><searchLink fieldCode="AR" term="%22Van+Herzeele%2C+Isabelle%22">Van Herzeele, Isabelle</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aggarwal%2C+Rajesh%22">Aggarwal, Rajesh</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Odonoghue%2C+Kevin%22">Odonoghue, Kevin</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Choong%2C+Andrew%22">Choong, Andrew</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Clough%2C+Rachel%22">Clough, Rachel</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Eades%2C+Christopher%22">Eades, Christopher</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lau%2C+Jenna%22">Lau, Jenna</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Neequaye%2C+Simon%22">Neequaye, Simon</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ahluwalia%2C+Gurpal%22">Ahluwalia, Gurpal</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Darzi%2C+Ara%22">Darzi, Ara</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Medical+Teacher%22">Medical Teacher</searchLink>. Jan2009, Vol. 31 Issue 1, p18-e23. 6p. 1 Color Photograph, 5 Charts.
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– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/01421590802337104
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              Text: Jan2009
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