Simulation in Cardiothoracic Surgery

  • Hadley K. Wilson
  • Richard H. FeinsEmail author
Part of the Comprehensive Healthcare Simulation book series (CHS)


Simulation-based training is gaining widespread acceptance across many surgical specialties. Cardiothoracic surgery in particular has done an excellent job of investigating simulation-based training and implementing simulation in the curriculum for their trainees. Collaboration among institutions at the national level has increased simulation’s popularity among surgical educators in cardiothoracic surgery and leads to its incorporation into many training programs across the country. Current simulation-based training aids span the full spectrum from non-tissue-based models to animal and cadaver labs to virtual reality in some instances. Continued national collaboration and research in simulation-based training in cardiothoracic surgery will create valuable new learning opportunities for trainees and attending surgeons alike. The goal of this chapter is to discuss the current state of simulation-based education in cardiothoracic surgery, to describe the ways in which cardiothoracic surgery as a field has collaborated nationally to advance simulation-based training, and to provide some insight on the future directions of simulation in cardiothoracic surgical education.


Non-tissue component task trainers Tissue-based simulation Computer-aided simulation TSDA Boot Camp The Senior Tour Gamification of surgical training Top Gun STS University 


  1. 1.
    Tesche L, Feins R, Dedmon M, Newton K, Egan T, Haithcock B, et al. Simulation experience enhances medical students’ interest in cardiothoracic surgery. Ann Thorac Surg. 2010;90(6):1967–74.CrossRefGoogle Scholar
  2. 2.
    Lodge DGrantcharov T. Training and assessment of technical skills and competency in cardiac surgery. Eur J Cardiothorac Surg. 2011;39(3):287–93.CrossRefGoogle Scholar
  3. 3.
    Fann J, Caffarelli A, Georgette G, Howard S, Gaba D, Youngblood P, et al. Improvement in coronary anastomosis with cardiac surgery simulation. J Thorac Cardiovasc Surg. 2008;136(6):1486–91.CrossRefGoogle Scholar
  4. 4.
    Reznick R, Regehr G, MacRae H, Martin J, McCulloch W. Testing technical skill via an innovative “bench station” examination. Am J Surg. 1997;173(3):226–30.CrossRefGoogle Scholar
  5. 5.
    Helder M, Rowse P, Ruparel R, Li Z, Farley D, Joyce L, et al. Basic cardiac surgery skills on sale for $22.50: an aortic anastomosis simulation curriculum. Ann Thorac Surg. 2016;101(1):316–22.CrossRefGoogle Scholar
  6. 6.
    Hossien A. Intermediate-fidelity simulator for self-training in mitral valve surgery. Multimed Man Cardiothorac Surg. 2016;2016:mmv044.CrossRefGoogle Scholar
  7. 7.
    Joyce D, Dhillon T, Caffarelli A, Joyce D, Tsirigotis D, Burdon T, et al. Simulation and skills training in mitral valve surgery. J Thorac Cardiovasc Surg. 2011;141(1):107–12.CrossRefGoogle Scholar
  8. 8.
    Fann J, Calhoon J, Carpenter A, Merrill W, Brown J, Poston R, et al. Simulation in coronary artery anastomosis early in cardiothoracic surgical residency training: The Boot Camp experience. J Thorac Cardiovasc Surg. 2010;139(5):1275–81.CrossRefGoogle Scholar
  9. 9.
    Greene C, Minneti M, Sullivan M, Baker C. Pressurized cadaver model in cardiothoracic surgical simulation. Ann Thorac Surg. 2015;100(3):1118–20.CrossRefGoogle Scholar
  10. 10.
    Carter YMarshall M. Open lobectomy simulator is an effective tool for teaching thoracic surgical skills. Ann Thorac Surg. 2009;87(5):1546–51.CrossRefGoogle Scholar
  11. 11.
    Ramphal P, Coore D, Craven M, Forbes N, Newman S, Coye A, et al. A high fidelity tissue-based cardiac surgical simulator. Eur J Cardiothorac Surg. 2005;27(5):910–6.CrossRefGoogle Scholar
  12. 12.
    Solomon B, Bizekis C, Dellis S, Donington J, Oliker A, Balsam L, et al. Simulating video-assisted thoracoscopic lobectomy: a virtual reality cognitive task simulation. J Thorac Cardiovasc Surg. 2011;141(1):249–55.CrossRefGoogle Scholar
  13. 13.
    Brewer Z, Fann H, Ogden W, Burdon T, Sheikh A. Inheriting the learner’s view: a Google glass-based wearable computing platform for improving surgical trainee performance. J Surg Educ. 2016;73(4):682–8.CrossRefGoogle Scholar
  14. 14.
    Carpenter A, Yang S, Uhlig P, Colson Y. Envisioning simulation in the future of thoracic surgical education. J Thorac Cardiovasc Surg. 2008;135(3):477–84.CrossRefGoogle Scholar
  15. 15.
    Hicks G, Brown J, Calhoon J, Merrill W. You never know unless you try. Ann Thorac Surg. 2008;86(4):1063–4.CrossRefGoogle Scholar
  16. 16.
    Fann J, Feins R, Hicks G, Nesbitt J, Hammon J, Crawford F. Evaluation of simulation training in cardiothoracic surgery: the Senior Tour perspective. J Thorac Cardiovasc Surg. 2012;143(2):264–72.e9.Google Scholar
  17. 17.
    Mokadam N, Lee R, Vaporciyan A, Walker J, Cerfolio R, Hermsen J, et al. Gamification in thoracic surgical education: using competition to fuel performance. J Thorac Cardiovasc Surg. 2015;150(5):1052–8.CrossRefGoogle Scholar
  18. 18.
    Feins R, Burkhart H, Conte J, Coore D, Fann J, Hicks G, et al. Simulation-based training in cardiac surgery. Ann Thorac Surg. 2017;103(1):312–21.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Cardiothoracic SurgeryUniversity of North Carolina at Chapel HillChapel HillUSA

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