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Simulation in Vascular Surgery

  • Erica L. MitchellEmail author
  • Malachi G. Sheahan
  • Mélanie Schwiesow
Chapter
Part of the Comprehensive Healthcare Simulation book series (CHS)

Abstract

Increasingly stringent restrictions of duty hours for residents have led to decreasing experience with complex open vascular interventions; simulation is a promising avenue for both skills training and skill assessment. Various different forms of simulation are now available including benchtop models, animal models, cadavers, and high-fidelity simulators. This chapter reviews the available modalities, the evidence supporting their use in both open and endovascular surgical training, components of a successful simulation training program, and the application of simulation training in the context of two academic centers – LSU and OHSU.

Keywords

Vascular surgery Simulation Resident education Methods of assessment Endovascular skills training Simulation curriculum 

References

  1. 1.
    Aggarwal R, Grantcharov TP, Eriksen JR, Blirup D, Kristiansen VB, Funch-Jensen P, et al. An evidence-based virtual reality training program for novice laparoscopic surgeons. Ann Surg. 2006;244:310–4.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Mittal V, Salem M, Tyburski J, et al. Residents’ works hours in a consortium-wide surgical education program. Am Surg. 2004;70:127–31.PubMedGoogle Scholar
  3. 3.
    Ziv A, Wolpe PR, Small SD, et al. Simulation-based medical education: an ethical imperative. Acad Med. 2003;78(8):783–8.CrossRefPubMedGoogle Scholar
  4. 4.
    Bridges M, Diamond DL. The financial impact of teaching residents in the operating room. Am J Surg. 1999;177(1):28–32.CrossRefPubMedGoogle Scholar
  5. 5.
    Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190:687–90.CrossRefPubMedGoogle Scholar
  6. 6.
    Aggarwal R, Darzi A. Technical-skills training in the 21st century. N Engl J Med. 2006;355:2695–6.CrossRefPubMedGoogle Scholar
  7. 7.
    Nasr MK, Mc McCarthy RJ, Hardman J, et al. The increasing role of percutaneous angioplasty in the primary management of critical limb ischemia. Eur J Vasc Endovasc Surg. 2002;23(5):398–403.CrossRefPubMedGoogle Scholar
  8. 8.
    Adam DJ, Beard JD, Cleveland T, et al. Bypass versus angioplasty in severe ischemia of the leg (BASIL): multicenter, randomized controlled trial. Lancet. 2005;366(9502):1925–34.PubMedGoogle Scholar
  9. 9.
    Drury D, Michaels JA, Jones L, Ayiku L. Systemic review of recent evidence for the safety and efficacy of elective endovascular repair in the management of infrarenal abdominal aortic aneurysm. Br J Surg. 2005;92(8):937–46.CrossRefPubMedGoogle Scholar
  10. 10.
    Greenhalgh RM, Brown LC, Epstein D, et al. Endovascular aneurysm repair versus open in patients with abdominal aortic aneurysm (EVAR trial 1): randomized controlled trail. Lancet. 2005;365(9478):2179–86.CrossRefGoogle Scholar
  11. 11.
    Cremonesi A, Manetti R, Setacci F, Setacci F, Castriota F. Protected carotid stenting: clinical advantages and complications of embolic protection devices in 442 consecutive patients. Stroke. 2003;34(8):1936–41.CrossRefPubMedGoogle Scholar
  12. 12.
    Ohki T, Veith FJ, Grenell S, et al. Initial experience with cerebral protection devices to prevent embolization during carotid stenting. J Vasc Surg. 2002;36(6):1175–85.CrossRefPubMedGoogle Scholar
  13. 13.
    Sternbergh WC 3rd, York JW, Conners MS 3rd, Money SR. Trends in aortic aneurysm surgical training for general and vascular surgery residents in the era of endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2002;36(4):685–9.CrossRefPubMedGoogle Scholar
  14. 14.
    Lin PH, Bush RL, Milas M, Terramani TT, Dodson TF, Chen C, Chaikof EL, Lumsden AB. Impact of an endovascular program on the operative experience of abdominal aortic aneurysm in vascular fellowship and general surgery residency. Am J Surg. 2003;186(2):189–93.CrossRefPubMedGoogle Scholar
  15. 15.
    Brevetti LS, Nackman GB, Shindelman LE, Ciocca RG, Gerard Crowley J, Graham AM. Influence of endovascular training on fellowship and general surgical training. J Surg Res. 2003;115(1):100–5.CrossRefPubMedGoogle Scholar
  16. 16.
    Cronenwett JL. Vascular surgery training: is there enough case material? Semin Vasc Surg. 2006;19(4):187–90.CrossRefPubMedGoogle Scholar
  17. 17.
    Schanzer A, Steppacher R, Eslami M, Arous E, Messina L, Belkin M. Vascular surgery training trends from 2001-2007: a substantial increase in total procedure volume is driven by escalating endovascular procedure volume and stable open procedure volume. J Vasc Surg. 2009;49(5):1339–44. Epub 2009 Feb 14.CrossRefPubMedGoogle Scholar
  18. 18.
    Killeen SD, Andrews EJ, Redmond HP, Fulton GJ. Provider volume and outcomes for abdominal aortic aneurysm repair, carotid endarterectomy, and lower extremity revascularization procedures. J Vasc Surg. 2007;45(3):615–26.CrossRefPubMedGoogle Scholar
  19. 19.
    Rosenfield K, et al. Clinical competence statement on carotid stenting: training and credentialing for carotid stenting- multispecialty consensus recommendations: a report of the SCAI/SVMB/SVS Writing Committee to develop a clinical competence statement on carotid interventions. J Am Coll Cardiol. 2005;45:165–74.CrossRefPubMedGoogle Scholar
  20. 20.
    Reznick RK, MacRae H. Teaching surgical skills- changes in the wind. N Engl J Med. 2006;355:2664–9.CrossRefPubMedGoogle Scholar
  21. 21.
    Satava RM. Virtual reality surgical simulator. The first steps. Surg Endosc. 1993;7(3):203–5.CrossRefPubMedGoogle Scholar
  22. 22.
    Satava RM. Identification and reduction of surgical error using simulation. Minim Invasive Ther Allied Technol. 2005;14(4):257–61.CrossRefPubMedGoogle Scholar
  23. 23.
    Duran C, Bismuth J, Mitchell E. A nationwide survey of vascular surgery trainees reveals trends in operative experience, confidence, and attitudes about simulation. J Vasc Surg. 2013;58:524–8.CrossRefPubMedGoogle Scholar
  24. 24.
    Reznick R, Regehr G, MacRae H, Martin J, McCulloch W. Testing technical skill via an innovative ‘bench station’ examination. Am J Surg. 1997;173:226–30.CrossRefPubMedGoogle Scholar
  25. 25.
    Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med. 2007;23(1):46–9.PubMedCentralGoogle Scholar
  26. 26.
    Willems MCM, van der Vliet JA, Williams V, Schultze Kool LJ, Bergqvist D, Blakensteijn JD. Assessing endovascular skills using the Simulator for Testing and Rating Endovascular Skills (STRESS) machine. Eur J Vasc Endovasc Surg. 2009;37(4):431–6.CrossRefPubMedGoogle Scholar
  27. 27.
    Bath J, et al. Standardization is superior to traditional methods of teaching open vascular simulation. J Vasc Surg. 2011;53:229–34. 235e1–2; discussion 234–235.CrossRefPubMedGoogle Scholar
  28. 28.
    Duschek N, et al. Simulator training on pulsatile vascular models significantly improves surgical skills and the quality of carotid patch plasty. J Vasc Surg. 2013;57:1148–54.CrossRefPubMedGoogle Scholar
  29. 29.
    Pandey V, et al. Technical skills continue to improve beyond surgical training. J Vasc Surg. 2006;43:539–45.CrossRefPubMedGoogle Scholar
  30. 30.
    Ishii A, Vinuela F, Murayama Y, Yuki I, Nien YL, Yeh DT, Vinters HV. Swine model of carotid artery atherosclerosis: experimental induction by surgical partial ligation and dietary hypercholesterolemia. AJNR Am J Neuroradiol. 2006;27(9):1893–9.PubMedGoogle Scholar
  31. 31.
    Lin PH, Chen C, Surowiec SM, Conklin B, Bush RL, Chaikof EL, Lumsden AB, Weiss V. A porcine model of carotid artery thrombosis for thrombolytic therapy and angioplasty: application of PTFE graft-induced stenosis. J Endovasc Ther. 2000;7(3):227–35.PubMedGoogle Scholar
  32. 32.
    Maynar M, Qian Z, Hernandez J, Sun F, DeMiguel C, Crisostomo V, Uson J, Pineda LF, Espinoza CG, Castaneda WR. An animal model of abdominal aortic aneurysm created with peritoneal patch: technique and initial results. Cardiovasc Intervent Radiol. 2003;26(2):168–76.CrossRefPubMedGoogle Scholar
  33. 33.
    Garrett HE Jr. A human cadaveric circulation model. J Vasc Surg. 2001;33(5):1128–30.CrossRefPubMedGoogle Scholar
  34. 34.
    Helmreich RL, Wilhelm JA, Gregorich SE, Chidester TR. Preliminary results from the evaluation of cockpit resource management training: performance ratings of flightcrews. Aviat Space Environ Med. 1990;61(6):576–9.PubMedGoogle Scholar
  35. 35.
    Helmreich RL, Meerrit AC, Wilhelm JA. The evolution of crew resource management training in commercial aviation. Int J Aviat Psychol. 1999;9(1):19–32.CrossRefPubMedGoogle Scholar
  36. 36.
    Rolfe JM, Staples KJ. Flight simulation. Cambridge: Cambridge University Press; 1986. p. 232–49.Google Scholar
  37. 37.
    Dawson DL, Lee ES, Hedayati N, Pevec W. Four year experience with a regional program providing simulation- based endovascular training for vascular surgery fellows. J Surg Educ. 2009;66(6):330–5.CrossRefPubMedGoogle Scholar
  38. 38.
    Gaines P, Nicholson T. A suggested training programme for carotid artery stenting (CAS). Eur J Radiol. 2006;60(1):37–9.CrossRefPubMedGoogle Scholar
  39. 39.
    Moorthy K, Munz Y, Sarker SK, Darzi A. Objective assessment of technical skills in surgery. BMJ. 2003;327(7422):1032–7.CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Warf BC, Donnelly MB, Schwartz RW, Sloan DA. Interpreting the judgment of surgical faculty regarding resident competence. J Surg Res. 1999;86(1):29–35.CrossRefPubMedGoogle Scholar
  41. 41.
    Den Boer KT, De Wit LT, Dankelman J, Gouma DJ. Perioperative time-motion analysis of diagnostic laparoscopy with laparoscopic ultrasonography. Br J Surg. 1999;86(7):951–5.CrossRefGoogle Scholar
  42. 42.
    Scott DJ, Valentine RJ, Bergen PC, et al. Evaluating surgical competency with the American Board of Surgery In-Training Examination, skill testing, and intraoperative assessment. Surgery. 2000;128(4):613–9.CrossRefPubMedGoogle Scholar
  43. 43.
    Pandey VA, Wolfe JHN, Liapis CD, Bergqvist D. The examination assessment of technical competence in vascular surgery. Br J Surg. 2006;93:1132–8.CrossRefPubMedGoogle Scholar
  44. 44.
    Black SA, Harrison RH, Horrocks EJ, Pandey VA, Wolfe JHN. Competence assessment of senior vascular trainees using a carotid endarterectomy bench model. Br J Surg. 2007;94:1226–31.CrossRefPubMedGoogle Scholar
  45. 45.
    Black SA, Nestel DF, Kneebone RL, Wolfe JHN. Assessment of surgical competence at carotid endarterectomy under local anaesthesia in a simulated operating theatre. Br J Surg. 2010;97:511–6.CrossRefPubMedGoogle Scholar
  46. 46.
    Minekus JP, Rozing PM, Valstar ER, Dankelman J. Evaluation of humeral head replacements using time-action analysis. J Shoulder Elb Surg. 2003;12(2):152–7.CrossRefGoogle Scholar
  47. 47.
    Ruurda JP, Broeders IA, Pulles B, Kappelhof FM, van der Werken C. Manual robot assisted endoscopic suturing: time-action analysis in an experimental model. Surg Endosc. 2004;18(8):1249–52.CrossRefPubMedGoogle Scholar
  48. 48.
    Bakker NH, Tanase D, Reekers JA, Grimbergen CA. Evaluation of vascular and interventional procedures with time-action analysis: a pilot study. J Vasc Interv Radiol. 2002;13(5):483–8.CrossRefPubMedGoogle Scholar
  49. 49.
    den Boer KT, Bruijn M, Jaspers JE, Stassen LP, Erp WF, Jansen A, Go PM, Dankelman J, Gouma DJ. Time-action analysis of instrument positioners in laparoscopic cholecystectomy. Surg Endosc. 2002;16(1):142–7.CrossRefGoogle Scholar
  50. 50.
    Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.Google Scholar
  51. 51.
    Tsuda S, Scott D, Doyle J, Jones DB. Surgical skills training simulation. Curr Probl Surg. 2009;46(4):261–372.Google Scholar
  52. 52.
    Cuschieri A. Medical errors, incidents, accidents and violations. Minim Invasive Ther Allied Technol. 2003;12(3):111–20.CrossRefPubMedGoogle Scholar
  53. 53.
    Sarker SK, Chang A, Vincent C, Darzi A. Technical skills errors in laparoscopic cholecystectomy by expert surgeons. Surg Endosc. 2005;19(6):832–5.CrossRefPubMedGoogle Scholar
  54. 54.
    Tang B, Hanna GB, Joice P, Cuschieri A. Identification and categorization of technical errors by Observational Clinical Human Reliability Assessment (OCHRA) during laparoscopic cholecystectomy. Arch Surg. 2004;139(11):1215–20.CrossRefPubMedGoogle Scholar
  55. 55.
    Tang B, Hanna GB, Bax NM, Cuschieri A. Analysis of technical surgical errors during initial experience of laparoscopic pyloromyotomy by a group of Dutch pediatric surgeons. Surg Endosc. 2004;18(12):1716–20.CrossRefPubMedGoogle Scholar
  56. 56.
    Patel AA, Gould DA. Simulators in interventional radiology training and evaluation: a paradigm shift is on the horizon. J Vasc Interv Radiol. 2006;17(11 Pt 2):S163–73.CrossRefPubMedGoogle Scholar
  57. 57.
    Bann SD, Khan MS, Darzi A. Measurement of surgical dexterity using motion analysis of simple bench tasks. World J Surg. 2003;27(4):390–4.CrossRefPubMedGoogle Scholar
  58. 58.
    Datta V, Mackay S, Mandalia M, Darzi A. The use of electromagnetic motion tracking analysis to objectively measure open surgical skill in the laboratory-based model. J Am Coll Surg. 2001;193(5):479–85.CrossRefPubMedGoogle Scholar
  59. 59.
    Datta V, Bann S, Beard J, Mandalia M, Darzi A. Comparison of bench test evaluations of surgical skill with liver operating performance assessments. J Am Coll Surg. 2004;199(4):603–6.CrossRefPubMedGoogle Scholar
  60. 60.
    Eubanks TR, Clements RH, Pohl D, Williams N, Schaad DC, Horgan S, Pellegrini C. An objective scoring system for laparoscopic cholecystectomy. J Am Coll Surg. 1999;189(6):566–74.CrossRefPubMedGoogle Scholar
  61. 61.
    Nielsen PE, Foglia LM, Mandel LS, Chow GE. Objective structured assessment of technical skills for episiotomy repair. Am J Obstet Gynecol. 2003;189(5):1257–60.CrossRefPubMedGoogle Scholar
  62. 62.
    Hislop SJ, Hsu JH, Narins CR, Gillespie BT, Jain RA, Schippert DW, et al. Simulator assessment of innate endovascular aptitude versus empirically correct performance. J Vasc Surg. 2006;43(1):47–55.CrossRefPubMedGoogle Scholar
  63. 63.
    Berry M, Lystig T, Beard J, Klingestierna H, Reznick R, Lonn L. Porcine transfer study: virtual reality simulator training compared with porcine training in endovascular novices. Cardiovasc Intervent Radiol. 2007;30:455–61.CrossRefPubMedGoogle Scholar
  64. 64.
    Chaer RA, Derubertis BG, Lin SC, Bush HL, Karwowski JK, Birk D, et al. Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study. Ann Surg. 2006;244(3):343–52.PubMedPubMedCentralGoogle Scholar
  65. 65.
    Tedesco MM, Park JJ, Harris EJ Jr, Krummel TM, Dalman RL, Lee JT. Simulation-based endovascular skills assessment: the future of credentialing? J Vasc Surg. 2008;47(5):1008–1. discussion 14.CrossRefPubMedGoogle Scholar
  66. 66.
    Van Herzeele I, Aggarwal R, Malik I, Gaines P, Hamady M, Darzi A, et al. Validation of video-based skill assessment in carotid artery stenting. Eur J Vasc Endovasc Surg. 2009;38:1–9.CrossRefPubMedGoogle Scholar
  67. 67.
    Anastakis DJ, Wanzel KR, Brown MH, Mcllroy JH, Hamstra SJ, Ali J, Hutchison CR, Murnaghan J, Reznick RK, Regehr G. Evaluating the effectiveness of a 2-year curriculum in a surgical skills center. Am J Surg. 2003;185(4):378–85.CrossRefPubMedGoogle Scholar
  68. 68.
    Vassiliou MC, Feldman LS, Andrew CG, Bergman S, Leffondre K, Stanbridge D, Fried GM. A global assessment tool for evaluation of intraoperative laparoscopic skills. Am J Surg. 2005;190(1):107–13.CrossRefPubMedGoogle Scholar
  69. 69.
    Scott DJ, Rege RV, Bergen PC, Guo WA, Laycock R, Tesfay ST, Valentine RJ, Jones DB. Measuring operative performance after laparoscopic skills training: edited videotapes versus direct observation. J Laparoendosc Adv Surg Tech A. 2000;10(4):183–90.CrossRefPubMedGoogle Scholar
  70. 70.
    Patel AD, Gallagher AG, Nicholson WJ, Cates CU. Learning curves and reliability measures for virtual reality simulation in the performance assessment of carotid angiography. J Am Coll Cardiol. 2006;47(9):1796–802.CrossRefPubMedGoogle Scholar
  71. 71.
    Aggarwal R, Black SA, Hance JR, Darzi A, Cheshire NJ. Virtual reality simulation training can improve inexperienced surgeons’ endovascular skills. Eur J Vasc Endovasc Surg. 2006;31(6):588–93.CrossRefPubMedGoogle Scholar
  72. 72.
    Dayal R, Faries PL, Lin SC, Bernheim J, Hollenbeck S, DeRubertis B, Trocciiola S, Rhee J, McKinsey J, Morrissey NJ, Kent KC. Computer simulation as a component of catheter-based training. J Vasc Surg. 2004;40(6):1112–7.CrossRefPubMedGoogle Scholar
  73. 73.
    Wang TA, Darzi A, Foale R, Schilling RJ. Virtual reality permanent pacing: validation of a novel computerized permanent pacemaker implantation simulator. J Am Coll Cardiol. 2001;37(suppl):493A–4A.Google Scholar
  74. 74.
    Gould DA, Reekers JA, Kessel DO, Chalmers NC, Sapoval M, Patel AA, Becker GJ, Lee MJ, Stockx L. Simulation devices in interventional radiology: validation pending. J Vasc Interv Radiol. 2006;17(2 Pt 1):215–6.CrossRefPubMedGoogle Scholar
  75. 75.
    Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg. 2012;214(2):214–30.CrossRefPubMedGoogle Scholar
  76. 76.
    Sidhu RS, Park J, Brydges R, MacRae HM, Dubrowski A. Laboratory-based vascular anastomosis training: a randomized controlled trial evaluating the effects of bench model fidelity and level of training on skill acquisition. J Vasc Surg. 2007;45:343–9.CrossRefPubMedGoogle Scholar
  77. 77.
    Anastakis DJ, Regehr G, Reznick RK, Cusimano M, Murnaghan J, Brown M, et al. Assessment of technical skills transfer from the bench training model to the human model. Am J Surg. 1999;177:167–70.CrossRefPubMedGoogle Scholar
  78. 78.
    Matsumoto ED, Hamstra SJ, Radomski SB, Cusimano MD. The effects of bench model fidelity on endourological skills: a randomized controlled study. J Urol. 2002;167:1243–7.CrossRefPubMedGoogle Scholar
  79. 79.
    Grantcharov TP, Bardram L, Funch-Jensen P, Rosenberg J. Assessment of technical surgical skills. Eur J Surg. 2002;168:139–44.CrossRefPubMedGoogle Scholar
  80. 80.
    Sachs T, Schermerhorn M, Pomposelli F, Cotterill P, O’Malley J, Landon B. Resident and fellow experiences after the introduction of endovascular aneurysm repair for AAA. J Vasc Surg. 2011;54:881–8.CrossRefPubMedPubMedCentralGoogle Scholar
  81. 81.
    Robinson WP, Baril DT, Taha O, et al. Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction. J Vasc Surg. 2013;58:247–53.CrossRefPubMedGoogle Scholar
  82. 82.
    Mitchell E, Sevdalis N, Arora S, et al. A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery. J Vasc Surg. 2012;55:1187–95.CrossRefPubMedGoogle Scholar
  83. 83.
    Sutherland LM, Middleton PF, Anthony A, Hamdorf J, Cregan P, Scott D, Maddern GJ. Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291–300.CrossRefPubMedPubMedCentralGoogle Scholar
  84. 84.
    Aggarwal R, Grantcharov TP, Darzi A. Framework for systematic training and assessment of technical skills. J Am Coll Surg. 2007;204(4):697–705.CrossRefPubMedGoogle Scholar
  85. 85.
    Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10 Suppl):S70–81.CrossRefPubMedGoogle Scholar
  86. 86.
    Ericsson KA, Prietula MJ, Cokely ET. The making of an expert. Harv Bus Rev. 2007;85(7–8):114–21. 93.PubMedGoogle Scholar
  87. 87.
    Fitts PM, Posner MI. Human performance. Belmont: Brooks/Cole; 1967.Google Scholar
  88. 88.
    Hsu JH, Younan D, Pandalai S, Gillespie BT, Jain RA, Schippert DW, et al. Use of computer simulation for determining endovascular skill levels in a carotid stenting model. J Vasc Surg. 2004;40(6):1118–25.CrossRefPubMedGoogle Scholar
  89. 89.
    Nicholson WJ, Cates CU, Patel AD, Khrusrow N, Palmer S, Helmy T, et al. Face and content validation of virtual reality simulation for carotid angiography: results from the first 100 physicians attending the Emory NeuroAnatomy Carotid Training (ENACT) program. Simul Healthc. 2006;1:147–50.CrossRefPubMedGoogle Scholar
  90. 90.
    Berry M, Lystig T, Reznick R, Lonn L. Assessment of a virtual interventional simulator trainer. J Endovasc Ther. 2006;13(2):237–43.CrossRefPubMedGoogle Scholar
  91. 91.
    Passman MA, Fleser PS, Dattilo JB, Guzman RJ, Naslund TC. Should simulator-based endovascular training be integrated into general surgery residency programs? Am J Surg. 2007;194(2):212–9.CrossRefPubMedGoogle Scholar
  92. 92.
    Dawson DL, Meyer J, Lee ES, Pevec WC. Training with simulation improves resident’s endovascular procedure skills. J Vasc Surg. 2007;45(1):149–54.CrossRefPubMedGoogle Scholar
  93. 93.
    Neequaye SK, Aggarwal R, Brightwell R, Van Herzeele I, Darzi A, Cheshire NJ. Identification of skills common to renal and iliac endovascular procedures performed on a virtual reality simulator. Eur J Vasc Endovasc Surg. 2007;33(5):525–32.CrossRefPubMedGoogle Scholar
  94. 94.
    Van Herzeele I, Aggarwal R, Neequaye S, Hamady M, Cleveland T, Darzi A, et al. Experienced endovascular interventionalists objectively improve their skills by attending carotid artery stent training courses. Eur J Vasc Endovasc Surg. 2008;35(5):541–50.CrossRefPubMedGoogle Scholar
  95. 95.
    Van Herzeele I, Aggarwal R, Neequaye S, Darzi A, Vermassen F, Cheshire NJ. Cognitive training improves clinically relevant outcomes during simulated endovascular procedures. J Vasc Surg. 2008;48(5):1223–30. 30 e1.CrossRefPubMedGoogle Scholar
  96. 96.
    Van Herzeele I, Aggarwal R, Choong A, Brightwell R, Vermassen FE, Cheshire NJ. Virtual reality simulation objectively differentiates level of carotid stent experience in experienced interventionalists. J Vasc Surg. 2007;46(5):855–63.CrossRefPubMedGoogle Scholar
  97. 97.
    Berry M, Reznick R, Lystig T, Lönn L. The use of virtual reality for training in carotid artery stenting: a construct validation study. Acta Radiol. 2008;49:801.CrossRefPubMedGoogle Scholar
  98. 98.
    Glaiberman CB, Jacobs B, Street M, Duncan JR, Scerbo MW, Pilgrim TK. Simulation in training: one-year experience using an efficiency index to assess interventional radiology fellow training status. J Vasc Interv Radiol. 2008;19(9):1366–71.CrossRefPubMedGoogle Scholar
  99. 99.
    Klass D, Tam MD, Cockburn J, Williams S, Toms AP. Training on a vascular interventional simulator: an observational study. Eur Radiol. 2008;18:2874–8.CrossRefPubMedGoogle Scholar
  100. 100.
    Subramonian K, Muir G. The ‘learning curve’ in surgery: what is it, how do we measure it and can we influence? BJU Int. 2004;93(9):1173–4.CrossRefPubMedGoogle Scholar
  101. 101.
    Cook JA, Ramsay CR, Fayers P. Statistical evaluation of learning curve effects in surgical trials. Clin Trials. 2004;1(5):421–7.CrossRefPubMedGoogle Scholar
  102. 102.
    Lin PH, Bush RL, Peden EK, Zhou W, Guerrero M, Henao EA, Kougias P, Mohiuddin I, Lumsden AB. Carotid artery stenting with neuroprotection: assessing the learning curve and treatment outcome. Am J Surg. 2005;190(6):850–7.CrossRefPubMedGoogle Scholar
  103. 103.
    Lin PH, Bush RL, Peden EK, Zhou W, Kougias P, Henao E, Mohiuddin I, Lumsden AB. What is the learning curve for carotid artery stenting with neuroprotection? Analysis of 200 consecutive cases at an academic institution. Perspect Vasc Surg Endovasc Ther. 2005;17(2):113–23. discussion 123-115.CrossRefPubMedGoogle Scholar
  104. 104.
    Gallagher AG, Cates CU. Virtual reality training for the operating room and cardiac catheterization laboratory. Lancet. 2004;364(9444):1538–40.CrossRefPubMedGoogle Scholar
  105. 105.
    Grantcharov TP, Kristiansen VB, Bendix J, Bardram L, Rosenberg J, Funch-Jensen P. Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg. 2004;91(2):146–50.CrossRefPubMedGoogle Scholar
  106. 106.
    Brunner WC, Korndorffer JR, Sierra R, Massarweh NN, Dunne JB, Yau CL, Scott DJ. Laparoscopic virtual reality training: are 30 repetitions enough? J Surg Res. 2004;122(2):150–6.CrossRefPubMedGoogle Scholar
  107. 107.
    Rantanen E, Talleur D, editors. Incremental transfer and cost effectiveness of ground-based flight trainers in a university aviation program. Proceedings of the Human Factors and Ergonomics Society 49th Annual Meeting; 2005.Google Scholar
  108. 108.
    Taylor H, Talleur D, Emanuel T, editors. Transfer of training effectiveness of a flight training device (FTD). Proceedings of the 13th International Symposium on Aviation Psychology; 2005.Google Scholar
  109. 109.
    Aggarwal R, Ward J, Balasundaram I, Sains P, Athanasiou T, Darzi A. Proving the effectiveness of virtual reality simulation for training in laparoscopic surgery. Ann Surg. 2007;246(5):771–9.CrossRefPubMedGoogle Scholar
  110. 110.
    Cates CU, Patel AD, Nicholson WJ. Use of virtual reality simulation for mission rehearsal for carotid stenting. JAMA. 2007;297(3):265–6.CrossRefPubMedGoogle Scholar
  111. 111.
    Yule S, Flin R, Paterson-Brown S, Maran N. Non-technical skills for surgeons in the operating room: a review of the literature. Surgery. 2006;139(2):140–9.CrossRefPubMedGoogle Scholar
  112. 112.
    Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D. Development of a rating system for surgeons’ non-technical skills. Med Educ. 2006;40(11):1098–104.CrossRefPubMedGoogle Scholar
  113. 113.
    Gaca A, Frush D, Hohenhaus S, Luo X, Ancarana A, Pickles A, et al. Enhancing pediatric safely: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media. Radiology. 2007;245(1):236–44.CrossRefPubMedGoogle Scholar
  114. 114.
    Undre S, Koutantji M, Sevdalis N, Gautama S, Selvapatt N, Williams S, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843–53.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Erica L. Mitchell
    • 1
    Email author
  • Malachi G. Sheahan
    • 2
  • Mélanie Schwiesow
    • 3
  1. 1.Department of Surgery – Division of Vascular SurgeryOregon Health & Science UniversityPortlandUSA
  2. 2.Department of Surgery, Division of Vascular and Endovascular SurgeryLouisiana State University Health Sciences CenterNew OrleansUSA
  3. 3.Department of Vascular Surgery, Division of Vascular and Endovascular SurgeryLouisiana State University Health Sciences CenterNew OrleansUSA

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