@article{3db7b0feaac9414683582fe063b3ebd2,
title = "The EACTS simulation-based training course for endoscopic mitral valve repair: an air-pilot training concept in action",
abstract = "OBJECTIVES: We have developed a high-fidelity minimally invasive mitral valve surgery (MIMVS) simulator that provides a platform to train skills in an objective and reproducible manner, which has been incorporated in the European Association for Cardiothoracic Surgery (EACTS) endoscopic mitral valve repair course. The aim of the study is to provide data on the application of simulation-based training in MIMVS using an air-pilot training concept.METHODS: The 2-day EACTS endoscopic mitral training course design was based on backwards chaining, pre- and post-assessment, performance feedback, hands-on training on MIMVS, theoretical content and follow-up. One hundred two participants who completed the full programme throughout 2016-2018 in the EACTS endoscopic mitral training courses were enrolled in the current study.RESULTS: Of the 102 participants, 83 (83.3%) participants were staff/attending surgeons, 12 (11.8%) participants had finished residency and 5 (4.9%) participants were residents. Theoretical pre- and post-assessment showed that participants scored significantly higher on post-assessment (median score 58% vs 67%, PCONCLUSIONS: The MIMVS is a valuable tool for the development and assessment of endoscopic mitral repair skills. This EACTS course provides surgeons with theoretical knowledge and necessary skills to start an endoscopic mitral valve programme successfully.",
keywords = "Mitral valve repair, Minimally invasive surgery, Simulation, Surgical training, CARDIAC-SURGERY, SKILLS TRANSFER, PREDICTORS, TRAINEES, FUTURE",
author = "{Sardari Nia}, Peyman and Samuel Heuts and Daemen, {Jean H. T.} and Olsthoorn, {Jules R.} and Chitwood, {W. Randolph} and Maessen, {Jos G.}",
note = "Funding Information: The funding for the development of the simulator was provided by Maastricht University Medical Center, Maastricht, Netherlands. The funding for the course was provided by European Association for Cardiothoracic Surgery, Maastricht University Medical Center and various sponsors that provided materials and funding through EACTS. The following sponsors were involved throughout 2015-2018: Medtronic, Inc., Minneapolis, MN, USA; Geister GmbH, Krefeld, Germany; Edwards Lifesciences, Irvine, CA, USA; LivaNova, London, UK; and LSI Solutions, Victor, NY, USA. Funding Information: A 2-day endoscopic mitral training course was designed and sponsored by the European Association for Cardiothoracic Surgery and the Maastricht University Medical Center, Netherlands. The course attendance was restricted to a maximum of 12 participants at a time, using 5–6 mitral valve surgical simulators, to ensure adequate exposure and practice time. The course was constructed according to the air-pilot training philosophy, in which participants first acquire the knowledge and skills through intense theoretical and practical learning sessions with assessments before real-time experience. Publisher Copyright: {\textcopyright} The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.",
year = "2020",
month = may,
doi = "10.1093/icvts/ivz323",
language = "English",
volume = "30",
pages = "691--698",
journal = "Interactive Cardiovascular and Thoracic Surgery",
issn = "1569-9293",
publisher = "Oxford University Press",
number = "5",
}