[Advantages of simulation-based training in improving skills of beginners in interventional cardiology procedures: a Tunisian cross-sectional study].

Apport de la simulation dans l’apprentissage de la cardiologie interventionnelle chez les débutants: étude tunisienne transversale.
Simulation competence interventional cardiology learners performance

Journal

The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926

Informations de publication

Date de publication:
2023
Historique:
received: 18 08 2022
accepted: 02 11 2023
medline: 11 3 2024
pubmed: 11 3 2024
entrez: 11 3 2024
Statut: epublish

Résumé

simulator training in interventional cardiology (ST) is an educational tool that is rapidly spreading worldwide. The purpose of this study was to evaluate the advantages of ST in improving skills of beginners in interventional cardiology procedures, through a short training cycle. we conducted a before-and-after quasi-experimental evaluative study in the simulation center of the Faculty of Medicine in Sfax. We involved cardiology residents at the beginning of their training in interventional cardiology. All the participants attended a 4-hour training course on a Cathi thirteen learners participated in our study. The performance score improved by a median of 216.12% (ISQ = 285%). This improvement was significantly greater for learners who had never had access to the catheterisation room. The performance score ranged from a median of 31 (ISQ=40.5) to a median of 120 (ISQ=19.7), (p=0.001). The competence score for coronary angiography improved significantly, from a median of 16 (ISQ=18) to a median of 70 (ISQ=6), (p=0.001). The competence score for angioplasty improved significantly from a median of 10 (ISQ=17) to a median of 50 (ISQ=13.7), p=0.001. Procedure time of coronary angiography and angioplasty were significantly shortened from 12 min (ISQ=2) to 7 min (ISQ=1) after the simulation cycle (p=0.001), and from a median of 19 min to a median of 17 min after simulation, p=0.002. despite a short-time simulation training, our pilot study demonstrates a significant improvement in the learners´ skills and performance, as well as a reduction in the time taken to carry out procedures and irradiation. This could eventually increase the number of procedures carried out daily in our cathlab and limit radiation exposure of staff and patients, while ensuring that the learners receive adequate training.

Identifiants

pubmed: 38465004
doi: 10.11604/pamj.2023.46.119.36874
pii: PAMJ-46-119
pmc: PMC10924609
doi:

Types de publication

Case Reports English Abstract

Langues

fre

Sous-ensembles de citation

IM

Pagination

119

Informations de copyright

Copyright: Rania Hammami et al.

Déclaration de conflit d'intérêts

Les auteurs ne déclarent aucun conflit d´intérêts.

Auteurs

Rania Hammami (R)

Service de Cardiologie, Centre Hospitalier Universitaire Hedi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.
Centre de Simulation de la Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Jihen Jdidi (J)

Service d´Epidémiologie, Centre Hospitalier Universitaire Hedi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Amine Bahloul (A)

Service de Cardiologie, Centre Hospitalier Universitaire Hedi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Tarek Ellouze (T)

Service de Cardiologie, Centre Hospitalier Universitaire Hedi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Sahar Kmiha (S)

Service de Cardiologie, Centre Hospitalier Universitaire Hedi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Oussema Haddar (O)

Service de Cardiologie, Centre Hospitalier Universitaire Hedi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Yacine Abdelmoula (Y)

Service de Cardiologie, Centre Hospitalier Universitaire Hedi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Majed Hassine (M)

Service de Cardiologie A, Centre Hospitalier Universitaire Fattouma Bourguiba de Monastir, Cardiothrombosis Research Laboratory (LR12SP16), Université de Monastir, Monastir, Tunisie.

Aymen Dammak (A)

Service de Chirurgie Cardiovasculaire, Centre Hospitalier Universitaire Habib Bourguiba Sfax, Université de Sfax, Sfax, Tunisie.

Selma Charfeddine (S)

Service de Cardiologie, Centre Hospitalier Universitaire Hedi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.
Centre de Simulation de la Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Mootaz Billah Oueslati (M)

Centre de Simulation de la Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Mahdi Ben Dhaou (MB)

Centre de Simulation de la Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.
Service de Chirurgie Cardiovasculaire, Centre Hospitalier Universitaire Habib Bourguiba Sfax, Université de Sfax, Sfax, Tunisie.

Leila Abid (L)

Service de Cardiologie, Centre Hospitalier Universitaire Hedi Chaker, Faculté de Médecine de Sfax, Université de Sfax, Sfax, Tunisie.

Classifications MeSH