Imperial College London
Alternate

Mr Colin D Bicknell BM MD FRCS

Faculty of Medicine, Department of Surgery & Cancer

Clinical Reader in Vascular Surgery
 
 
 
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Contact

 

+44 (0)20 3312 6428colin.bicknell

 
 
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Location

 

1020Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Ramjeeawon:2020:10.1016/j.jsurg.2020.03.023,
author = {Ramjeeawon, A and Sharrock, AE and Morbi, A and Martin, G and Riga, C and Bicknell, C},
doi = {10.1016/j.jsurg.2020.03.023},
journal = {J Surg Educ},
pages = {1300--1311},
title = {Using Fully-Immersive Simulation Training with Structured Debrief to Improve Nontechnical Skills in Emergency Endovascular Surgery.},
url = {http://dx.doi.org/10.1016/j.jsurg.2020.03.023},
volume = {77},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: Assess whether fully-immersive simulation training with structured debriefing of a standardized emergency thoracic endovascular aortic repair (TEVAR) scenario improves team-work performance of the lead surgeon. Secondary aims: assess whether technical skills (TS) and radiation safety behaviors (RSB) improved concurrently. DESIGN: Pre-post study. SETTING: UK-based training days. PARTICIPANTS: General and vascular surgical trainees (n=16). INTERVENTION(S): Fully-immersive simulation training with structured debriefing of a standardized emergency TEVAR scenario. Following standardized emergency TEVAR technical training, trainees led 2 standardized fully-immersive endovascular surgery simulations, with scripted support from a passive surgical team. A non-TS (NTS) structured debrief was delivered following simulations. NTS were assessed using the validated observational teamwork assessment for surgery tool post hoc using video recordings of simulations. TS were assessed through time taken to complete each step of the procedure, as defined during technical training. RSB were assessed through checking for presence of pre-defined actions and the length of time fluoroscopy was used during each simulation. RESULTS: Total observational teamwork assessment for surgery scores improved following structured debrief (p=0.005, median 52.55/90 vs 73.0/90), alongside all constituent domains - communication (p < 0.001, median 11.7/20 vs 16.6/20), coordination (p < 0.001, median 8.6/15 vs 13.4/15), cooperation (p < 0.001, median 13.15/20 vs 16.35/20), leadership (p < 0.001, median 8.70/15 vs 11.30/15) and monitoring (p < 0.001, median 9.85/20 vs 14.85/20). TS improved; time to complete 12 of 13 procedural steps improved (p < 0.027). Fluoroscopy time (seconds) decreased (p=0.339, 543.6 vs 495.5), frequency lead surgeons checked the team were wearing leads increased (p=0.125, 3 vs 7) and asked the team to step back before screening increased (p=0.003
AU  - Ramjeeawon,A
AU  - Sharrock,AE
AU  - Morbi,A
AU  - Martin,G
AU  - Riga,C
AU  - Bicknell,C
DO  - 10.1016/j.jsurg.2020.03.023
EP  - 1311
PY  - 2020///
SP  - 1300
TI  - Using Fully-Immersive Simulation Training with Structured Debrief to Improve Nontechnical Skills in Emergency Endovascular Surgery.
T2  - J Surg Educ
UR  - http://dx.doi.org/10.1016/j.jsurg.2020.03.023
UR  - https://www.ncbi.nlm.nih.gov/pubmed/32317159
VL  - 77
ER  -
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