Document Detail

A fresh cadaver laboratory to conceptualize troublesome anatomic relationships in vascular surgery.
MedLine Citation:
PMID:  22209607     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Opportunities are declining for residents to participate in complex open vascular surgical operations. Open simulation using fresh cadavers potentially can be used to familiarize residents with complex vascular exposures. We evaluated the use of fresh cadavers to assist resident comprehension of complex anatomic relationships in vascular surgery.
METHODS: Twenty-two postgraduate year (PGY) 3 (n = 12) and PGY 4 (n = 10) general surgery residents attended five structured 4-hour cadaver skills laboratories. Residents performed five conceptually difficult and infrequently encountered operative vascular exposures: the supraclavicular subclavian and vertebral arteries, supraceliac aorta, superior mesenteric artery, proximal and distal renal arteries, and common iliac artery bifurcations. Residents were tested (oral board examination style with percentage correct of a predetermined checklist) in their knowledge and understanding of the anatomic relationships before and after the cadaver laboratories. Participants' self-reported confidence in performing these complex vascular exposures was also measured before and after the course using the operative confidence score (1 = not confident; 5 = highly confident) for each exposure.
RESULTS: Participation in the course resulted in increases in participant comprehension and self-reported operative confidence in the supraclavicular subclavian and vertebral arteries, supraceliac aorta, superior mesenteric artery, renal arteries, and iliac bifurcation exposures. Before vs after the course, the mean oral examination scores were 5% vs 87%, 26% vs 94%, 19% vs 86%, 30% vs 88%, and 29% vs 87%, respectively (all P < .001), and mean operative confidence scores were 1.1 vs 2.9, 1.3 vs 3.5, 1.2 vs 3.2, 1.2 vs 3, and 1.5 vs 3.9, respectively (all P < 0.001).
CONCLUSIONS: Fresh cadaver laboratories can provide a learner-centered and safe environment for acquiring procedural understanding and operative confidence of complex vascular exposures. This may allow for the transformational change essential to becoming a competent vascular surgeon.
Erica L Mitchell; Nick Sevdalis; Sonal Arora; Amir F Azarbal; Timothy K Liem; Gregory J Landry; Gregory L Moneta
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Publication Detail:
Type:  Journal Article     Date:  2011-12-30
Journal Detail:
Title:  Journal of vascular surgery     Volume:  55     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-02     Completed Date:  2012-05-30     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1187-94     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Society for Vascular Surgery. All rights reserved.
Division of Vascular Surgery, OP11, Oregon Health & Science University, Portland, OR 97239, USA.
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MeSH Terms
Clinical Competence*
Education, Medical, Graduate / methods
Risk Assessment
Vascular Malformations / surgery*
Vascular Surgical Procedures / education*,  methods
Comment In:
J Vasc Surg. 2012 Apr;55(4):1194-5   [PMID:  22464463 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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