A Live Animal Simulated Model For Learning Therapeutic Endoscopic Ultrasound. Training In A Fast And Complete Course

Sosa-Valencia, Leonardo; Huppertz, J.; Wanert, Fanélie; Haberzetser, Francois; Swanstrom, Lee L.

doi:10.1055/s-0041-1724922

Cited by 1 publication

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“…We designed a training curriculum for TEUS that uses HiFi SAM and enables trainees working in paired groups per EUS working station to perform many realistic procedures during 3 days with expert mentors selected from different countries to represent worldwide approaches. [17,18] Materials and Methods Three meters of swine intestine with long meso was harvested before the training session and were cleaned with drinking water and frozen. Twenty-four hours before preparation, the intestines were defrosted and prepared with a special author liquid recipe.…”

Section: Methodsmentioning

confidence: 99%

Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

et al. 2022

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Background and Objectives: EUS has evolved into a therapeutic modality for gastrointestinal disorders. Simulators, ex vivo models, and phantoms are the current teaching methods for therapeutic EUS (TEUS). We create and evaluate a high-fidelity simulated live animal model (HiFi SAM) for teaching endoscopists TEUS. Materials and Methods: Designing a curriculum that uses HiFi SAM and enables trainees to perform realistic procedures with expert mentors. Results: Twenty-seven trainees participated in a 3-day program with 6 h of theoretical and 14 h of hands using life HiFi SAM. Eighteen experts participated. Twenty-two (20-25) TEUS were defined for each HiFi SAM, and 616 were performed in all. Of 616/264 (43%) were evaluated with a mean of 88 per course (ranging between 80 and 95). Ninety-one percent (240/264) of the procedures were completed successfully. In 24, success was not achieved due to technical and/or model problems. Student rating of HiFi SAM was: 71% excellent rating (scale 8-10) and 95% excellent/good. The HiFi SAM procedure evaluation was (scale 1-5): fine-needle biopsy: 4.79, radiofrequency: 4.76, common bile duct and gallbladder drainage: 4.75, cystic drainages: 4.72, neurolysis: 4.55, microbiopsy: 4.50, and hepatogastric drainage: 4.04, with an overall satisfaction rate of 4.56 (91%). A short survey showed: 83% would recommend absolutely (17% most likely), 33% think that ITEC training was sufficient for their practice, and 66% would like additional training, especially more practice in specific techniques rather than more clinical case discussion. Regarding impact on their practice, 66% of the trainees started a new procedure and/or noted improvement in previous ones. Conclusion: HiFi SAM is a complex model; however, experts and trainees are satisfied with the training this new curriculum provided.

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Section: Methodsmentioning

confidence: 99%