Using Software-Based Simulation for Resident Physician Training in the Management of Temporary Pacemakers

Crowe, Mark E.; Hayes, Christopher T.; Hassan, Zaki-Udin

doi:10.1097/sih.0b013e31826ec3e1

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…In accordance with the Mayer Multimedia principle, the usage of immersive learning technologies portends better generative processing for learning [ 12 ]. Specifically, with cardiac pacing, technological advances such as developments in software have been shown to improve understanding, management, and confidence level in junior residents [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

Rapid Cycle Deliberate Practice in Virtual Reality: Teaching Transvenous Pacemaker Insertion to Emergency Medicine Residents

Peng

Roszczynialski

et al. 2021

Cureus

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IntroductionTransvenous pacemaker insertion is a critical life-saving procedure that is infrequently performed. Traditional mannequin-based training paradigms are resource intensive and sometimes inadequate due to time constraints. Rapid Cycle Deliberate Practice (RCDP) is an effective teaching modality for highly scripted procedures. We propose using a simulation-based technique of RCDP in virtual reality (VR) to teach this procedure. MethodsSixteen emergency medicine residents were recruited. A pre-survey was administered at the start of the session, followed by a baseline task trainer checklist-based assessment. This checklist was created based on expert consensus. Participants then underwent the RCDP VR intervention with a subsequent repeat checklist-based assessment as well as a post-survey. ResultsPost-test scores were found to be significantly higher than pre-test scores after residents completed VR deliberate practice simulation (19.5±3.5 vs 24.1±2.0; p<0.001). Subanalysis did not reveal any significant difference based on post-graduate year, previous performance of procedure on a live patient, or previous VR experience. The experience increased participant feelings of preparedness and comfort in performing the procedure (2-disagree vs 4-agree) based on a 5-point Likert scale. ConclusionsVirtual reality using RCDP to teach transvenous pacemaker insertion demonstrated an improvement in task trainer performance. Further investigation into whether this translates into better patient outcomes or can be generalized to other procedures needs to be considered.

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Section: Methodsmentioning

confidence: 99%

Rapid Cycle Deliberate Practice in Virtual Reality: Teaching Transvenous Pacemaker Insertion to Emergency Medicine Residents

Peng

Roszczynialski

et al. 2021

Cureus

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“…The incorporation of simulators in medical education offers numerous advantages, including realistic scenarios and the accomplishment of knowledge gaps. [10][11][12] According to the responses of the experts' questionnaire, the ETTIS reached the purpose of being a learning tool. The majority of the experts agreed that the simulator was relevant to their prior knowledge, effective in teaching the implantation techniques and applicable to their practical experiences.…”

Section: Discussionmentioning

confidence: 99%

“…The incorporation of simulators in medical education offers numerous advantages, including realistic scenarios and the accomplishment of knowledge gaps 10–12 . According to the responses of the experts’ questionnaire, the ETTIS reached the purpose of being a learning tool.…”

Section: Discussionmentioning

confidence: 99%

“…A suggested guideline for residents is to perform at least five supervised procedures to achieve level I training in arrhythmology during cardiology residency 11 . Simulators have been promoted as a valuable teaching tool, 12 as they allow for the repetition of critical maneuvers and the clarification of doubts during the procedure. Simulators also alleviate concerns about time constraints and minimize anxiety associated with practicing on live patients 10,13 …”

Section: Introductionmentioning

confidence: 99%

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An electrogram‐guided transvenous temporary pacemaker implant simulator

Klemz,

Amaral,

Santos

et al. 2023

Pacing Clinical Electrophis

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IntroductionTransvenous temporary pacemaker (TvTP) implantation is a critical procedure often performed under time limitations, playing a crucial role in patient survival. However, the amount of training provided for resident cardiologists is variable, due to the availability of patients. Thus, the use of simulators for this cardiologic procedure could be used as training tools.ObjectiveThe present study aimed to develop a simulator system for TvTP implantation based on electrograms, called ETTIS (Electrogram‐guided Transvenous Temporary‐pacemaker Implantation Simulator), and to evaluate its educational potential and cardiology residents' perceived learning efficacy as a training tool.MethodologyThe development of the ETTIS involved three stages: (1) Adaptation of an anatomical mannequin; (2) Design and manufacture of electronic circuits and software capable of identifying the catheter contact site within the heart chambers and reproducing electrograms in both surfaces (mode‐on) and intracavitary (mode‐off); (3) To evaluate its educational potential, a modified Likert questionnaire was administered to nine cardiology experts. Additionally, to evaluate the perceived learning efficacy, another modified Likert questionnaire was given to six cardiology residents both before and after training with the ETTIS. Descriptive statistics with measures of position and dispersion were employed, and the weighted Kappa test was used for agreement analysis.ResultsA high rate of acceptance (over 90%) was found among experts who evaluated the ETTIS. The cardiology residents showed significant self‐perceived learning gains, as evidenced by a lack of agreement between their responses to a questionnaire before and after training.ConclusionThe ETTIS is a promising tool for medical training, displaying both educational potential and efficacy. It has been shown to be effective in learning a variety of skills, including cardiac catheterization and electrophysiology. Additionally, the ETTIS is highly engaging and allows cardiology residents to practice in a safe and controlled environment.

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Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals

Zhong

Mao

Guang

et al. 2021

Sci Rep

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The purpose of the research was to evaluate the safety and effectiveness of the X-ray-free improved simple bedside method for emergency temporary pacemaker implantation as well as the practicability of the method in primary hospitals. Patients [including those suffering from sick sinus syndrome and third-degree and advanced atrioventricular blockage (AVB)] who needed emergency temporary pacemaker implantation from July 2017 to August 2020 in Hunan Provincial People’s Hospital were selected. They were stochastically divided into a research group (95 cases) treated with the improved simple bedside method and a control group (95 cases) with X-ray guidance. The ordinary bipolar electrodes were used in both groups. On this condition, the operation duration, the first-attempt success rate of electrodes, pacing threshold, success rate of the operation, the rate of electrode displacement, and complications in the two groups were separately calculated. The comparison results of the research group with the control group are shown as follows: operation time [(18 ± 5.91) min vs. (43 ± 2.99) min, P < 0.05], the first-attempt success rate of the electrode (97% vs. 98%, P > 0.05), pacing threshold [(0.97 ± 0.35) vs. (0.97 ± 0.32) V, P > 0.05], success rate of the operation (98.9% vs. 100%, P > 0.05), the rate of electrode displacement (8.4% vs. 7.3%, P > 0.05) and complications (3.2% vs. 2.1%, P > 0.05). The emergency temporary pacemaker implantation based on the improved simple bedside method is as safe and effective as the surgical method under X-ray guidance, and the operation is simpler and easier to learn and requires a shorter operating time, therefore, it is more suitable for use in emergency and primary hospitals.

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Using Software-Based Simulation for Resident Physician Training in the Management of Temporary Pacemakers

Abstract: Our experience with epicardial pacing simulation was demonstrated to be effective in increasing the confidence of junior anesthesiology residents with little or no prior experience with regard to the management of temporary pacemakers.

Cited by 4 publications

References 12 publications

Rapid Cycle Deliberate Practice in Virtual Reality: Teaching Transvenous Pacemaker Insertion to Emergency Medicine Residents

Rapid Cycle Deliberate Practice in Virtual Reality: Teaching Transvenous Pacemaker Insertion to Emergency Medicine Residents

An electrogram‐guided transvenous temporary pacemaker implant simulator

Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals

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