The imperative of consistency and proficiency in cardiac devices implant skills training
| العنوان: | The imperative of consistency and proficiency in cardiac devices implant skills training |
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| المؤلفون: | Anthony G. Gallagher, Jorio Mascheroni, Lluís Mont, Hartwig Retzlaff, Martin Stockburger, Ashish Patwala |
| المصدر: | Open Heart, Vol 8, Iss 1 (2021) Open Heart |
| بيانات النشر: | BMJ Publishing Group, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | media_common.quotation_subject, education, artificial, Cardiology, medical, Cardiac Resynchronization Therapy, Viewpoint, Consistency (negotiation), Intervention (counseling), Health care, Humans, Diseases of the circulatory (Cardiovascular) system, Quality (business), outcome assessment, Curriculum, Competence (human resources), media_common, Medical education, business.industry, healthcare, electrophysiology, pacemaker, Defibrillators, Implantable, quality of healthcare, Education, Medical, Graduate, Learning curve, RC666-701, Clinical Competence, Apprenticeship, Cardiology and Cardiovascular Medicine, Psychology, business |
| الوصف: | In cardiac implantable electronic device (CIED) implantations, as in other cardiovascular procedures, therapy outcomes and complication rates seem to correlate with the operator’s level of experience with the given intervention. Furthermore, the impact of the learning curve has been shown for novice physicians attempting an established conventional procedure1 as well as for expert operators adopting a new technique or technology.2 3 Even though a relationship seems to exist between procedure volume and clinical outcomes,4 it is not completely understood how the quality of the implant performance changes with increasing procedure experience volume. Patients should be assured of a verified and measurable quality of treatment that should not vary greatly as a function of physician experience. The European Society of Cardiology has highlighted as a priority across member countries the need for assessing skills more consistently and away from the bedside, rather than counting procedure numbers.5 Training may play a fundamental role in developing the operator’s skills to an established performance level before implementing a new therapy or technology in vivo. Unfortunately, across the world, current procedural training offered to beginners (no matter how senior or experienced) is not consistent; curricula and therapy approaches may vary with the provider and so does the assessment of ‘competence’. Many institutions continue to rely on the traditional apprenticeship model introduced by Halsted more than a century ago, where trainees learn by hands-on experience and education within a hierarchical training programme, on patients, under consultant/attending level of experienced physician/surgeon supervision.6 This approach to training is often unstructured due to patient/supervisor variabilities and lacks performance feedback that is uniform, validated, objective and transparent. Furthermore, it exposes patients to higher risk during trainees’ learning curve (and beyond, if training cannot guarantee a given level of performance). A novel approach to enhance the … |
| اللغة: | English |
| تدمد: | 2053-3624 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c6f2323f530544a20e3fb65b458503cb https://openheart.bmj.com/content/8/1/e001629.full |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c6f2323f530544a20e3fb65b458503cb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20533624 |
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