Cardiovascular Surgery Residency Program: Training Coronary Anastomosis Using the Arroyo Simulator and UNIFESP Models

• Main Authors: Miguel Angel Maluf, Walter José Gomes, Ademir Massarico Bras, Thiago Cavalcante Vila Nova de Araújo, André Lupp Mota, Caio Cesar Cardoso, Rafael Viana dos S. Coutinho
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Cirurgia Cardiovascular 2015-10-01
• Series: Brazilian Journal of Cardiovascular Surgery
• Subjects: Anastomosis; Surgical; Intra-Aortic Balloon Pump; Cardiopulmonary Bypass
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000500562&lng=en&tlng=en

ABSTRACT OBJECTIVE: Engage the UNIFESP Cardiovascular Surgery residents in coronary anastomosis, assess their skills and certify results, using the Arroyo Anastomosis Simulator and UNIFESP surgical models. METHODS: First to 6th year residents attended a weekly program of technical training in coronary anastomosis, using 4 simulation models: 1. Arroyo simulator; 2. Dummy with a plastic heart; 3. Dummy with a bovine heart; and 4. Dummy with a beating pig heart. The assessment test was comprised of 10 items, using a scale from 1 to 5 points in each of them, creating a global score of 50 points maximum. RESULTS: The technical performance of the candidate showed improvement in all items, especially manual skill and technical progress, critical sense of the work performed, confidence in the procedure and reduction of the time needed to perform the anastomosis after 12 weeks practice. In response to the multiplicity of factors that currently influence the cardiovascular surgeon training, there have been combined efforts to reform the practices of surgical medical training. CONCLUSION: 1 - The four models of simulators offer a considerable contribution to the field of cardiovascular surgery, improving the skill and dexterity of the surgeon in training. 2 - Residents have shown interest in training and cooperate in the development of innovative procedures for surgical medical training in the art.