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Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke

Ischemic stroke is one of the leading causes of death and long-term disability in the West. Mechanical revascularization techniques are considered the standard of care for large vessel occlusive stroke. Traditional apprenticeship models involve doctors training their skills on patients. Simulation p...

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Autores principales: Holtmannspötter, Markus, Crossley, Robert A., Liebig, Thomas, Gallagher, Anthony G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9551015/
https://www.ncbi.nlm.nih.gov/pubmed/36237633
http://dx.doi.org/10.3389/fneur.2022.742263
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author Holtmannspötter, Markus
Crossley, Robert A.
Liebig, Thomas
Gallagher, Anthony G.
author_facet Holtmannspötter, Markus
Crossley, Robert A.
Liebig, Thomas
Gallagher, Anthony G.
author_sort Holtmannspötter, Markus
collection PubMed
description Ischemic stroke is one of the leading causes of death and long-term disability in the West. Mechanical revascularization techniques are considered the standard of care for large vessel occlusive stroke. Traditional apprenticeship models involve doctors training their skills on patients. Simulation platforms have long been recognized as an alternative to this. There has however been very little robust assessment of the training outcomes achieved on some of these platforms. At best, these simulations increase understanding of the procedural process and may help improve some technical skills; at worst they may instill bad habits and poor technique. The prerequisite of any simulation process must be to teach what to do, with which devices, in the correct sequence as well as what not to do. It should provide valid metric-based feedback to the trainee that is objective, transparent, and fair for formative and summative performance feedback. It should deliver a training program that measures the performance progress of trainees against expert benchmarks—benchmarks that represent an evidence-based peer-reviewed standard. In this paper, we present a perspective for PBP training for thrombectomy based on our experience with the process of procedure characterization, metric validation, and early experience of using this approach for proficiency training. Patient outcomes are not only determined by optimal performance in the Angio Suite but also by an efficient patient procedure pathway. There will be value in utilizing the PBP training standard not only for the procedure itself but also for the constituent elements of the stroke pathway to further improve treatment outcomes for ischemic stroke patients.
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spelling pubmed-95510152022-10-12 Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke Holtmannspötter, Markus Crossley, Robert A. Liebig, Thomas Gallagher, Anthony G. Front Neurol Neurology Ischemic stroke is one of the leading causes of death and long-term disability in the West. Mechanical revascularization techniques are considered the standard of care for large vessel occlusive stroke. Traditional apprenticeship models involve doctors training their skills on patients. Simulation platforms have long been recognized as an alternative to this. There has however been very little robust assessment of the training outcomes achieved on some of these platforms. At best, these simulations increase understanding of the procedural process and may help improve some technical skills; at worst they may instill bad habits and poor technique. The prerequisite of any simulation process must be to teach what to do, with which devices, in the correct sequence as well as what not to do. It should provide valid metric-based feedback to the trainee that is objective, transparent, and fair for formative and summative performance feedback. It should deliver a training program that measures the performance progress of trainees against expert benchmarks—benchmarks that represent an evidence-based peer-reviewed standard. In this paper, we present a perspective for PBP training for thrombectomy based on our experience with the process of procedure characterization, metric validation, and early experience of using this approach for proficiency training. Patient outcomes are not only determined by optimal performance in the Angio Suite but also by an efficient patient procedure pathway. There will be value in utilizing the PBP training standard not only for the procedure itself but also for the constituent elements of the stroke pathway to further improve treatment outcomes for ischemic stroke patients. Frontiers Media S.A. 2022-09-27 /pmc/articles/PMC9551015/ /pubmed/36237633 http://dx.doi.org/10.3389/fneur.2022.742263 Text en Copyright © 2022 Holtmannspötter, Crossley, Liebig and Gallagher. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Holtmannspötter, Markus
Crossley, Robert A.
Liebig, Thomas
Gallagher, Anthony G.
Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke
title Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke
title_full Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke
title_fullStr Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke
title_full_unstemmed Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke
title_short Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke
title_sort metric-based simulation training to proficiency for endovascular thrombectomy in ischemic stroke
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9551015/
https://www.ncbi.nlm.nih.gov/pubmed/36237633
http://dx.doi.org/10.3389/fneur.2022.742263
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