TY - JOUR

T1 - Association Between Endovascular Performance in a Simulated Setting and in the Catheterization Laboratory

AU - Räder, Sune B E W

AU - Abildgaard, Ulrik

AU - Jørgensen, Erik

AU - Bech, Bo

AU - Lönn, Lars

AU - Ringsted, Charlotte V

PY - 2014/8

Y1 - 2014/8

N2 - INTRODUCTION: Simulation-based assessment studies have related simulator performance to clinical experience instead of actual clinical performance. This study validates a novel rating scale for coronary angiography (CA) performance and at the same time explores the association between CA performance in a simulated setting and in the catheterization laboratory.METHODS: Ten cardiologists and cardiology residents with varying degrees of CA experience performed 2 CAs in the catheterization laboratory and 2 CAs in a simulated setting. The residents had prior simulator experience opposite cardiologists. Two raters assessed the operators' video-recorded performances using the novel CA rating scale (CARS).RESULTS: The correlation between CARS scores in the catheterization laboratory and the simulated setting was R = 0.20 (P = 0.195). Residents' scores were higher in the simulated setting than in the catheterization laboratory. The correlation between operators' previous clinical experience in CA and CARS scores was R = 0.65 (P = 0.005) in the catheterization laboratory and R = 0.11 (P = 0.353) in the simulated setting.CONCLUSIONS: The association between CA performance in a simulated setting and actual performance in the catheterization laboratory is not linear. The novel rating scale for CA (CARS) seems to be a valid proficiency assessment instrument in the catheterization laboratory. Familiarity with the simulator may overestimate proficiency, which means that simulator performance as a predictor of clinical performance should be interpreted with caution.

AB - INTRODUCTION: Simulation-based assessment studies have related simulator performance to clinical experience instead of actual clinical performance. This study validates a novel rating scale for coronary angiography (CA) performance and at the same time explores the association between CA performance in a simulated setting and in the catheterization laboratory.METHODS: Ten cardiologists and cardiology residents with varying degrees of CA experience performed 2 CAs in the catheterization laboratory and 2 CAs in a simulated setting. The residents had prior simulator experience opposite cardiologists. Two raters assessed the operators' video-recorded performances using the novel CA rating scale (CARS).RESULTS: The correlation between CARS scores in the catheterization laboratory and the simulated setting was R = 0.20 (P = 0.195). Residents' scores were higher in the simulated setting than in the catheterization laboratory. The correlation between operators' previous clinical experience in CA and CARS scores was R = 0.65 (P = 0.005) in the catheterization laboratory and R = 0.11 (P = 0.353) in the simulated setting.CONCLUSIONS: The association between CA performance in a simulated setting and actual performance in the catheterization laboratory is not linear. The novel rating scale for CA (CARS) seems to be a valid proficiency assessment instrument in the catheterization laboratory. Familiarity with the simulator may overestimate proficiency, which means that simulator performance as a predictor of clinical performance should be interpreted with caution.

KW - Cardiac Catheterization

KW - Cardiology

KW - Clinical Competence

KW - Computer Simulation

KW - Coronary Angiography

KW - Education, Medical, Graduate

KW - Humans

KW - Internship and Residency

KW - Phantoms, Imaging

KW - Reproducibility of Results

KW - Task Performance and Analysis

KW - User-Computer Interface

KW - Video Recording

U2 - 10.1097/SIH.0000000000000037

DO - 10.1097/SIH.0000000000000037

M3 - Journal article

C2 - 25090168

VL - 9

SP - 241

EP - 248

JO - Simulation in Healthcare

JF - Simulation in Healthcare

SN - 1559-2332

IS - 4

ER -