Using an Individual Procedure Score Before and After the Advanced Surgical Skills Exposure for XXXX Course Training to Benchmark a Hemorrhage-Control Performance Metric.

@entity1 @entity1317 @entity12870 @entity130
OBJECTIVE: Test with an @entity12870 ( @entity12870 ) to assess whether an unpreserved cadaver @entity130 training course, including upper and lower limb vascular exposure, improves correct identification of surgical landmarks, underlying anatomy, and shortens time to vascular control. DESIGN: Prospective study of performance of 3 vascular exposure and control procedures (axillary, brachial, and femoral arteries) using @entity12870 metrics by 2 colocated and trained evaluators before and after training with the Advanced Surgical Skills Exposure for @entity130 (ASSET) course. @entity12870 , including identification of anatomical landmarks, incisions, underlying structures, and time to completion of each procedure was compared before and after training using repeated measurement models. SETTING: Audio-video instrumented cadaver laboratory at University of Maryland School of Medicine. @entity1 : A total of 41 second to sixth year surgical residents from surgical programs throughout Mid-Atlantic States who had not previously taken the ASSET course were enrolled, 40 completed the pre- and post-ASSET performance evaluations. RESULTS: After ASSET training, all components of @entity12870 increased and time shortened for each of the 3 artery exposures. Procedure steps performed correctly increased 57%, anatomical knowledge increased 43% and skin incision to passage of a vessel loop twice around the correct vessel decreased by a mean of 2.5 minutes. An overall vascular @entity130 readiness index, a comprehensive @entity12870 score for 3 procedures increased 28% with ASSET Training. CONCLUSIONS: Improved knowledge of surface landmarks and underlying anatomy is associated with increased @entity12870 , faster procedures, more accurate incision placement, and successful vascular control. Structural recognition during specific procedural steps and anatomical knowledge were key points learned during the ASSET course. Such training may accelerate acquisition of specific @entity130 surgery skills to compensate for shortened training hours, infrequent exposure to major @entity1317 , or when just-in-time training is necessary. @entity12870 is a benchmark for competence in extremity vascular control.
