Simulation-based mastery learning of bronchoscopy-guided percutaneous dilatational tracheostomy competency acquisition and skills transfer to a cadaveric model

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dc.catalogadoryvc
dc.contributor.authorKattan Tala, Eduardo José
dc.contributor.authorDe la Fuente Sanhueza, René
dc.contributor.authorPutz de la Fuente, Francisca Carolina
dc.contributor.authorVera Alarcón, María Magdalena
dc.contributor.authorCorvetto Aqueveque, Marcia Antonia
dc.contributor.authorInzunza, Oscar
dc.contributor.authorAchurra Tirado, Pablo
dc.contributor.authorInzunza Agüero, Martín Alejandro
dc.contributor.authorMuñoz Gama, Jorge
dc.contributor.authorSepúlveda Fernández, Marcos Ernesto
dc.contributor.authorGálvez Yanjarí, Víctor Andrés
dc.contributor.authorPavez, Nicolás
dc.contributor.authorRetamal Montes, Jaime
dc.contributor.authorBravo Morales, Sebastián
dc.date.accessioned2023-11-19T02:34:22Z
dc.date.available2023-11-19T02:34:22Z
dc.date.issued2021
dc.description.abstractIntroduction: Although simulation-based training has demonstrated improvement of procedural skills and clinical outcomes in different procedures, there are no published training protocols for bronchoscopy-guided percutaneous dilatational tracheostomy (BG-PDT). The objective of this study was to assess the acquisition of BG-PDT procedural competency with a simulation-based mastery learning training program, and skills transfer into cadaveric models. Methods: Using a prospective interventional design, 8 trainees naive to the procedure were trained in a simulation-based mastery learning BG-PDT program. Students were assessed using a multimodal approach, including blind global rating scale (GRS) scores of video-recorded executions, total procedural time, and hand-motion tracking–derived parameters. The BG-PDT mastery was defined as proficient tracheostomy (successful procedural performance, with less than 3 puncture attempts, and no complications) with GRS scores higher than 21 points (of 25). After mastery was achieved in the simulator, residents performed 1 BG-PDT execution in a cadaveric model. Results: Compared with baseline, in the final training session, residents presented a higher procedural proficiency (0% vs. 100%, P < 0.001), with higher GRS scores [8 (6–8) vs. 25 (24–25), P = 0.01] performed in less time [563 (408–600) vs. 246 (214–267), P = 0.01] and with higher movement economy. Procedural skills were further transferred to the cadaveric model. Conclusions: Residents successfully acquired BG-PDT procedural skills with a simulation-based mastery learning training program, and skills were effectively transferred to a cadaveric model. This easily replicable program is the first simulation-based BG-PDT training experience reported in the literature, enhancing safe competency acquisition, to further improve patient care.
dc.fechaingreso.objetodigital2023-11-19
dc.fuente.origenPREI
dc.identifier.doi10.1097/SIH.0000000000000491
dc.identifier.issn1559-2332
dc.identifier.urihttps://doi.org/10.1097/SIH.0000000000000491
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75353
dc.identifier.wosidWOS:000659518100002
dc.information.autorucEscuela de Medicina ; Kattan Tala, Eduardo José ; 0000-0002-1997-6893 ; 172152
dc.information.autorucEscuela de Medicina ; De la Fuente Sanhueza, René ; 0000-0001-7187-3405 ; 102089
dc.information.autorucEscuela de Medicina ; Putz de la Fuente, Francisca Carolina ; S/I ; 187120
dc.information.autorucEscuela de Medicina ; Vera Alarcón, María Magdalena ; 0000-0002-2969-3408 ; 226652
dc.information.autorucEscuela de Medicina ; Corvetto Aqueveque, Marcia Antonia ; 0000-0003-4688-0210 ; 146036
dc.information.autorucEscuela de Medicina ; Inzunza, Oscar ; 0009-0004-4614-6811 ; 99951
dc.information.autorucEscuela de Medicina ; Achurra Tirado, Pablo ; 0000-0001-6803-423X ; 156236
dc.information.autorucEscuela de Medicina ; Inzunza Agüero, Martín Alejandro ; 0000-0002-6267-1075 ; 193475
dc.information.autorucEscuela de Ingeniería ; Muñoz Gama, Jorge ; S/I ; 1013863
dc.information.autorucEscuela de Ingeniería ; Sepúlveda Fernández, Marcos Ernesto ; 0000-0002-9467-7666 ; 80415
dc.information.autorucEscuela de Ingeniería ; Gálvez Yanjarí, Víctor Andrés ; 0000-0003-1789-703X ; 224212
dc.information.autorucInstituto de Ingeniería Biológica y Médica ; Retamal Montes, Jaime ; 0000-0002-6817-3659 ; 175147
dc.information.autorucEscuela de Medicina ; Bravo Morales, Sebastián ; 0000-0003-0998-8433 ; 13431
dc.issue.numero3
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final162
dc.pagina.inicio157
dc.revistaSimulation in healthcare: the journal of the society for simulation in healthcare
dc.rightsacceso restringido
dc.subjectTracheostomy
dc.subjectSimulation training
dc.subjectMedical education
dc.subjectCritical care
dc.subjectAirway management
dc.subject.ddc620
dc.subject.deweyIngenieríaes_ES
dc.subject.ods04 Quality education
dc.subject.odspa04 Educación de calidad
dc.titleSimulation-based mastery learning of bronchoscopy-guided percutaneous dilatational tracheostomy competency acquisition and skills transfer to a cadaveric model
dc.typeartículo
dc.volumen16
sipa.codpersvinculados172152
sipa.codpersvinculados102089
sipa.codpersvinculados187120
sipa.codpersvinculados226652
sipa.codpersvinculados146036
sipa.codpersvinculados99951
sipa.codpersvinculados156236
sipa.codpersvinculados193475
sipa.codpersvinculados1013863
sipa.codpersvinculados80415
sipa.codpersvinculados224212
sipa.codpersvinculados175147
sipa.codpersvinculados13431
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