Simulation-based fetal shunting training.

Abstract:

OBJECTIVES:To develop a simulation model and assess the learning curve of fetal shunting. METHODS:Three staff and three trainees performed fetal shunting on a model using the fetal bladder stent. The model was evaluated according to various sources of validity evidence. The number of procedures to reach competency was determined by the learning curve-cumulative summation (LC-CUSUM) and CUSUM analysis. The learning and control phases were defined as the periods before and after passing the level of competency, respectively. RESULTS:The model was validated to be constructive in the educational process. A total of 600 procedures were carried out with an overall success rate of 94.2% and no significant difference between staff and trainees. The average number of procedures to reach competency was 47. Total procedural time decreased after passing the level of competency. Although the trainees required a longer procedural time in the learning phase than the staff did, there was no significant between-group difference in the control phase. CONCLUSIONS:Using this model, the estimated number of procedures to achieve competency was 47, as substantiated by the increased procedural success and reduced procedural time in the control phase. Training on this simulation model may improve technical performance.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Phithakwatchara N,Nawapun K,Viboonchart S,Jaingam S,Wataganara T

doi

10.1002/pd.5599

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

1291-1297

issue

13

eissn

0197-3851

issn

1097-0223

journal_volume

39

pub_type

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