Background/context Simulation is vital teaching tool rapidly integrating itself into interventional cardiology1 and leading bodies are advising it should be mandatory in specialist training programmes.2 However its role for the junior doctor cohort hasn’t been recorded. Our centre has 24 juniors rotate through cardiology annually and historic feedback suggested lack of educational components. We hoped to address this by utilising our Trust’s flourishing simulation department and develop a simulation course for foundation/core trainees.
The objective of the course was to provide an enjoyable and safe learning opportunity in which to develop an understanding of coronary angiography; including interpretation, benefits and risks. With the aims to improve competencies in patient post-procedural management, gaining informed consent and to encourage cardiology career aspirations.
Methodology We developed a hands-on introduction to coronary angiography course; teaching vascular access (locally developed) and coronary angiography (AngioMentor©). Students were required to demonstrate skills in achieving radial arterial access and go through ten simulated angiographic cases; assessing catheter manipulation, image acquisition, interpretation and patient management. If successful, they received a certificate and completed an anonymous questionnaire evaluating the effectiveness of the training relevant to the aims.
Results/outcomes Initial questionnaire results (n = 6) have shown the teaching overall to be very good with consensus that it enhanced understanding of coronary angiography and vascular access. Universal opinion was it improved management of patients following procedures and confidence in obtaining valid consent. It didn’t appear to alter career course but did solidify the desire to pursue a career in cardiology (all trainees interested strongly agreed with this statement). Further results will be available at the time of presentation.
Potential impact This simulation course improved the junior doctors understanding of coronary angiography, management of patients post-procedure and facilitated their provision of a comprehensive informed consent. Further it aided trainees in making an educated decision regarding their career choice.
Gosai J, Purva M, Gunn J. Simulation in cardiology: state of the art. Eur Heart J 2015;36(13):777–783
Green SM, Klein AJ, Pancholy S, Rao SV, Steinberg D, Lipner R, Marshall J, Messenger JC. The current state of medical simulation in interventional cardiology: a clinical document from the Society for Cardiovascular Angiography and Intervention’s (SCAI) Simulation Committee. Catheter Cardiovasc Interv 2014;83(1):37–46
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