From simulator to patient: transfer of procedural skills to practice in cardiac device implantation
Rattachement africain : be, de, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Abstract Aims Cardiac implantable electronic devices (CIED) training for novice implanters typically occurs in vivo, varies across countries/institutions, and results in inconsistent skill levels. Proficiency-based progression (PBP) simulation training—requiring attainment of expert-derived performance benchmarks before clinical practice—reduced procedural errors by 61–77% compared with traditional simulation-based training (SBT) in randomized simulation trials. This study aimed to quantify clinical skill transfer in CIED implantation for the first time, comparing in vivo deviations from expert-agreed optimal technique in early-career implanters previously randomized to PBP vs. SBT. Methods and results Prospective observational cohort study following participants from a prior multinational randomized simulation trial to assess transfer of training to clinical practice. Early-career implanters (≥20 prior pacemaker/defibrillator cases; limited CRT first-operator experience) reported the implant technique they applied in their first two routine clinical cases within 30 days of training, using a validated standardized performance metrics form assessing surgical and lead implantation steps. The primary outcome was the mean percentage of deviations from optimal technique per participant. Of 30 randomized participants, 21 (70%) submitted 42 case reports (10 PBP, 11 SBT). Baseline characteristics were similar, and case complexity did not differ between groups (P = 0.43). PBP trainees demonstrated 60% fewer procedural deviations than SBT trainees (mean [SD], 5.8% [3.8%] vs. 14.4% [9.1%]; P = 0.013). Conclusion Metrics-based PBP training was associated with significantly fewer procedural deviations from optimal CIED implant technique during early clinical practice compared with traditional simulation. These findings support benchmark-based simulation as a strategy to improve early clinical skill transfer in cardiac electrophysiology.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- From simulator to patient: transfer of procedural skills to practice in cardiac device implantation
- Date Crossref
- 01/07/2026
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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KU Leuven pays non établi dans la noticeUniversité ou école supérieure
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Charité - Universitätsmedizin Berlin pays non établi dans la noticeÉtablissement de santé
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University Hospitals of North Midlands NHS Trust pays non établi dans la noticeÉtablissement de santé
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University of Ulster pays non établi dans la noticeUniversité ou école supérieure
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Medtronic International Trading Sàrl Department of Cardiac Rhythm Management Training & Education pays non établi dans la noticeEntreprise
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Faculty of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Department of Cardiology and Internal Medicine pays non établi dans la noticeInstitution
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Institute of Medical Sociology and Rehabilitation Science pays non établi dans la noticeStructure de recherche
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University Hospital of North Midlands Department of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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Training Concept Consulting pays non établi dans la noticeInstitution
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School of Medicine pays non établi dans la noticeUniversité ou école supérieure
KU Leuven, Charité - Universitätsmedizin Berlin et University Hospitals of North Midlands NHS Trust, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.