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Objective Assessment of Technical Skills in Cardiothoracic Surgery


N/A
21 Years
N/A
Open (Enrolling)
Both
Other Surgical Procedures

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Trial Information

Objective Assessment of Technical Skills in Cardiothoracic Surgery


If you agree to take part in this study, you will receive a digital video disc (DVD)
containing multiple videos of different surgeons or surgical trainees performing CAB
procedures. You will be trained by the Principal Investigator (PI) on how you should rate
the performance of each surgeon/trainee. You will be randomly assigned to 1 of 2 groups:

- If you are in the Conventional Rater (CR) Group, you will receive conventional training
from the PI about how to rate the videos.

- If you are in the Video Rater (VR) Group, you will receive conventional training from
the PI about how to rate the videos. You will also receive a video rater training
manual.

You will receive up to 38 different recorded procedures while you are on study. Each
procedure should last about 15 minutes. You will record the identification code that
appears at the beginning of each video, and the date and time that you viewed each video.
You will watch each video and then rate the performance of the surgeon/trainee using a
checklist and a Global Rating Scale. These rating documents will be given to you on a thumb
drive that you will either fill out on your computer or print out and fill in by hand. You
will be given more detailed instructions on how to fill out the checklist and rating scales
by the Principal Investigator (PI).

Your identity will be coded and blinded throughout the study. No identifying information
will be directly linked to your responses. Only the video identification numbers and your
code number will be used to identify the assessment data. The code key will be stored in a
separate computer or thumb drive.

Length of Study:

You will have 1 month to view and rate all videos. You will be contacted 1 time each week
by the PI to monitor your progress.

After you have watched and rated all the videos, you will return the videos, your responses
(either on the thumb drive or on printed hard-copies), and the video rater training manual
(if you are in the VR group) in a pre-paid mailer.

Up to 20 raters may take part in this study.


Inclusion Criteria:



1. The trainee must be a cardiothoracic surgical trainee in their 1st, 2nd, or 3rd year
of training and must be currently enrolled at any of the following institutions: U.T.
Health Science Center in Houston, The Texas Heart Institute/Baylor College of
Medicine, U.T. San Antonio, U. T. Southwestern, U.T. M.D. Anderson Cancer Center, and
The Methodist Hospital.

2. The trainee must provide an informed consent to participate.

3. The experience faculty must be a cardiothoracic surgeon who regularly performs CAB
procedures and has at least 10 years of post-training experience.

4. The experienced faculty is currently operating at the same institutions listed in
inclusion criterion 1.

5. The experienced faculty must provide written informed consent to participate.

6. The faculty rater must be a cardiothoracic surgeon who regularly performs CAB
procedures, is practicing in an Adult Cardiothoracic Graduate Medical Evaluation
(ACGME) approved CTS training program, and has practiced at least 5 years after
certification by the American Board of Thoracic Surgery (ABTS). There is no
restriction on geographic location.

7. The expert CAB surgeon for Consensus Building must be a cardiothoracic surgeon who
regularly performs CAB procedures, is practicing in an ACGME approved CTS training
program, and has practiced at least 10 years after certification by the ABTS. There
is no restriction on geographic location.

Exclusion Criteria:

N/A

Type of Study:

Observational

Study Design:

Observational Model: Cohort, Time Perspective: Prospective

Outcome Measure:

Feasibility of Video Recordings of Cardiothoracic Surgery (CTS) Procedures

Outcome Description:

Assessing 5 recorded procedures with qualified raters using two rating scales; a checklist developed using a consensus building project and a global rating scale (GRS) adapted from an established surgical assessment tool. The GRS uses a 5 point scale and behavioral anchors are provided for 1, 3, and 5 (a score of 1 equals a novice, 3 equals a competent surgeon, and 5 equals an expert). Raters have 1 month to view videos.

Outcome Time Frame:

1 month for rating

Safety Issue:

No

Principal Investigator

Ara Vaporciyan, MD,BS

Investigator Role:

Principal Investigator

Investigator Affiliation:

UT MD Anderson Cancer Center

Authority:

United States: Institutional Review Board

Study ID:

2010-0595

NCT ID:

NCT01433029

Start Date:

September 2011

Completion Date:

Related Keywords:

  • Other Surgical Procedures
  • Surgical Procedure
  • Assessment
  • Cardiothoracic Surgery
  • Coronary artery bypass
  • CAB
  • Video recordings
  • Global rating scale
  • GRS
  • Cardiothoracic surgeon
  • Surgical trainees

Name

Location
UT MD Anderson Cancer Center Houston, Texas  77030
The University of Texas Health Science Center at San Antonio San Antonio, Texas  78229
The Methodist Hospital Research Institute Houston, Texas  77030
The University Of Texas Medical School At Houston Houston, Texas  77030
The University of Texas Southwestern Medical Center in Dallas Dallas, Texas  75390
Texas Heart Institute at St. Luke's Episcopal Hospital Houston, Texas  77030