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J Thorac Cardiovasc Surg 2008;135:477-484
© 2008 The American Association for Thoracic Surgery

Editorial

Envisioning simulation in the future of thoracic surgical education

^a Division of Thoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Tex
^b Division of Thoracic Surgery, Johns Hopkins Medical Institutions, Baltimore, Md
^c Central Plains Cardiothoracic Surgery LLC, Wichita, Kans
^d Division of Thoracic Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, Mass

Received for publication December 18, 2007; accepted for publication December 18, 2007.

^_* Address for reprints: Andrea J. Carpenter, MD, PhD, Division of Thoracic Surgery, 7703 Floyd Curl Dr MSC-7841, San Antonio, TX 78229-3900. (Email: carpenterA2@uthscsa.edu).

The first 300 words of the full text of this article appear below.

The Visioning Simulation Conference (VSC), convened in Cambridge, Mass, on April 19, 2007, sponsored by the Thoracic Surgery Foundation for Research and Education (TSFRE), was attended by appointed representatives from the Society of Thoracic Surgery (STS), the American Association for Thoracic Surgery (AATS), the American Board of Thoracic Surgery (ABTS), the Thoracic Surgery Directors Association (TSDA), the European Association for Cardiothoracic Surgery (EACTS), the American College of Surgeons (ACS), the National Heart, Lung, and Blood Institute (NHLBI), industry partners (Medtronic, Inc, Edwards Lifesciences LLC, and St Jude Medical, Inc), and several attendees with extensive simulation experience and development. The conference began with a simulated operating room (OR) demonstration by live video feed. During the 2-day conference, speakers discussed simulation use in anesthesia, the airline industry, and congenital heart disease, with the goal of demonstrating what technology is currently available and stimulating thought among the participants regarding future needs. The primary working function of the conference centered on a series of roundtable discussions planned to define how simulation could be applied to cardiothoracic surgical education. This report defines the vision developed during this 2-day conference and recommends actions necessary to bring this vision to reality.

Surgical education is becoming a progressively more complex endeavor. In this era of limited work hours for residents and rapidly changing technology, new and creative educational techniques must be used to ensure that surgeons in training achieve proficiency in more complex problems during shorter training periods and that practicing surgeons can be rapidly trained in new technologies. It is clear that simulation will become a required method for demonstrating proficiency, maintaining certification, and introducing new techniques. Evolving requirements for measurable quality indicators will soon mandate that maintenance of certification require the demonstration of proficiency in technical skills, fundamental knowledge, and management of complex clinical situations.

The . . . [Full Text of this Article]

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