Reunion Anual MAdeira 2015 Modelos no clínicos de formación en Cardiología Intervencionista
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Transcript of Reunion Anual MAdeira 2015 Modelos no clínicos de formación en Cardiología Intervencionista
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Modelos no clínicos de formación en Cardiología Intervencionista
Non-clinical models of training in interventional cardioloy
Dr. Jose Manuel Vázquez Rodríguez
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Why a training center?
For two reasons…
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First: we need to learn continuously
Knowledge Doubling Curve. Buckminster Fuller, R. “Critical Path” (1981)
• Duplicate knowledge of year one probably it took about 1500 years or until the sixteenth century.
• The next doubling of knowledge from two to four 'knowledge units' took only 250 years, till about 1750
CE.
• By 1900, one hundred and fifty years later, knowledge had doubled again to 8 units
• By the end of World War II knowledge was doubling every 25 years.
• Today, on average human knowledge is doubling every 13 months and clinical knowledge every 18
months.
• According to IBM, the build out of the “internet of things” will lead to the doubling of knowledge every 12
hours.
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How do we learn?
Edgar Dale’s Cone of Experience Audio-Visual Methods in Teaching, 1946
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Is that true in the field of medical learning?
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Second reason: Opportunity
– 1992: Experimental Surgery Unit
– 1997-2003: XENOTRANSPLANTATION Project. – 2005: Extension:
• Incorporation of virtual reality technology : Lap Mentor y GI Mentor
– 2007-2009: New Project: Adding Medical Training tools– 2014: 3 C-arms for cardiovascular procedures
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56 courses (112 editions)1703 trainees
Courses scheduled in 2013
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SIMULACION
ESCENICA
ROBOTICA
REALIDAD
VIRTUAL
EXPERIMENTAL
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• Training in critical clinical situations
• Teamwork under pressure• Experience difficulties related to
the patient
SIMULATION
SCENIC
ROBOTIC
VIRTUALREALITY
EXPERIMENTAL
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• Training in critical clinical situations• Teamwork under pressure• To evaluate the effect of diagnostic
and therapeutic maneuvers• Learning from mistakes• Rehearse and gain confidence with
new procedures
SIMULATION
SCENIC
ROBOTIC
VIRTUALREALITY
EXPERIMENTAL
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• Initial training (complex procedures) • Training techniques not commonly
used • Understanding diagnostic tools and
recognize patterns
SIMULATION
SCENIC
ROBOTIC
VIRTUALREALITY
EXPERIMENTAL
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• Test and become familiar with technological innovations
• Training complications and rare situations
SIMULATION
SCENIC
ROBOTIC
VIRTUALREALITY
EXPERIMENTAL
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Time consuming
High ratio teachers / students
Expensive
Possible advantages not scientifically proven
Curricular value has not been defined
“Alternative” training drawbacks
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SUMMARY
1. “Alternative” training allows to develop skills in a safe environment
2. Its use is still low in interventional cardiology
3. The most useful techniques are virtual and experimental simulation
4. Ideal for testing and introducing technological innovation
5. Very useful to face the treatment of complications and train
infrequent and complex procedures
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Obrigado
Thank you
Gracias