Coronary Angiography Training Simulator
The AngioTeacher A 3 Dimensional Interactive Self Learning Program for Coronary Angiography University of Nebraska Medical Center Ed O’Leary, M.D. Internal Medicine Cardiology Hypothesis Traditional methods for learning how to interpret coronary angiography require a long and arduous learning curve. We hypothesis that an interactive self learning method based on a three dimensional model will shorten the learning curve and improve the understanding of the anatomical relationships of the coronary arteries and myocardium. Goals Better understanding anatomical relationship of cardiac structures and vasculature More comprehensive understanding of the heart and surrounding structures Accelerate learning curve for learning coronary angiography More interactive and engaging modality to learn coronary angiography Method Development a three dimensional model based on CT angiography and compare this to standard coronary angiography CTA and coronary angiogram will be taken from the same study patient CTA images will include all parts of the human torso Team – Computer Personnel – Clinical Personnel Personnel Clinical – Physician Computer – Programmer – Supervisor Others – Graphic Artist – Education Specialist Target Students Physicians Medical Surgical Medical students – Basic anatomy – Clinical studies Ancillary medical personnel – Nurses – Technicians Medical industry Medical Schools There are 113 medical schools in the USA There are 17 medical schools in Canada Vast number of foreign medical schools Medical Schools Medical Students – First to fourth years Residents – Internal Medicine – Surgery Fellows – Cardiology – Cardiothoracic Nursing Programs There are almost 500 graduate nursing programs in the United States. Cardiovascular Technicians There are 34 accredited programs in the United States Medical Industry Government Applications There are 21 VISNs in VA healthcare system – There are 1,384 VA facilities overall. – 90% are clincs or hospitals Military hospitals Simulation Centers Research Patient and Family Education Study N = 12 medical students Group 1 (n=6) – Standard teaching materials Group 2 (n=6) – Angioteacher Both groups took coronary angiogram pre-test 45 minute study period Trend though not statistically significant toward better scores in the AngioTeacher grp. – Low number of students Future Development Current version Library of studies – Normal variants – CABG Improvements in software – Dynamic images – User friendly changes Future Development Other models – Cardiac Echocardiography Electrophysiology Structural heart diseas – Anatomical Basic Anatomy Surgical training and testing – Other vascular beds Cerebro-vascular bed Peripheral vascular bed International Applications This is the end of the presentation as we move into the software demonstration portion. I am adding this slide and the following slides to send on to Cindy.