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Coronary Angiography Training Simulator

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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.
Fly UP