The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Simulation-Based Training in Cardiac Surgery
Open accessAbstract
Background Operating room surgical training has significant limitations. This study hypothesized that some skills could be learned efficiently and safely by using simulation with component task training, deliberate practice, progressive complexity, and experienced coaching to produce safer cardiac surgeons.Methods Training modules included cardiopulmonary bypass, coronary artery bypass grafting, aortic valve replacement, massive air embolism, acute intraoperative aortic dissection, and sudden deterioration in cardiac function. Using deliberate practice, first-year cardiothoracic surgical residents at eight institutions were trained and evaluated on component tasks for each module and later on full cardiac operations. Evaluations were based on five-point Likert-scale tools indexed by module, session, task items, and repetitions. Statistical analyses relied on generalized linear model estimation and corresponding confidence intervals.Results The 27 residents who participated demonstrated improvement with practice repetitions resulting in excellent final scores per module (mean ± two SEs): cardiopulmonary bypass, 4.80 ± 0.12; coronary artery bypass grafting, 4.41 ± 0.19; aortic valve replacement, 4.51 ± 0.20; massive air embolism, 0.68 ± 0.14; acute intraoperative aortic dissection, 4.52 ± 0.17; and sudden deterioration in cardiac function, 4.76 ± 0.16. The transient detrimental effect of time away from training was also evident.Conclusions Overall performance in component tasks and complete cardiac surgical procedures improved during simulation-based training. Simulation-based training imparts skill sets for management of adverse events and can help produce safer surgeons.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The session duration is greater than 2 hours.
“| Coaching process related | Session duration | >2 h | [72,78] |”
From Coaching in undergraduate and graduate medical education: a scoping review of success factors, barriers, and outcomes (2026) · cites this paper as [72]
Resident/fellow dedicated time for coaching is a resident/fellow success factor.
“| Resident/fellow | Resident/fellow dedicated time for coaching | [72,96,126] | |”
From Coaching in undergraduate and graduate medical education: a scoping review of success factors, barriers, and outcomes (2026) · cites this paper as [72]
The three most represented research questions focused on learner skills/competencies, development of the coach, and understanding and application of coaching in medical education.
“The three types of research questions most represented in the articles reviewed focused on learner skills/competencies [72], development of the coach [37], and understanding and application of coaching in medical education [125].”
From Coaching in undergraduate and graduate medical education: a scoping review of success factors, barriers, and outcomes (2026) · cites this paper as [72]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
The role of deliberate practice in the acquisition of expert performance
Ericsson, K. A., Krampe, R. T., & Tesch-Römer, C. (1993) · Psychological Review · doi:10.1037/0033-295x.100.3.363 · Cited by 9,564 · cited 2×
“Two key components were component task training [2] and deliberate practice [3], both of which are unavailable in the clinical operating room.”
BackgroundMethodObjective structured assessment of technical skill (OSATS) for surgical residents
Martin, J. A., Regehr, G., Reznick, R. K., MacRae, H., Murnaghan, J. J., Hutchison, C., & Brown, M. H. (1997) · British journal of surgery · doi:10.1046/j.1365-2168.1997.02502.x · Cited by 2,549
A Systematic Review of Skills Transfer After Surgical Simulation Training
Sturm, L. P., Windsor, J. A., Cosman, P. H., Cregan, P. C., Hewett, P. J., & Maddern, G. J. (2008) · Annals of Surgery · doi:10.1097/sla.0b013e318176bf24 · Cited by 622
Systematic review of skills transfer after surgical simulation-based training
Dawe, S. R., Pena, G. N., Windsor, J. A., Broeders, J. A. J. L., Cregan, P. C., Hewett, P. J., & Maddern, G. J. (2014) · British journal of surgery · doi:10.1002/bjs.9482 · Cited by 485
Cohen, E. R., Feinglass, J. M., Barsuk, J. H., Barnard, C., O'Donnell, A., McGaghie, W. C., & Wayne, D. B. (2010) · Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · doi:10.1097/sih.0b013e3181bc8304 · Cited by 376
Evaluation of simulation training in cardiothoracic surgery: The Senior Tour perspective
Fann, J. I., Feins, R. H., Hicks, G. L., Nesbitt, J. C., Hammon, J. W., & Crawford, F. A. (2011) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2011.10.013 · Cited by 93
Self-citationA high fidelity tissue-based cardiac surgical simulator
Ramphal, P. S., Coore, D., Craven, M. P., Forbes, N., Newman, S., Coye, A., Little, S. G., & Silvera, B. (2005) · European Journal of Cardio-Thoracic Surgery · doi:10.1016/j.ejcts.2004.12.049 · Cited by 91
Self-citationThe use of cognitive task analysis to improve the learning of percutaneous tracheostomy placement
Sullivan, M. E., Brown, C. V. R., Peyre, S. E., Salim, A., Martin, M. J., Towfigh, S., & Grunwald, T. (2006) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2006.09.005 · Cited by 81
Vanderbilt, A. A., Grover, A. C., Pastis, N. J., Feldman, M., Granados, D. D., Murithi, L. K., & Mainous, A. G. (2014) · Global Journal of Health Science · doi:10.5539/gjhs.v7n2p310 · Cited by 76
Nesbitt, J. C., Julien, J. S., Absi, T., Ahmad, R. M., Grogan, E. L., Balaguer, J. M., Lambright, E. S., Deppen, S. A., Wu, H., & Putnam, J. B. (2013) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2013.02.048 · Cited by 57
Self-citationMokadam, N. A., Fann, J. I., Hicks, G. L., Nesbitt, J. C., Burkhart, H. M., Conte, J. V., Coore, D., Ramphal, P. S., Shen, K. R., Walker, J. D., et al. (2016) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2016.06.074 · Cited by 52
Self-citationEnter, D. H., Lee, R., Fann, J. I., Hicks, G. L., Verrier, E. D., Mark, R., Lou, X., & Mokadam, N. A. (2015) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2014.09.051 · Cited by 41
Self-citationTraining less-experienced faculty improves reliability of skills assessment in cardiac surgery
Lou, X., Lee, R., Feins, R. H., Enter, D. H., Hicks, G. L., Verrier, E. D., & Fann, J. I. (2014) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2014.09.017 · Cited by 19
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Evidence in surgical training – a review
Fritz, T., Stachel, N., & Braun, B. J. (2019) · Innovative Surgical Sciences · doi:10.1515/iss-2018-0026 · Cited by 67
Deliberate Practice in Simulation-Based Surgical Skills Training: A Scoping Review
Higgins, M. A., Madan, C. R., & Patel, R. M. (2020) · Journal of surgical education · doi:10.1016/j.jsurg.2020.11.008 · Cited by 63
Simulation-Based Skill Training for Trainees in Cardiac Surgery: A Systematic Review
Ribeiro, I. B., Ngu, J. M. C., Lam, B.-K., & Edwards, R. A. (2017) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2017.11.036 · Cited by 62
Simulation‐based surgical education in cardiothoracic training
Villanueva, C. I., Xiong, J., & Rajput, S. (2019) · ANZ Journal of Surgery · doi:10.1111/ans.15593 · Cited by 61
Mokadam, N. A., Fann, J. I., Hicks, G. L., Nesbitt, J. C., Burkhart, H. M., Conte, J. V., Coore, D., Ramphal, P. S., Shen, K. R., Walker, J. D., et al. (2016) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2016.06.074 · Cited by 52
Self-citationGafford, J. B., Webster, S., Dillon, N. P., Blum, E., Hendrick, R. J., Maldonado, F., Gillaspie, E. A., Rickman, O. B., Herrell, S. D., & Webster, R. J., III (2019) · Annals of Biomedical Engineering · doi:10.1007/s10439-019-02325-x · Cited by 49
Hands-On Surgical Simulation in Congenital Heart Surgery: Literature Review and Future Perspective
Hussein, N., Honjo, O., Haller, C., Hickey, E. J., Coles, J. G., Williams, W. G., & Yoo, S. (2019) · Seminars in Thoracic and Cardiovascular Surgery · doi:10.1053/j.semtcvs.2019.06.003 · Cited by 48
Simulation as a Tool to Ensure Competency and Quality of Care in the Cardiac Critical Care Unit
Brunette, V., & Thibodeau-Jarry, N. (2016) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2016.10.015 · Cited by 42
Hussein, N., Honjo, O., Haller, C., Coles, J. G., Hua, Z., Arsdell, G. V., & Yoo, S. (2019) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2019.11.123 · Cited by 39
Moorjani, N., Lewis, M. E., Shah, R. D., Barnard, S., Graham, T. R., & Rathinam, S. (2017) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2017.07.075 · Cited by 38
Leopaldi, A. M., Wróbel, K., Speziali, G., van Tuijl, S., Drąsutienė, A., & Chitwood, W. R. (2017) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2017.09.011 · Cited by 38
Nia, P. S., Heuts, S., Daemen, J. H. T., Olsthoorn, J. R., Chitwood, W. R., & Maessen, J. G. (2020) · Interactive Cardiovascular and Thoracic Surgery · doi:10.1093/icvts/ivz323 · Cited by 38
Simulation and Deliberate Practice in a Porcine Model for Congenital Heart Surgery Training
Mavroudis, C. D., Mavroudis, C., Jacobs, J., DeCampli, W. M., & Tweddell, J. S. (2017) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2017.10.011 · Cited by 36
Pakkasjärvi, N. A., Anttila, H., & Pyhältö, K. (2024) · BMC Medical Education · doi:10.1186/s12909-024-05068-z · Cited by 34
Development of an In Situ Thoracic Surgery Crisis Simulation Focused on Nontechnical Skill Training
Bierer, J. D., Memu, E., Leeper, W. R., Fortin, D., Fréchette, É., Inculet, R., & Malthaner, R. A. (2018) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2018.01.058 · Cited by 30
Korte, W., Merz, C., Kirchhoff, F., Heimeshoff, J., Goecke, T., Beckmann, E., Kaufeld, T., Fleißner, F., Arar, M., Schilling, T., et al. (2020) · Interactive Cardiovascular and Thoracic Surgery · doi:10.1093/icvts/ivaa023 · Cited by 27
Han, J. J., & Patrick, W. L. (2018) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2018.07.108 · Cited by 26
Khorammakan, R., Omid, A., Mirmohammadsadeghi, M., & Ghadami, A. (2023) · BMC Medical Education · doi:10.1186/s12909-023-04156-w · Cited by 30
Simulation-based training in cardiac surgery: a systematic review
Rad, A. A., Hajzamani, D., & Nia, P. S. (2023) · Interdisciplinary CardioVascular and Thoracic Surgery · doi:10.1093/icvts/ivad079 · Cited by 26
See one, simulate many, do one, teach one
Yanagawa, B., Ribeiro, R. V. P., Naqib, F., Fann, J. I., Verma, S., & Puskas, J. D. (2019) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000659 · Cited by 24
Self-citationDevelopment of a 3-D printing-based cardiac surgical simulation curriculum to teach septal myectomy
Hermsen, J. L., Yang, R., Burke, T. M., Dardas, T., Jacobs, L. M., Verrier, E. D., & Mokadam, N. A. (2018) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2017.09.136 · Cited by 23
Self-citationTrainee Thoracic Surgery Social Media Network: Early Experience With TweetChat-Based Journal Clubs
Hici, T. N., Archer, M. A., Harrington, C., Luc, J. G. Y., & Antonoff, M. B. (2019) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2019.05.083 · Cited by 23
Robotic-assisted microvascular surgery: skill acquisition in a rat model
Clarke, N. S., Price, J., Boyd, T., Salizzoni, S., Zehr, K. J., Nieponice, A., & Bajona, P. (2017) · Journal of Robotic Surgery · doi:10.1007/s11701-017-0738-5 · Cited by 22
Cardiopulmonary Bypass Emergencies and Intraoperative Issues
Gerstein, N. S., Panikkath, P. V., Mirrakhimov, A. E., Lewis, A. E., & Ram, H. (2022) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2022.07.011 · Cited by 20
Educational use of animals in Europe indicates a reluctance to implement alternatives
Zemanova, M. A. (2021) · ALTEX · doi:10.14573/altex.2011111 · Cited by 20
Simulation in congenital cardiac surgical education: We have arrived
Burkhart, H. M. (2017) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2017.03.012 · Cited by 19
Self-citationRushing, G., & Mokadam, N. A. (2019) · Thoracic surgery clinics/Thorac. surg. clin. · doi:10.1016/j.thorsurg.2019.03.009 · Cited by 18
Self-citationFailure to Rescue: A Quality Metric for Cardiac Surgery and Cardiovascular Critical Care
Gross, C. R., Adams, D. H., Patel, P. B., & Varghese, R. (2023) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2023.01.001 · Cited by 17
Novel augmented physical simulator for the training of transcatheter cardiovascular interventions
Zimmermann, J. M., Steffen, O. J., Vicentini, L., Daners, M. S., Taramasso, M., Maisano, F., & Meboldt, M. (2019) · Catheterization and Cardiovascular Interventions · doi:10.1002/ccd.28493 · Cited by 17
Neto, A. C. E., Sá, M. P., den Eynde, J. V., Rotbi, H., Do‐Nguyen, C. C., Olive, J. K., Cavalcanti, L. R. P., Torregrossa, G., Sicouri, S., Ramlawi, B., et al. (2021) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2021.12.029 · Cited by 16
Zientara, A., Hussein, N., Bond, C. J., Jacob, K. A., Naruka, V., Doerr, F., Nägele, F., Pölzl, L., Eid, M., Jarral, O. A., et al. (2022) · Interactive Cardiovascular and Thoracic Surgery · doi:10.1093/icvts/ivac213 · Cited by 16
Technology-Enhanced Simulation Improves Trainee Readiness Transitioning to Cardiothoracic Training
Chan, P. G., Schaheen, L. W., Chan, E. G., Cook, C. C. H., Luketich, J. D., & D’Cunha, J. (2018) · Journal of surgical education · doi:10.1016/j.jsurg.2018.02.009 · Cited by 16
Composition of the surgical team in aortic arch surgery—a risk factor analysis
Berger, T., Kreibich, M., Rylski, B., Schibilsky, D., Pooth, J., Fagu, A., Zimmer, E., Pingpoh, C., Beyersdorf, F., Czerny, M., et al. (2022) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezac171 · Cited by 15
Congenital Heart Surgery Skill Training Using Simulation Models: Not an Option but a Necessity
Yoo, S., Hussein, N., & Barron, D. J. (2022) · Journal of Korean Medical Science · doi:10.3346/jkms.2022.37.e293 · Cited by 16
GlobalSurgBox: A Portable Surgical Simulator for Surgical Trainees Worldwide
Kirsch, M. J., Mangham, C., & Lin, Y. (2023) · Journal of surgical education · doi:10.1016/j.jsurg.2023.01.012 · Cited by 14
Hanks, J. B. (2019) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2018.12.029 · Cited by 14
Creation, Implementation, and Assessment of a General Thoracic Surgery Simulation Course in Rwanda
Ramirez, A. G., Nuradin, N., Byiringiro, F., Ssebuufu, R., Stukenborg, G. J., Ntakiyiruta, G., & Daniel, T. M. (2018) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2018.01.043 · Cited by 14
Integration of simulation components enhances team training in cardiac surgery
Joyce, D. L., Lahr, B. D., Maltais, S., Said, S. M., Stulak, J. M., Nuttall, G. A., & Joyce, L. D. (2018) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2018.01.076 · Cited by 14
Zetner, D. B., Petersen, I., Konge, L., & Thinggaard, E. (2019) · Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · doi:10.1097/sih.0000000000000367 · Cited by 13
Verrier, E. D. (2019) · Thoracic surgery clinics/Thorac. surg. clin. · doi:10.1016/j.thorsurg.2019.03.001 · Cited by 13
Multimodal Cardiopulmonary Bypass Skills Assessment Within a High-Fidelity Simulation Environment
Hermsen, J. L., Mohamadipanah, H., Yang, S., Wise, B. J., Fiedler, A. G., DiMusto, P. D., & Pugh, C. M. (2020) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2020.07.022 · Cited by 13
Smit, F. E., Jones, T. J. J., Mestres, C. A., Sadaba, J. R., Pillay, J., Yankah, C., Pomar, J. L., & Turina, M. I. (2019) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezz043 · Cited by 12
Three-dimensional printing in modelling mitral valve interventions
Bharucha, A. H., Moore, J. T., Carnahan, P. K., MacCarthy, P. A., Monaghan, M. J., Baghai, M., Deshpande, R., Byrne, J., Dworakowski, R., & Eskandari, M. (2023) · Echo Research and Practice · doi:10.1186/s44156-023-00024-x · Cited by 11
Ribeiro, I. B., Ngu, J. M. C., Gill, G., & Rubens, F. D. (2017) · Perfusion · doi:10.1177/0267659117709921 · Cited by 11
Wu, S., Ling, Y., & Zhao, H. (2020) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2020.03.004 · Cited by 11
Simulation Training in Minimally Invasive Direct Coronary Artery Bypass Grafting
Wu, S., Fu, Y., Zhao, H., & Ling, Y. (2020) · The Heart Surgery Forum · doi:10.1532/hsf.3185 · Cited by 10
State of the evidence on simulation-based electronic health records training: A scoping review
Nuamah, J. K., Adapa, K., & Mazur, L. M. (2022) · Health Informatics Journal · doi:10.1177/14604582221113439 · Cited by 12
Fletcher, B. P., Gusic, M. E., & Robinson, W. P. (2020) · Journal of surgical education · doi:10.1016/j.jsurg.2020.03.011 · Cited by 10
Electronic health records (EHR) simulation-based training: a scoping review protocol
Nuamah, J. K., Adapa, K., & Mazur, L. M. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-036884 · Cited by 10
Current Status of Simulation Use in Canadian Cardiac Surgery Training Programs
White, A., Singh, G., Moon, M. C., Zheng, B., & Turner, S. R. (2021) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2021.04.020 · Cited by 10
Month-long cardiac surgery boot camp: A proposal to jumpstart resident training
Nesbitt, J. C., Michaud, N. M., Brakebill, A., Deppen, S. A., & Williams, P. J. (2018) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2018.03.048 · Cited by 10
Self-citationCardiopulmonary Bypass: How I Teach It
Fiedler, A. G., Lewis, E. E., & Hermsen, J. L. (2020) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2020.01.001 · Cited by 10
Coronary Anastomosis Simulation: Directed Interventions to Optimize Success
Anand, J., Doberne, J., Wojnarski, C. M., Smith, P. K., & Zwischenberger, B. A. (2020) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2020.06.099 · Cited by 9
Cardiac surgery simulation: a low‐cost feasible option in an Australasian setting
Sharma, V. J., Barton, C., Page, S., Ganesh, J. S., Patel, N., Pirone, F., Lin, Z., Kejriwal, N. K., Gamel, A. E., McCormack, D., et al. (2021) · ANZ Journal of Surgery · doi:10.1111/ans.17077 · Cited by 8
Singh, M., Park, C., & Roche, E. T. (2022) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2021.803183 · Cited by 8
Peel, B., Voyer-Nguyen, P., Honjo, O., Yoo, S., & Hussein, N. (2020) · 3D Printing in Medicine · doi:10.1186/s41205-020-00067-4 · Cited by 8
Tozzi, P., Ferrari, E., Reuthebuch, O. T., Matt, P., Huber, C. H., Eckstein, F. S., Kirsch, M. E. W., & Mestres, C. A. (2021) · Interactive Cardiovascular and Thoracic Surgery · doi:10.1093/icvts/ivab260 · Cited by 7
Current Status of Simulation in Thoracic Surgical Training
Whittaker, G., Ghita, I.-A., Taylor, M., Salmasi, M. Y., Granato, F., & Athanasiou, T. (2023) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2023.05.002 · Cited by 7
Do-it-yourself simulators and building a culture of practice in the virtual era
Kelly, J. J., Han, J. J., Patrick, W. L., Mays, J. C., Iyengar, A., Helmers, M. R., Smood, B. F., & Cevasco, M. (2021) · JTCVS Techniques · doi:10.1016/j.xjtc.2021.05.012 · Cited by 7
XPS™ Jensen lung as a low‐cost, high‐fidelity training adjunct to ex‐vivo lung perfusion
Gouchoe, D. A., Shukrallah, B., Eggeman, C., Igoe, D., Ralston, J., Mast, D., Ganapathi, A. M., & Whitson, B. A. (2023) · Artificial Organs · doi:10.1111/aor.14623 · Cited by 6
Simulation in Cardiothoracic Surgery
Wilson, H. K., & Feins, R. H. (2019) · Comprehensive healthcare simulation · doi:10.1007/978-3-319-98276-2_22 · Cited by 6
Self-citationNovel virtual nasal endoscopy system based on computed tomography scans
Sousa, F. D. O., da Silva, D. S., Cavalcante, T. D. S., Neto, E. C., Gondim, V. J. T., Nogueira, I. C., de Alexandria, A. R., & de Albuquerque, V. H. C. (2022) · Virtual Reality & Intelligent Hardware · doi:10.1016/j.vrih.2021.09.005 · Cited by 6
Repetition is the mother of skill
Burke, C. R., & Mokadam, N. A. (2018) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2017.12.096 · Cited by 6
Self-citationAlJamal, Y., Burgin, R., Kitahara, H., Gonzalez, G., & Balkhy, H. H. (2023) · Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery · doi:10.1177/15569845231199997 · Cited by 5
The Heart of Surgery: Enhancing Surgical Practice Through Teamwork
Salas, E., Castillo, G. F., & Tannenbaum, S. I. (2025) · Seminars in Thoracic and Cardiovascular Surgery · doi:10.1053/j.semtcvs.2025.05.005 · Cited by 5
Wong, E. C., Negreanu, D., Adreak, N., Allan, K. S., Thibodeau-Jarry, N., Tsirigotis, D. N., Qayumi, K. A., Fordyce, C. B., & Randhawa, V. K. (2021) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2020.10.003 · Cited by 5
Evaluation method of training simulation on biological models for cardiovascular surgery residents
Brandão, C. M. D. A., Dallan, L. R. P., Dinato, F. J., Monteiro, R., Fiorelli, A. I., & Jatene, F. B. (2021) · Journal of Cardiac Surgery · doi:10.1111/jocs.15524 · Cited by 5
Whittaker, G., Salmasi, M. Y., Aydın, A., Magouliotis, D. E., Raja, S. G., Asimakopoulos, G., Moorjani, N., & Athanasiou, T. (2021) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezab350 · Cited by 5
Development of an Automated Smartphone-Based Suture Evaluation System
Yamada, T., Suda, H., Yoshitake, A., & Shimizu, H. (2022) · Journal of surgical education · doi:10.1016/j.jsurg.2021.12.012 · Cited by 5
Kletzer, J., Fagu, A., Eschenhagen, M., Micek, L., Siepe, M., Czerny, M., Kreibich, M., & Berger, T. (2024) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezae419 · Cited by 5
3D printed ascending aortic simulators with physiological fidelity for surgical simulation
Alakhtar, A., Emmott, A., Hart, C., Mongrain, R., Leask, R. L., & Lachapelle, K. J. (2021) · BMJ Simulation & Technology Enhanced Learning · doi:10.1136/bmjstel-2021-000868 · Cited by 5
Is it time to incorporate hands-on simulation into the cardiothoracic surgery curriculum?
Hussein, N., Zientara, A., Gollmann‐Tepeköylü, C., & Loubani, M. (2021) · Interactive Cardiovascular and Thoracic Surgery · doi:10.1093/icvts/ivab290 · Cited by 5
Abdulrahman, O. A., Baaqeel, R. G., Bahakeem, R. F., Alotaibi, N. F., Almarjan, A. Y., Alsulami, M. M., Babgi, M. F., & Ahmed, E. O. (2023) · The Cardiothoracic Surgeon · doi:10.1186/s43057-023-00105-x · Cited by 4
Bottet, B., Seguin‐Givelet, A., Fourdrain, A., Sarsam, M., Boddaert, G., Boulate, D., Gillibert, A., Mariolo, A. V., Vasse, M., Grigoroiu, M., et al. (2024) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2024.10.054 · Cited by 4
Development of a median sternotomy simulation model for cardiac surgery training
Vo, T. X., Juanda, N., Ngu, J. M. C., Gawad, N., LaBelle, K., & Rubens, F. D. (2020) · JTCVS Techniques · doi:10.1016/j.xjtc.2020.03.007 · Cited by 4
Physiological Ventricular Simulator for Valve Surgery Training
Zilinskas, K., Kwon, J. H., Bishara, K., Hayden, K., Quintao, R., & Rajab, T. K. (2022) · Bioengineering · doi:10.3390/bioengineering9060264 · Cited by 4
Cattapan, C., Guariento, A., Bertelli, F., Galliotto, F., Vazzoler, C., Magagna, P., Gerosa, G., & Vida, V. L. (2023) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0000000000001577 · Cited by 3
Azmi, M. I., Nair, A. K., & Hashim, S. A. (2024) · Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery · doi:10.1177/15569845241238999 · Cited by 3
Moving towards a competency-based training ideology
Shetty, V., & Arora, N. (2017) · Indian Journal of Thoracic and Cardiovascular Surgery · doi:10.1007/s12055-017-0569-z · Cited by 3
Teaching Thoracic Surgery in a Low-Resource Setting:
Ntaganda, E., Ssebuufu, R., Bacon, D. R., & Daniel, T. M. (2022) · Thoracic surgery clinics/Thorac. surg. clin. · doi:10.1016/j.thorsurg.2022.05.001 · Cited by 3
Baris, M., von Schaper, N., Weis, H. S., Fröhlich, K., Rustenbach, C. J., Herrmann‐Werner, A., Schlensak, C., & Salewski, C. (2025) · Medical Education Online · doi:10.1080/10872981.2025.2486976 · Cited by 3
Evolution of the thoracic surgeon educator: Incorporating education science into our DNA
Lin, J. (2020) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2020.10.134 · Cited by 3
What is the role of surgical simulation on operative opportunity for the trainee ENT surgeon?
Noon, E., Singh, A., & Hall, A. C. (2020) · The Journal of Laryngology & Otology · doi:10.1017/s0022215120002200 · Cited by 3
Tozzi, P., Solida, A., Siniscalchi, G., & Ferrari, E. (2021) · Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · doi:10.1097/sih.0000000000000590 · Cited by 3
Bottet, B., Selim, J., Peillon, C., Baste, J., Schwarz, L., Renaux‐Petel, M., Grise, P., & Sibert, L. (2019) · Pédagogie médicale · doi:10.1051/pmed/2020022 · Cited by 3
A High-Fidelity, Tissue-Based Simulation for Cardiac Transplantation
Wilson, H. H., Feins, R. H., Heathcote, S. A., & Caranasos, T. G. (2019) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2019.08.081 · Cited by 3
Self-citationDoes a boot camp expand skills rapidly?
Wiggins, L. M., Zubair, M. M., Emerson, D. A., & Kim, R. W. (2022) · JTCVS Open · doi:10.1016/j.xjon.2022.01.026 · Cited by 3
Monreal, G., Lytle, I. R., Bonvillain, G. P., Slaughter, M. S., & Koenig, S. C. (2025) · Medical Science Educator · doi:10.1007/s40670-025-02484-8 · Cited by 2
Mazur, L. M., Adams, R., Mosaly, P. R., Nuamah, J. K., Adapa, K., & Marks, L. B. (2020) · Practical Radiation Oncology · doi:10.1016/j.prro.2020.08.005 · Cited by 2
10-Punkte-Plan des Jungen Forums der DGTHG
Sadat, N., Beyer, M., Hecker, F., Kaiser, P., Tvildiani, T., Salewski, C., Avgeridou, S., Motekallemi, A., & Peivandi, A. D. (2023) · Zeitschrift für Herz- Thorax- und Gefäßchirurgie · doi:10.1007/s00398-023-00567-5 · Cited by 2
Teaching heart valve surgery techniques using simulators: a systematic review
EL‐Andari, R., Bozso, S. J., Kang, J. J. H., Fialka, N. M., Adams, C. A., & Nagendran, J. (2023) · Canadian Journal of Surgery · doi:10.1503/cjs.017921 · Cited by 2
Gamification in cardiothoracic surgical education: Time to learn more
Puri, A., Yang, S. C., & Kozower, B. D. (2024) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2024.03.019 · Cited by 2
An Assessment of Fine Surgical KnotTying
Cortez, R., Lynch, K. A., Charpentier, K. P., Cioffi, W. G., Harrington, D. T., & Beard, R. E. (2019) · Journal of surgical education · doi:10.1016/j.jsurg.2018.10.017 · Cited by 2
Kennedy-Metz, L. R., Weiss, P., & Parker, S. H. (2019) · Stress · doi:10.1080/10253890.2019.1660317 · Cited by 2
An exploration of the surgical skill training curriculum for cardiac surgery residents
Luo, F., Luo, X., Li, B., Tang, Y., & Sun, H. (2019) · Journal of Cardiac Surgery · doi:10.1111/jocs.14055 · Cited by 2
Commentary: Three-dimensional printing in congenital cardiac surgery: The future is now
Burkhart, H. M., & Mir, A. M. (2020) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2020.02.018 · Cited by 2
Self-citationIntermittent surgeon career evaluation is needed from beginning to end
Feindel, C. M. (2021) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2021.11.020 · Cited by 2
Pediatric and adult beating heart simulator
Limonjiani, E. (2023) · JTCVS Techniques · doi:10.1016/j.xjtc.2023.06.016 · Cited by 2
Mukherjee, B., Pfleeger, J., Custodio, H., Roca, M. R., Khalsa, G., & Clanton, C. (2026) · Medical Education Online · doi:10.1080/10872981.2026.2687304 · Cited by 1
Credentialing and Privileging for Robotic Surgery in the United States
Feins, R. H. (2021) · Springer eBooks · doi:10.1007/978-3-030-53594-0_8 · Cited by 1
Self-citation
Metadata
- Authors
- Feins, R. H., Burkhart, H. M., Conte, J. V., Coore, D. N., Fann, J. I., Hicks, G. L., Nesbitt, J. C., Ramphal, P. S., Schiro, S. E., Shen, K. R., Sridhar, A., Stewart, P. W., Walker, J. D., & Mokadam, N. A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Mayo Clinic (US)
- Johns Hopkins University (US)
- University of the West Indies (JM)
- Stanford Medicine (US)
- University of Rochester Medicine (US)
- Vanderbilt University Medical Center (US)
- University of the West Indies (TT)
- Massachusetts General Hospital (US)
- University of Washington (US)
- Corresponding author
- Feins, Richard H.
- ORCID
- Venue
- The Annals of Thoracic Surgery
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 103
- Issue
- 1
- Pages
- 312-321
- ISSN
- 0003-4975 (ISSN-L)
- OpenAlex
- W2514530386
- Cited by
- 148
- References
- 13
- Citations by year
- 2026: 10 · 2025: 9 · 2024: 10 · 2023: 17 · 2022: 15 · 2021: 19 · 2020: 17 · 2019: 21 · 2018: 14 · 2017: 12
- FWCI
- 18.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Annals of Thoracic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- Agency for Healthcare Research and Quality (R18HS020451)
- National Center for Advancing Translational Sciences (UL1TR001111)
- Topics
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Social Sciences › Education › Simulation-Based Education in Healthcare
- Social Sciences › Education › Innovations in Medical Education
- Keywords
- simulation-based training, cardiac surgery, surgical training, deliberate practice, cardiopulmonary bypass, coronary artery bypass grafting, aortic valve replacement, air embolism, adverse event management, skill retention, surgical safety
- MeSH terms
- Clinical Competence, Computer Simulation, Education, Medical, Graduate, Cardiac Surgical Procedures, Humans, Internship and Residency, Thoracic Surgery
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
