A common question in clinic is: “How experienced and skilled are you and your team?”, and the team might even ask themselves: “How skilled are we really?” Although closely supervised and trained under a gradually-increasing responsibility principle, a time will come when there is no immediate available back-up in the catheterization lab. Furthermore, increased transparency and public awareness of medical errors has opened up a Pandora’s Box regarding a physician’s skill level and experience.

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The scientific evidence is sound and clear. Without a doubt, the best way to learn any motor skill, on the basis of solid theoretical and practical experience, is in a context where the curriculum embraces simulation technology, thus making the transition to live cases easier and ameliorating the pathway from theory to the endovascular suite.

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According to a recent publication in Catheterization and Cardiovascular Interventions, authorized by the Society for Cardiovascular Angiography and Intervention’s (SCAI) Simulation Committee, the Society declares that, in future, simulation will take on a larger role in cardiovascular training and the maintenance of certification. However, the authors also conclude that, at present, there lacks a large body of evidence for its use. The papers described in this whitepaper focus mainly on assessment, economy, curriculum and transfer of skills, and are a response to Doctor Green’s sentence. There is already a large bulk of existing evidence out there in the community.


Professor Lars Lönn MD, PhD, EBIR

Written by Professor Lars Lönn MD, PhD, EBIR

Professor of Endovascular Surgery Consultant, Department of Radiology Rigshospitalet National University Hospital of Denmark Clinical Director, Mentice