External validation of Manchester Endoscopic Learning Tool (MELT)
Research type
Research Study
Full title
External validation of Manchester Endoscopic Learning Tool (MELT) e-learning platform using stakeholders and expert panel review.
IRAS ID
260768
Contact name
Bhuvaneswari Krishnamoorthy
Contact email
Sponsor organisation
Manchester Foundation Trust (Research and Innovation department)
Duration of Study in the UK
0 years, 2 months, 25 days
Research summary
Background:
Endoscopic vein harvesting is one of the most popular minimally invasive vein harvesting techniques for Coronary artery bypass graft surgery (CABG). It is well-documented to have a significantly greater cosmetic outcome and fewer wound related problems than the conventional open technique. However, its efficacy with regard to the endothelial integrity of the harvested vein and long-term patency has recently been questioned. Learning curve associated trauma to the vein has a major impact on vein quality and the incidence of graft failure post coronary surgery. The quality of the conduit is damaged due to unfamiliarity with the keyhole technique and lack of surgical endoscopic skills and theoretical knowledge. In an attempt to correct this, I have devised a learning tool (Manchester Endoscopic Learning Tool – MELT) for the novice endoscopic vein harvesting practitioner to allow the gradual acquisition of surgical skills, whilst minimising the vein trauma that is generally associated with inexperience and thereby not compromising patient safety. To test the efficacy of this learning tool, this study is aiming to explore the views of the stakeholders who are involved in the CABG surgery and expert panel review.Aim:
The primary aim of this phase 1 of this study is to validate/optimise the Manchester Endoscopic Learning Tool (MELT) e-learning platform.Design:
I previously developed the Manchester Endoscopic Learning Tool (MELT), a structured training programme that consists of four sections (introducing the trainees to the theory, surgical video, gradual introduction to clinical practice and vein harvesting), with a minimum pass mark of 80% for each section. The first two phases of the MELT are skill-based e-learning and the second two phases are learning in clinical settings with patients.1. Phase one: Designed to optimise the MELT structured training programme, through stakeholder consultation. Feedback on training quality, practicality, limitations, teaching styles and training components will be collated through one-to-one interviews (n=30) and an expert panel (n=10) health professionals around the world. Stakeholder feedback will be used to improve the structured training programme prior to phase two.
2. Phase two: Is a cluster randomised trial but which will be discussed in a trial protocol.
Outcomes:
The primary outcome is to obtain the feedback of the MELT content and it is usability from the stakeholders.REC name
London - Surrey Research Ethics Committee
REC reference
19/LO/0368
Date of REC Opinion
28 Mar 2019
REC opinion
Further Information Favourable Opinion