{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Show Me The Evidence","title":"From Impression to Evidence: Proficiency-Based Progression for Cardiac Device Implanters | E11 Dr Jorio Mascheroni","html":"","width":"100%","height":180,"duration":3890,"description":"Guest: Dr Jorio Mascheroni, biomedical engineer, with a Master's in Technology Enhanced Learning and a PhD on how best to implant cardiac resynchronisation therapy (CRT) devices. Jorio has spent his career in the medical device industry, where he develops and validates training for cardiac device implanters. \nInterviewed by: Professor Anthony G. Gallagher \nTopic: Moving the Learning Curve Away from the Patient: Proficiency-Based Progression for Cardiac Device Implantation \n\nEpisode Summary \nProfessor Tony Gallagher talks with Dr Jorio Mascheroni, a friend and collaborator of around 20 years, about a career spent trying to make device training safer and more effective. Jorio was there when cardiac resynchronisation therapy was introduced and saw early on that getting specific steps right, and avoiding specific mistakes, decided whether a procedure went well. \nThe conversation traces how training moved from knowledge-based courses and \"learning on patients\", through the early days of virtual reality simulators, to a proficiency-based progression (PBP) programme with validated metrics and a benchmark that every trainee must reach before moving on. Jorio shares what his randomised trials found, why the approach does not take longer or cost more over time, and why he would change one thing above all: everyone should start in a protected environment and only then move to the operating room. \n\nKey Topics Covered \nIntroducing Dr Jorio Mascheroni (0:00) \nAn engineer who moved into education, with a Master's in Technology Enhanced Learning and a PhD on optimal CRT implantation\nTwenty years of working together\n\nFrom Engineer to Educator: The Arrival of CRT (0:34)\n \nWitnessing the introduction of cardiac resynchronisation therapy, a completely new type of procedure\nWorking with the pioneers and realising that performing certain steps properly and avoiding mistakes determined success\nEarly involvement in building a virtual reality simulator for CRT, and the chance to move...","thumbnail_url":"https://img.transistorcdn.com/JPxx16guuIWtjNqUkS-VeCJVeP1R-gkQQ7xD4SsyqqM/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lZGMy/MjkyM2UxYTkzZmM5/ZjVkMmI4MzAzOTM0/YTIzYi5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}