Procedural Knowledge in Percutaneous Coronary Interventions

Peter Lanzer Niels Taatgen

doi:10.4172/2155-9880.s6-005

Abstract

Percutaneous coronary intervention, PCI, is recursive process driven by decision making followed by action; the outcome is critically dependent on the procedural knowledge and skills of individual operators. In PCI procedural knowledge has been traditionally transferred employing the “trainee-mentor” approach. However, in number of profession including medicine, cognitive approach of procedural knowledge transfer has been shown to be superior to the conventional method. Here, we propose that the cognitive approach holds promise to improve the knowledge transfer and expertise in PCI and should be further explored.

Highlights

Expertise in percutaneous coronary interventions; PCIs, is based on two kinds of knowledge; declarative knowledge that and procedural knowledge how; concept originally introduced by Ryle [1]
Declarative PCI knowledge is typically gained by study of literature and media communications; procedural PCI knowledge is largely gained by observation, imitation and practice
In aviation procedural knowledge how has been over the years extensively externalized, verbalized and documented. It is verbalized in instruction manuals structured on declarative knowledge, i.e. on technical and scientific aeronautical data and it is incorporated into virtual reality aviation simulators equipped with sophisticated board computers, Flight Management Systems (FMS), programmed to mimic variety of real – life scenarios

Summary

Introduction

Expertise in percutaneous coronary interventions; PCIs, is based on two kinds of knowledge; declarative knowledge that and procedural knowledge how; concept originally introduced by Ryle [1]. Due to the recursive nature and extensive imaging documentation of each of the relevant interventional steps PCI appears to be well suited to the cognitive method as shown in a number of medical non-PCI procedures (as above).

Results

Conclusion