“Top Gun” Competition: Motivation and Practice Narrows the Technical Skill Gap Among New Cardiothoracic Surgery Residents

This multicenter study analyzes the utility of a "Top Gun" competition in promoting simulator use and improving technical skills among 1st-year CT Surgery residents.  A coronary anastomosis simulation module was sent to most 1st-year residents in the U.S.  Fifteen residents submitted baseline and final videos for evaluation.  Most residents improved their technical skills as rated by faculty.  The highest 5 scores were invited to participate in a live "Top Gun" competition at the AATS meeting.  Clearly, simulator use will be a useful adjunct for training CT surgery residents.  Unfortunately, resident engagement has not always met expectations.  Will the introduction of a competitive environment--the "Top Gun" battle--serve to engage residents further?