Basic surgical skills training: Does it work?

Autor: Juliette Koch, Sarah Clements, Jason Abbott
Rok vydání: 2011
Předmět:
Zdroj: Australian and New Zealand Journal of Obstetrics and Gynaecology. 51:57-60
ISSN: 0004-8666
DOI: 10.1111/j.1479-828x.2010.01285.x
Popis: Background and Aim: We assessed the RANZCOG Basic Surgical Skills Workshop (BSSW) with regards to trainees’ basic knowledge and skill using a laparoscopic pelvi-trainer. Methods: First-year trainees answered a multiple choice questionnaire (MCQ) and performed timed simulated laparoscopic exercises with a pelvi-trainer before completing a 2-day workshop. Assessment was repeated following the workshop, at 6 months and 5 years. Results: MCQ results improved immediately after the workshop (baseline 16/34 vs post-course 23/34; P = 0.0001) declined at 6 months (post-course 24/34 vs 6 months 20/34; P = 0.009) with no change at 5 years (20/34 at 5 years). The time to complete both the simple and the complex laparoscopic exercises improved significantly following the workshop (simple: baseline 30 s, post-course 23 s; P = 0.008, complex: baseline 219 s, post-course 145 s; P = 0.0001) and was maintained at 6 months (simple: post-course 22 s, 6 months 23 s; P = 0.644, complex: post-course 124 s, 6 months 125 s; P = 0.958), but the time to complete the simple exercise was no better at 5 years and the time to complete the complex exercise was increased at 5 years (6 months 115 s, 5 years 172 s, P = 0.023). Conclusions: First-year trainees’ basic knowledge of electrosurgery, hysteroscopy and laparoscopy and the time to perform skills on a laparoscopic pelvi-trainer improved after a BSSW but there was no further improvement at 5 years.
Databáze: OpenAIRE