Efficacy of goal-directed minimally invasive surgery simulation training with the Lübeck Toolbox-Curriculum prior to first operations on patients: Study protocol for a multi-centre randomized controlled validation trial (NOVICE)
| Autor: | Markus Zimmermann, Tilman Laubert, Claudia Benecke, Hamed Esnaashari, Tobias Keck, Michael Thomaschewski, Reinhard Vonthein |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
endocrine system diseases LTB Lübeck Toolbox education 030230 surgery mITT modified intention-to-treat behavioral disciplines and activities Article law.invention Education Basic skills 03 medical and health sciences Patient safety GOALS Global Assessment Tool for Evaluation of Intraoperative Laparoscopic Skills 0302 clinical medicine Randomized controlled trial law Minimally invasive surgery Clinical endpoint medicine ComputingMilieux_COMPUTERSANDEDUCATION otorhinolaryngologic diseases OR operating room Training Medical physics Cholecystectomy 030212 general & internal medicine CHE cholecystectomy Laparoscopy Lübeck Toolbox Curriculum GeneralLiterature_REFERENCE(e.g. dictionaries encyclopedias glossaries) MISTELS McGill Inanimate System for Training and Evaluation of Laparoscopic Skills Protocol (science) medicine.diagnostic_test ComputingMilieux_THECOMPUTINGPROFESSION business.industry Toolbox FLS Fundamentals of Laparoscopic Surgery Surgery business Simulation Research Paper MIS minimally invasive surgery |
| Zdroj: | International Journal of Surgery Protocols |
| ISSN: | 2468-3574 |
| Popis: | Highlights • Laparoscopic surgery (MIS) requires additional psychomotoric skills (basic skills) • Acquisition of MIS basic skills by the video box trainer Lübecker Toolbox. • Simulation of laparoscopic demands outside the operation room. • MIS training outside the operation room prior to first operations on patients. • Implementation of MIS training into the surgical residency curriculum. Background Minimally invasive surgery (MIS) procedures require special psychomotoric skills. Learning of these MIS basic skills is often performed in the operating room (OR). This is economically inefficient and could be improved in terms of patient safety. Against the background of this problem, various MIS simulators have been developed to train MIS basic skills outside the OR. Aim of this study is to evaluate to what extent MIS training programs and simulators improve the residents’ skills in performing their first MIS procedures on patients. Method The current multicentric RCT will be performed with surgical residents without prior active experience in MIS (n = 14). After the participants have completed their first laparoscopic cholecystectomy as baseline evaluation (CHE I), they will be randomized into two groups: 1) The intervention group will perform the Lübeck Toolbox curriculum, whereas 2) the control group will not undergo any MIS training. After 6 weeks, both groups will perform the second laparoscopic CHE (CHE II). Changes or improvements in operative performance (between CHE I and CHE II) will be analyzed and evaluated according to the Global Operative Assessment of Laparoscopic Skill (GOALS) Score (primary endpoint). Discussion The multicentric randomized controlled trial will help to determine the value of MIS training outside the operation room. Proof of effectiveness in practice transfer could be of considerable relevance with regard to an integration of MIS training programs into surgical education. |
| Databáze: | OpenAIRE |
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