The impact of intensive laparoscopic training course with structured assessment and immediate feedback on residents' operative performance in animal lab
| Autor: | Melissa M. Carton, Iman Ghaderi, Carlos A. Galvani, Julia Samamé, Tung Tran |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Swine medicine.medical_treatment education 030230 surgery Nissen fundoplication Feedback 03 medical and health sciences 0302 clinical medicine Medicine Animals Laparoscopy Laparoscopic training Colectomy medicine.diagnostic_test business.industry Incisional hernia repair Internship and Residency Global Rating General Surgery Physical therapy 030211 gastroenterology & hepatology Surgery Cholecystectomy Clinical Competence Curriculum business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 35(7) |
| ISSN: | 1432-2218 |
| Popis: | The objective of this study was to examine the impact of an intensive laparoscopic training course incorporating structured assessment and immediate feedback on residents' operative performance in animal lab.Surgical residents participated in a 2-day intensive laparoscopic training course. They performed the same procedures on two consecutive days on live pigs. Junior residents (PGY1-2) performed laparoscopic cholecystectomy and incisional hernia repair and the senior residents (PGY3-5) performed laparoscopic Nissen fundoplication, splenectomy, and low anterior colon resection. Assessment tools with proven validity evidence (global and procedure-specific rating tools for operative assessment of laparoscopic skills) were used to assess their operative performance. Faculty assessment and self-assessments were completed immediately after each procedure on both days. The Wilcoxon rank test was used to examine the effect of training on resident performance after one repetition.Forty surgical residents (20 junior and 20 senior residents) participated. There was a significant improvement in general laparoscopic skills during incisional hernia repair and Nissen fundoplication using global rating scales (p 0.05). Moreover, there was an improvement in their performance during cholecystectomy, incisional hernia repair, and low anterior colectomy when procedure-specific skills assessments were used (p 0.05). There was a positive correlation between residents' self-reported confidences and their operative performance CONCLUSION: Trainees showed significant improvements in performance in general and procedure-specific laparoscopic skills in a wide range of procedures after an intensive training course. This study demonstrates the benefit of a structured training curriculum in improving operative performance in basic and advanced laparoscopic skills in a simulated environment. Future studies are needed to examine the duration of training required to achieve skill retention and competency. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink