Building an efficient surgical team using a bench model simulation: construct validity of the Legacy Inanimate System for Endoscopic Team Training (LISETT)
| Autor: | Peter M. Denk, Bin Zheng, M. H. Whiteford, Lee L. Swanstrom, Danny V. Martinec, P. Gatta |
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| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject education Humans Medicine Quality (business) Research question Motor skill media_common Patient Care Team Medical education Surgical team Teamwork Education Medical business.industry Construct validity Endoscopy Equipment Design Patient Simulation Motor Skills Physical therapy Surgery Clinical Competence business Team training Computer-Assisted Instruction Dyad |
| Zdroj: | Surgical Endoscopy. 22:930-937 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-007-9524-1 |
| Popis: | Complex laparoscopic tasks require collaboration of surgeons as a surgical team. Conventionally, surgical teams are formed shortly before the start of the surgery, and team skills are built during the surgery. There is a need to establish a training simulation to improve surgical team skills without jeopardizing the safety of surgery. The Legacy Inanimate System for Laparoscopic Team Training (LISETT) is a bench simulation designed to enhance surgical team skills. The reported project tested the construct validity of LISETT. The research question was whether the LISETT scores show progressive improvement correlating with the level of surgical training and laparoscopic team experience or not. With LISETT, two surgeons are required to work closely to perform two laparoscopic tasks: peg transportation and suturing. A total of 44 surgical dyad teams were recruited, composed of medical students, residents, laparoscopic fellows, and experienced surgeons. The LISETT scores were calculated according to the speed and accuracy of the movements. The LISETT scores were positively correlated with surgical experience, and the results can be generalized confidently to surgical teams (Pearson’s coefficient, 0.73; p = 0.001). To analyze the influences of individual skill and team dynamics on LISETT performance, team quality was rated by team members using communication and cooperation characters after each practice. The LISETT scores are positively correlated with self-rated team quality scores (Pearson’s coefficient, 0.39; p = 0.008). The findings proved LISETT to be a valid system for assessing cooperative skills of a surgical team. By increasing practice time, LISETT provides an opportunity to build surgical team skills, which include effective communication and cooperation. |
| Databáze: | OpenAIRE |
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