Title
Laparoscopy training in surgical education : the utility of incorporating a structured preclinical laparoscopy course into the traditional apprenticeship methodLaparoscopy training in surgical education : the utility of incorporating a structured preclinical laparoscopy course into the traditional apprenticeship method
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Research group
Translational Neurosciences (TNW)
Urologie
Publication type
article
Publication
Philadelphia, Pa,
Subject
Educational sciences
Human medicine
Source (journal)
Journal of surgical education. - Philadelphia, Pa
Volume/pages
70(2013):5, p. 596-605
ISSN
1931-7204
1931-7204
ISI
000324784400008
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
OBJECTIVE: To investigate whether preclinical laparoscopy training offers a benefit over standard apprenticeship training and apprenticeship training in combination with simulation training. DESIGN: This randomized controlled trial consisted of 3 groups of first-year surgical registrars receiving a different teaching method in laparoscopic surgery. SETTING: The KU LEUVEN Faculty of Medicine is the largest medical faculty in Belgium. PARTICIPANTS: Thirty final-year medical students starting a general surgical career in the next academic year. METHODS: Thirty final-year medical students were randomized into 3 groups, which differed in the way they were exposed to laparoscopic simulation training but were comparable in regard to ambidexterity, sex, age, and laparoscopic psychomotoric skills. The control group received only clinical training during surgical residentship, whereas the interval group received clinical training in combination with simulation training. The registrars were allowed to do deliberate practice. The Centre for Surgical Technologies Preclinical Training Programme (CST PTP) group received a preclinical simulation course during the final year as medical students, but was not exposed to any extra simulation training during surgical residentship. At the beginning of surgical residentship and 6 months later, all subjects performed a standardized suturing task and a laparoscopic cholecystectomy in a POP Trainer. All procedures were recorded together with time and motion tracking parameters. All videos were scored by a blinded observer using global rating scales. RESULTS: At baseline the 3 groups were comparable. At 6 months, for suturing, the CST PTP group was better than both the other groups with respect to time, checklist, and amount of movements. The interval group was better than the control group on only the time and checklist score. For the cholecystectomy evaluation, there was a statistical difference between the CST PTP study group and both other groups on all evaluation scales in favor of the CST PTP group. CONCLUSIONS: Structured, preclinical proficiency-based training is better than clinical training combined with laboratory training or clinical training alone. ((c) 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
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