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Published in: Gynecological Surgery 1/2018

Open Access 01-12-2018 | Original article

Cadaveric surgery in core gynaecology training: a feasibility study

Authors: Chou Phay Lim, Mark Roberts, Tony Chalhoub, Jason Waugh, Laura Delgaty

Published in: Gynecological Surgery | Issue 1/2018

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Abstract

Background

Fresh frozen cadaver training has been proposed as a better model than virtual reality simulators in laparoscopy training. We aimed to explore the relationship between cadaveric surgical training and increased surgical confidence.
To determine feasibility, we devised two 1-day cadaveric surgical training days targeted at trainees in obstetrics and gynaecology. Seven defined surgical skills were covered during the course of the day. The relationship between surgical training and surgical confidence was explored using both quantitative (confidence scores) and qualitative tools (questionnaires).

Results

Participants rated a consistent improvement in their level of confidence after the training. They universally found the experience positive and three overarching themes emerged from the qualitative analysis including self-concept, social persuasion and stability of task.

Conclusions

It is pragmatically feasible to provide procedure-specific cadaveric surgical training alongside supervised clinical training. This small, non-generalisable study suggests that cadaveric training may contribute to an increase in surgical self-confidence and efficacy. This will form the basis of a larger study and needs to be explored in more depth with a larger population.
Literature
5.
go back to reference Garvin JT, McLaughlin R, Kerin MJ (2008) A pilot project of European working time directive compliant rosters in a university teaching hospital. Surgeon 6(2):88–93CrossRefPubMed Garvin JT, McLaughlin R, Kerin MJ (2008) A pilot project of European working time directive compliant rosters in a university teaching hospital. Surgeon 6(2):88–93CrossRefPubMed
6.
go back to reference Reid PC, Mukri S (2005) Trends in number of hysterectomies performed in England for menorrhagia: examination of health episode statistics, 1989 to 2002-3. BMJ 330(7497):938–939CrossRefPubMedPubMedCentral Reid PC, Mukri S (2005) Trends in number of hysterectomies performed in England for menorrhagia: examination of health episode statistics, 1989 to 2002-3. BMJ 330(7497):938–939CrossRefPubMedPubMedCentral
10.
go back to reference Sutherland LM, Middleton PF, Anthony A, Hamdorf J, Cregan P, Scott D, Maddern GJ (2006) Surgical simulation: a systematic review. Ann Surg 243(3):291–300CrossRefPubMedPubMedCentral Sutherland LM, Middleton PF, Anthony A, Hamdorf J, Cregan P, Scott D, Maddern GJ (2006) Surgical simulation: a systematic review. Ann Surg 243(3):291–300CrossRefPubMedPubMedCentral
11.
12.
go back to reference Sharma M, Horgan A (2012) Comparison of fresh-frozen cadaver and high-fidelity virtual reality simulator as methods of laparoscopic training. World J Surg 36(8):1732–1737CrossRefPubMed Sharma M, Horgan A (2012) Comparison of fresh-frozen cadaver and high-fidelity virtual reality simulator as methods of laparoscopic training. World J Surg 36(8):1732–1737CrossRefPubMed
13.
go back to reference Gilbody J, Prasthofer AW, Ho K, Costa ML (2011) The use and effectiveness of cadaveric workshops in higher surgical training: a systematic review. Ann R Coll Surg Engl 93(5):347–352CrossRefPubMedPubMedCentral Gilbody J, Prasthofer AW, Ho K, Costa ML (2011) The use and effectiveness of cadaveric workshops in higher surgical training: a systematic review. Ann R Coll Surg Engl 93(5):347–352CrossRefPubMedPubMedCentral
14.
go back to reference Holland JP, Waugh L, Horgan A, Paleri V, Deehan DJ (2011) Cadaveric hands-on training for surgical specialties: is this back to the future for surgical skills development? J Surg Educ 68(2):110–116CrossRefPubMed Holland JP, Waugh L, Horgan A, Paleri V, Deehan DJ (2011) Cadaveric hands-on training for surgical specialties: is this back to the future for surgical skills development? J Surg Educ 68(2):110–116CrossRefPubMed
15.
go back to reference Bandura A (1994) Self-efficacy. In: Ramachaudran VS (ed) Encyclopedia of human behaviour, vol 4. Academic, New York, pp 71–81 Bandura A (1994) Self-efficacy. In: Ramachaudran VS (ed) Encyclopedia of human behaviour, vol 4. Academic, New York, pp 71–81
16.
go back to reference Geoffrion R, Lee T, Singer J (2013) Validatiing a self-confidence scale for surgical trainees. J Obstet Gynaecol 35:355–361 Geoffrion R, Lee T, Singer J (2013) Validatiing a self-confidence scale for surgical trainees. J Obstet Gynaecol 35:355–361
19.
go back to reference Clanton J, Gardner A, Cheung M, Mellert L, Evancho-Chapman M, George RL (2014) The relationship between confidence and competence in the development of surgical skills. J Surg Educ 71(3):405–412CrossRefPubMed Clanton J, Gardner A, Cheung M, Mellert L, Evancho-Chapman M, George RL (2014) The relationship between confidence and competence in the development of surgical skills. J Surg Educ 71(3):405–412CrossRefPubMed
23.
go back to reference Cohen L, Manion L, Morrison K (2011) Research methods in education, seventh ed. Routledge, New York Cohen L, Manion L, Morrison K (2011) Research methods in education, seventh ed. Routledge, New York
25.
go back to reference Suwanrath C, Samphao S, Prechawai C, Singha P (2016) Confidence in essential procedural skills of Thai medical graduates. Int J Clin Skills 10(1):6–10 Suwanrath C, Samphao S, Prechawai C, Singha P (2016) Confidence in essential procedural skills of Thai medical graduates. Int J Clin Skills 10(1):6–10
26.
go back to reference Hutton IA, Kenealy H, Wong C (2008) Using simulation models to teach junior doctors how to insert chest tubes: a brief and effecting teaching module. Intern Med J 38:887–891CrossRefPubMed Hutton IA, Kenealy H, Wong C (2008) Using simulation models to teach junior doctors how to insert chest tubes: a brief and effecting teaching module. Intern Med J 38:887–891CrossRefPubMed
27.
go back to reference SSS T, Sarker SK (2011) Simulation in surgery: a review. Scott Med J 56(2):104–109CrossRef SSS T, Sarker SK (2011) Simulation in surgery: a review. Scott Med J 56(2):104–109CrossRef
28.
go back to reference Nesbitt CI, Birdi N, Mafeld S, Stansby G (2016) The role of simulation in the development of endovascular surgical skills. Perspect Med Educ 5(1):8–14CrossRefPubMedPubMedCentral Nesbitt CI, Birdi N, Mafeld S, Stansby G (2016) The role of simulation in the development of endovascular surgical skills. Perspect Med Educ 5(1):8–14CrossRefPubMedPubMedCentral
29.
go back to reference Palter VN, Grantcharov TP (2012) Development and validation of a comprehensive curriculum to teach an advanced minimally invasive procedure: a randomized controlled trial. Ann Surg 256(1):25–32CrossRefPubMed Palter VN, Grantcharov TP (2012) Development and validation of a comprehensive curriculum to teach an advanced minimally invasive procedure: a randomized controlled trial. Ann Surg 256(1):25–32CrossRefPubMed
30.
go back to reference Ahmed K, Aydin A, Dasgupta P, Khan MS, McCabe JE (2015) A novel cadaveric simulation in urology. J Surg Educ 72(4):556–565CrossRefPubMed Ahmed K, Aydin A, Dasgupta P, Khan MS, McCabe JE (2015) A novel cadaveric simulation in urology. J Surg Educ 72(4):556–565CrossRefPubMed
Metadata
Title
Cadaveric surgery in core gynaecology training: a feasibility study
Authors
Chou Phay Lim
Mark Roberts
Tony Chalhoub
Jason Waugh
Laura Delgaty
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Gynecological Surgery / Issue 1/2018
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI
https://doi.org/10.1186/s10397-017-1034-0

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