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01-01-2018

Characteristics predicting laparoscopic skill in medical students: nine years’ experience in a single center

Authors: Tsutomu Nomura, Takeshi Matsutani, Nobutoshi Hagiwara, Itsuo Fujita, Yoshiharu Nakamura, Yoshikazu Kanazawa, Hiroshi Makino, Yasuhiro Mamada, Terumichi Fujikura, Masao Miyashita, Eiji Uchida

Published in: Surgical Endoscopy | Issue 1/2018

Abstract

Introduction

We introduced laparoscopic simulator training for medical students in 2007. This study was designed to identify factors that predict the laparoscopic skill of medical students, to identify intergenerational differences in abilities, and to estimate the variability of results in each training group. Our ultimate goal was to determine the optimal educational program for teaching laparoscopic surgery to medical students.

Methods

Between 2007 and 2015, a total of 270 fifth-year medical students were enrolled in this observational study. Before training, the participants were asked questions about their interest in laparoscopic surgery, experience with playing video games, confidence about driving, and manual dexterity. After the training, aspects of their competence (execution time, instrument path length, and economy of instrument movement) were assessed.

Results

Multiple regression analysis identified significant effects of manual dexterity, gender, and confidence about driving on the results of the training. The training results have significantly improved over recent years. The variability among the results in each training group was relatively small.

Conclusions

We identified the characteristics of medical students with excellent laparoscopic skills. We observed educational benefits from interactions between medical students within each training group. Our study suggests that selection and grouping are important to the success of modern programs designed to train medical students in laparoscopic surgery.

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Title: Characteristics predicting laparoscopic skill in medical students: nine years’ experience in a single center
Authors: Tsutomu Nomura
Takeshi Matsutani
Nobutoshi Hagiwara
Itsuo Fujita
Yoshiharu Nakamura
Yoshikazu Kanazawa
Hiroshi Makino
Yasuhiro Mamada
Terumichi Fujikura
Masao Miyashita
Eiji Uchida
Publication date: 01-01-2018
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 1/2018
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-017-5643-5

At a glance: The STEP trials

Springer Medicine

Characteristics predicting laparoscopic skill in medical students: nine years’ experience in a single center

Abstract

Introduction

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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