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Surgical Endoscopy
Published in: Surgical Endoscopy 11/2016

01-11-2016 | Review

Off-site training of laparoscopic skills, a scoping review using a thematic analysis

Authors: Ebbe Thinggaard, Jakob Kleif, Flemming Bjerrum, Jeanett Strandbygaard, Ismail Gögenur, E. Matthew Ritter, Lars Konge

Published in: Surgical Endoscopy | Issue 11/2016

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Abstract

Background

The focus of research in simulation-based laparoscopic training has changed from examining whether simulation training works to examining how best to implement it. In laparoscopic skills training, portable and affordable box trainers allow for off-site training. Training outside simulation centers and hospitals can increase access to training, but also poses new challenges to implementation. This review aims to guide implementation of off-site training of laparoscopic skills by critically reviewing the existing literature.

Methods

An iterative systematic search was carried out in MEDLINE, EMBASE, ERIC, Scopus, and PsychINFO, following a scoping review methodology. The included literature was analyzed iteratively using a thematic analysis approach. The study was reported in accordance with the STructured apprOach to the Reporting In healthcare education of Evidence Synthesis statement.

Results

From the search, 22 records were identified and included for analysis. A thematic analysis revealed the themes: access to training, protected training time, distribution of training, goal setting and testing, task design, and unsupervised training. The identified themes were based on learning theories including proficiency-based learning, deliberate practice, and self-regulated learning.

Conclusions

Methods of instructional design vary widely in off-site training of laparoscopic skills. Implementation can be facilitated by organizing courses and training curricula following sound education theories such as proficiency-based learning and deliberate practice. Directed self-regulated learning has the potential to improve off-site laparoscopic skills training; however, further studies are needed to demonstrate the effect of this type of instructional design.
Appendix
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Metadata
Title
Off-site training of laparoscopic skills, a scoping review using a thematic analysis
Authors
Ebbe Thinggaard
Jakob Kleif
Flemming Bjerrum
Jeanett Strandbygaard
Ismail Gögenur
E. Matthew Ritter
Lars Konge
Publication date
01-11-2016
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 11/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-016-4834-9

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