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Surgical Endoscopy
Published in: Surgical Endoscopy 7/2021

01-07-2021 | Splenectomy

The impact of intensive laparoscopic training course with structured assessment and immediate feedback on residents’ operative performance in animal lab

Authors: Iman Ghaderi, Tung Tran, Melissa Carton, Julia Samamé, Carlos Galvani

Published in: Surgical Endoscopy | Issue 7/2021

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Abstract

Introduction

The objective of this study was to examine the impact of an intensive laparoscopic training course incorporating structured assessment and immediate feedback on residents’ operative performance in animal lab.

Methods

Surgical residents participated in a 2-day intensive laparoscopic training course. They performed the same procedures on two consecutive days on live pigs. Junior residents (PGY1-2) performed laparoscopic cholecystectomy and incisional hernia repair and the senior residents (PGY3-5) performed laparoscopic Nissen fundoplication, splenectomy, and low anterior colon resection. Assessment tools with proven validity evidence (global and procedure-specific rating tools for operative assessment of laparoscopic skills) were used to assess their operative performance. Faculty assessment and self-assessments were completed immediately after each procedure on both days. The Wilcoxon rank test was used to examine the effect of training on resident performance after one repetition.

Results

Forty surgical residents (20 junior and 20 senior residents) participated. There was a significant improvement in general laparoscopic skills during incisional hernia repair and Nissen fundoplication using global rating scales (p < 0.05). Moreover, there was an improvement in their performance during cholecystectomy, incisional hernia repair, and low anterior colectomy when procedure-specific skills assessments were used (p < 0.05). There was a positive correlation between residents’ self-reported confidences and their operative performance

Conclusion

Trainees showed significant improvements in performance in general and procedure-specific laparoscopic skills in a wide range of procedures after an intensive training course. This study demonstrates the benefit of a structured training curriculum in improving operative performance in basic and advanced laparoscopic skills in a simulated environment. Future studies are needed to examine the duration of training required to achieve skill retention and competency.
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Metadata
Title
The impact of intensive laparoscopic training course with structured assessment and immediate feedback on residents’ operative performance in animal lab
Authors
Iman Ghaderi
Tung Tran
Melissa Carton
Julia Samamé
Carlos Galvani
Publication date
01-07-2021
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 7/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07778-z

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