A Retrospective Study Evaluating the Impact of Formal Laparoscopic Training on Patient Outcomes in a Residency Program

Designing a Standardized Laparoscopy Curriculum for Gynecology Residents: A Delphi Approach

“…11 The curriculum includes cognitive, technical, and nontechnical skills elements, aligning with Zevin's principles of comprehensive curricula design. 3,6,7,[13][14][15] North American obstetrics and gynecology programs lack a standardized laparoscopy curriculum for residents, despite multiple publications describing its necessity. 7,9,19,21,22 The curricula in most programs may lack aspects of comprehensive curriculum design because they were developed at a local level.…”

Gynecology resident laparoscopy training: present and future

“…2,8,12,14,19,21 Most residency programs rely significantly on operating room mentorship for surgical education, which is both time-consuming and potentially problematic in an era of decreased resources and increased awareness of patient safety. 8,9,12,19 This problem has been described over the last decade, but the field of gynecology has not addressed this concern. 3,9 In our survey, we found a majority of programs lacked any type of assessment (knowledge assessment, 94%, n ¼ 127; and skills assessment, 91%, n ¼ 123) prior to performing surgery on patients in the operating room.…”

“…8,9,12,19 This problem has been described over the last decade, but the field of gynecology has not addressed this concern. 3,9 In our survey, we found a majority of programs lacked any type of assessment (knowledge assessment, 94%, n ¼ 127; and skills assessment, 91%, n ¼ 123) prior to performing surgery on patients in the operating room. Despite this, program directors stated that their residents were well trained to perform basic (n ¼ 135, tubal ligation, ovarian cystectomy, salpingo-oophorectomy) and advanced (n ¼ 119, laparoscopic hysterectomy, laparoscopic myomectomy) laparoscopic procedures independently.…”

“…[1][2][3][4] Minimally invasive surgery involves less surgical trauma, shorter hospital stay, decreased postoperative pain, and faster recovery. 1,[4][5][6][7][8][9][10] The skill set required for laparoscopy requires a significant training effect to ensure safe outcomes. [1][2][3][4]10,11 The traditional apprenticeship model of surgical teaching in the operating room is no longer appropriate.…”

“…[1][2][3][4]10,11 The traditional apprenticeship model of surgical teaching in the operating room is no longer appropriate. [1][2][3]9,10,12 The early phase of the laparoscopy learning curve can be achieved in a simulation environment allowing for teaching and practice in a safe, systematic, and logical fashion. 3,12 Although laparoscopy has become a standard of surgical care, 1 there is a discrepancy between what is taught and what is expected of graduating gynecologists 2,3,13-15 who lack the confidence to perform laparoscopic surgery independently and consider insufficient training to be a significant barrier.…”