A structured four‐step curriculum in basic laparoscopy: development and validation

Strandbygaard, Jeanett; Bjerrum, Flemming; Maagaard, Mathilde; Larsen, Claus; Ottesen, Bent; Sørensen, Jette Led

doi:10.1111/aogs.12330

Cited by 37 publications

(43 citation statements)

References 32 publications

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“…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. 3,13,15 Comprehensive national curricula designed for junior gynecology residents were described in Denmark and the United Kingdom, 9,18 yet neither included a nontechnical skills component.…”

Section: Discussionmentioning

confidence: 99%

“…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. 3,13,15 Comprehensive national curricula designed for junior gynecology residents were described in Denmark and the United Kingdom, 9,18 yet neither included a nontechnical skills component. Previous work has demonstrated that basic task training using VR simulators translates into improved performance in the operating room.…”

Section: Discussionmentioning

confidence: 99%

“…7 Traditional box trainers and virtual reality (VR) simulators allow novice trainees to progress along the steep part of the learning curve before entering the operating room. 1,4,8,9 Surgical bodies emphasize that training in laparoscopic surgery should take place in a simulated environment before the learner seeks experience in the operating room. 1 The value of simulators may be enhanced through achievable proficiency benchmarks.…”

Section: Introductionmentioning

confidence: 99%

“…3,4,[10][11][12] Comprehensive curriculum development is lacking despite the established value of simulators in surgical education. 2,3,7,9,13,14 Ideally, curriculum development should reflect practice patterns at diverse institutions, 3 and encompass cognitive knowledge, technical skills, and nontechnical skills. 3,[13][14][15] A North American surgical skills curriculum covering these areas was recently developed for surgical residents.…”

Section: Introductionmentioning

confidence: 99%

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

Shore¹,

Lefebvre²,

Husslein³

et al. 2015

Journal of Graduate Medical Education

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Background Evidence suggests that simulation leads to improved operative skill, shorter operating room time, and better patient outcomes. Currently, no standardized laparoscopy curriculum exists for gynecology residents. Objective To design a structured laparoscopy curriculum for gynecology residents using Delphi consensus methodology. Methods This study began with Delphi methodology to determine expert consensus on the components of a gynecology laparoscopic skills curriculum. We generated a list of cognitive content, technical skills, and nontechnical skills for training in laparoscopic surgery, and asked 39 experts in gynecologic education to rate the items on a Likert scale (1–5) for inclusion in the curriculum. Consensus was predefined as Cronbach α of ≥ 0.80. We then conducted another Delphi survey with 9 experienced users of laparoscopic virtual reality simulators to delineate relevant curricular tasks. Finally, a cross-sectional design defined benchmark scores for all identified tasks, with 10 experienced gynecologic surgeons performing the identified tasks at basic, intermediate, and advanced levels. Results Consensus (Cronbach α = 0.85) was achieved in the first round of the curriculum Delphi, and after 2 rounds (Cronbach α = 0.80) in the virtual reality curriculum Delphi. Consensus was reached for cognitive, technical, and nontechnical skills as well as for 6 virtual reality tasks. Median time and economy of movement scores defined benchmarks for all tasks. Conclusions This study used Delphi consensus to develop a comprehensive curriculum for teaching gynecologic laparoscopy. The curriculum conforms to current educational standards of proficiency-based training, and is suggested as a standard in residency programs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Shore¹,

Lefebvre²,

Husslein³

et al. 2015

Journal of Graduate Medical Education

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“…The simulation-based course in flexible bronchoscopy followed an evidence-based mastery learning with a distributed practice approach from a structured four-step model [14]. …”

Section: Methodsmentioning

confidence: 99%

Simulation-Based Mastery Learning of Flexible Bronchoscopy: Deciding Factors for Completion

et al. 2018

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Background: Several studies have shown the beneficial effects of mastery learning of a simulation-based course, but not all trainees complete it. Objectives: The purpose of this study was to find deciding factors for the completion of a simulation-based mastery learning course with distributive practice in flexible bronchoscopy. Methods: Seventy-seven trainees who signed up for the course were invited to a survey for deciding factors of completing the course. Sixty-two (81%) trainees answered the survey. Results: Male trainees were more likely to complete the course. The most important factor for completion was clinical relevance, and the most important factor for not completing the course was being “too busy.” Conclusion: Several deciding factors for completing the course were identified. Successful simulation-based mastery learning courses should be clinically relevant, and the trainees should be provided protected time to complete the training. The instructional design should also be adapted systematically for male and female trainees to achieve the necessary competencies.

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Randomized trial to examine procedure-to-procedure transfer in laparoscopic simulator training

Bjerrum¹,

Sørensen²,

Konge

et al. 2016

Journal of British Surgery

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A structured four‐step curriculum in basic laparoscopy: development and validation

Abstract: A four-step curriculum in basic laparoscopy is applicable in residency training. Protected training time correlated with increasing completion rate.

Cited by 37 publications

References 32 publications

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

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

Simulation-Based Mastery Learning of Flexible Bronchoscopy: Deciding Factors for Completion

Randomized trial to examine procedure-to-procedure transfer in laparoscopic simulator training

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