Gynaecological laparoscopy courses in the United Arab Emirates

Abstract

Background: Laparoscopic surgery is important for gynaecological practice and became the method of choice for many gynaecological procedures having advantages over open surgery. Objective: To report our modified teaching methods, and evaluation of the gynaecological laparoscopy courses in United Arab Emirates. Methods: Fifty five participants attended four 3-full day comprehensive hands-on gynaecological laparoscopic skills courses. Non-expensive dry/wet models have been developed for teaching. All participants were evaluated at the end of the course through MCQs and practical laparoscopic exercises. All participants filled out a questionnaire reflecting their opinion on various aspects of the course at its completion. Ethical approval has been received by Research and Ethics Committee of Al Ain Medical District, Al-Ain, UAE. Results: Fourteen participants had no laparoscopic experience, 35 had experience at level I and six had experience at level II. There was a statistically significant difference of the MCQ mark between the three levels of experience (p = 0.05, Kruskal Wallis test) but not for the practical part, p = 0.9, Kruskal Wallis test). The courses were highly valued having an overall average rating of 3.8 out of 4. Conclusions: A multimodality non expensive course for teaching gynaecological laparoscopy was highly successful in United Arab Emirates. Models used may be useful for training gynaecological laparoscopy in developing countries. The long term effects of our courses on clinical practice have yet to be evaluated.

Comparison Objective Structured Assessment of Camera Navigation Skills Score—Pre- and Post-training Intervention

“…10 Peyton's four-step approach is becoming more prevalent in medical education. Peyton's four-step approach consists of the following four clearly defined instructional steps: (1) The teacher demonstrates the skill at his normal pace without any comments ("Demonstration"); (2) The teacher repeats the procedure, this time describing all necessary substeps ("Deconstruction"); (3) The student has to explain each substep while the teacher follows the student's instructions ("Comprehension"); (4) The student performs the complete skill on his own ("Performance"). This Peyton's fourstep approach explained contradictive result of low knowledge level but there was increase of camera navigation skill after training used pelvic box in this study.…”

“…Laparoscopy technique needs specific skills rather than open laparotomy: camera navigation, orientation and depth of object in two dimension, hand-eye coordination, and good tissue handling. 1,2 Curriculum guidance for Obstetrics and Gynecology residents emphasize that all off the members must be proficient to a number of laparoscopic procedures. But in other situation, they faced problems of teaching hospital condition related to restrict of services in the operating theater due to efficiency of hospital budget, decrease medical error based on hospital accreditation programs, and also related to ethical issue due to direct training to the patient.…”

Editorial: Nodding syndrome, infections and sexuality

“…Kassaye et al 26 report results of their evaluation of amoxicillin capsules, while Siziya reminds us about correlates of diarrhea; 27 followed by 'sonographic biometry' of the spleen. 28 Sexuality: 'Gynaecological laparoscopy courses 29 ; effects and satisfaction following colposcopy for cervical biopsy' 30 , introduce us to the sexuality issue of this treatise. Others include condom use at sexual debut 31 , contraception among male soldiers 32 , and cost effectiveness of facility and home based HIV voluntary counseling and testing in Uganda.…”

Establishment of a urogynecology cadaver-based hands-on workshop

“…Mannequins and training boxes are used to train surgeons of different specialties in performing new surgical skills 3 , 4 . Cadaver models are ideal and close to real life for urogynecology and urology training.…”