Gynecology resident laparoscopy training: present and future

Shore, Eliane M.; Lefebvre, Guylaine; Grantcharov, Teodor P.

doi:10.1016/j.ajog.2014.07.039

Cited by 28 publications

(17 citation statements)

References 30 publications

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“…(16,17) In Latin America, including Brazil, there is no teaching model for laparoscopic skills, or of validated tools for its evaluation. As a result, we believe that skill and expertise may vary among residents, depending on the type and number of cases they assisted.…”

Section: Introductionmentioning

confidence: 99%

Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program

Fernandes

Ruano

Kati

et al. 2016

Einstein (São Paulo)

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Objective To evaluate laparoscopic skills of third-year Gynecology and Obstetrics residents after training at a training and surgical experimentation center.Methods Use of a prospective questionnaire analyzing demographic data, medical residency, skills, competences, and training in a box trainer and in pigs.Results After the training, there was significant improvement in laparoscopic skills according to the residents (before 1.3/after 2.7; p=0.000) and preceptors (before 2.1/after 4.8; p=0.000). There was also significant improvement in the feeling of competence in surgeries with level 1 and 2 of difficulty. All residents approved the training.Conclusion The training was distributed into 12 hours in the box trainer and 20 hours in animals, and led to better laparoscopic skills and a feeling of more surgical competence in laparoscopic surgery levels 1 and 2.

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Section: Introductionmentioning

confidence: 99%

Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program

Fernandes

Ruano

Kati

et al. 2016

Einstein (São Paulo)

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“…Sixty experts identified in a previous study 20 volunteered to participate in the curriculum Delphi. Experts were either program directors or delegates from North American obstetrics and gynecology residency programs (54 US and 6 Canadian).…”

Section: Participant Selection For the Delphi Consensusmentioning

confidence: 99%

“…20 Five reminders were sent out at 1-week intervals. Data collection stopped 42 days after the original invitation.…”

Section: Survey Administrationmentioning

confidence: 99%

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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“…As Gupta et al 1 point out, many believe that the main limitation is the limit on resident duty hours. 2,3 However, these changes are here to stay, not only for the benefit of the residents, but for patient safety as well. Therefore, the main challenge and objective for residency programs is maximizing the quality of learning during the hours available.…”

mentioning

confidence: 99%

“…The system relied on for teaching in the clinical setting, the use of lectures to communicate knowledge, and an apprenticeship model for teaching surgical skills are obsolete. 3,4 Residency programs need to implement learning curricula that promote acquisition of structured and progressive knowledge, paired with faculty and resident skill development and self-motivation. Implementation requires both faculty and residents to be engaged, together with a supportive environment where repetition and problem solving guides discussions in clinics and in the classroom.…”

mentioning

confidence: 99%

Interactive Learning as a Solution to Decreasing Surgical Exposure

Medina

2016

Journal of Graduate Medical Education

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Gynecology resident laparoscopy training: present and future

Cited by 28 publications

References 30 publications

Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program

Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program

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

Interactive Learning as a Solution to Decreasing Surgical Exposure

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