Implementation of a Cross-specialty Training Program in Basic Laparoscopy

Bjerrum, Flemming; Sørensen, Jette Led; Thinggaard, Jette; Strandbygaard, Jeanett; Konge, Lars

doi:10.4293/jsls.2015.00059

Cited by 18 publications

(14 citation statements)

References 24 publications

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“…In the same study, the authors emphasize that residents from more than one surgical specialty might train in the same laboratory. However, a cross-specialty training program is also feasible and has proved validity[33-35]. Benefits of this arrangement for a training program comprise more frequent disposal of courses and a more effective use of training resources.…”

Section: Animal and Cadaver Model Laboratorymentioning

confidence: 99%

Impact of laparoscopic surgery training laboratory on surgeon's performance

Torricelli¹,

Barbosa²,

Marchini³

2016

WJGS

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Minimally invasive surgery has been replacing the open standard technique in several procedures. Similar or even better postoperative outcomes have been described in laparoscopic or robot-assisted procedures when compared to open surgery. Moreover, minimally invasive surgery has been providing less postoperative pain, shorter hospitalization, and thus a faster return to daily activities. However, the learning curve required to obtain laparoscopic expertise has been a barrier in laparoscopic spreading. Laparoscopic surgery training laboratory has been developed to aid surgeons to overcome the challenging learning curve. It may include tutorials, inanimate model skills training (box models and virtual reality simulators), animal laboratory, and operating room observation. Several different laparoscopic courses are available with specific characteristics and goals. Herein, we aim to describe the activities performed in a dry and animal-model training laboratory and to evaluate the impact of different kinds of laparoscopic surgery training courses on surgeon’s performance. Several tasks are performed in dry and animal laboratory to reproduce a real surgery. A short period of training can improve laparoscopic surgical skills, although most of times it is not enough to confer laparoscopic expertise for participants. Nevertheless, this short period of training is able to increase the laparoscopic practice of surgeons in their communities. Full laparoscopic training in medical residence or fellowship programs is the best way of stimulating laparoscopic dissemination.

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Section: Animal and Cadaver Model Laboratorymentioning

confidence: 99%

Impact of laparoscopic surgery training laboratory on surgeon's performance

Torricelli¹,

Barbosa²,

Marchini³

2016

WJGS

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“…An effective training program that keeps residents motivated requires relevant curriculum content, personnel, and resources for optimal flexible training strategies. [17] Lectures on laparoscopic surgeries are given during revision courses in surgery. We suggest that a dedicated short-term hands-on training of residents as currently done in basic surgical skills should be incorporated into the training curriculum of residents to further enhance their understanding of the core concepts of laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Survey of basic laparoscopic training exposure of Nigerian postgraduate trainees

et al. 2019

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Background:The practice of laparoscopy involves the use of training models that are different from conventional open surgery. These concepts are not captured in the traditional models of surgical residency training. Residency training in surgery has been seen as an ample opportunity for early introduction and training in laparoscopy.Objectives:This study aimed to assess the level of exposure and training experience of some surgical resident doctors in accredited training institutions in Nigeria on laparoscopy.Methodology:A cross-sectional survey was conducted among the resident doctors undergoing revision course in surgery at the National Orthopaedic Hospital, Igbobi, Lagos, and Lagos University Teaching Hospital, Lagos, in March 2018. Using the quantitative method of data collection, a pre-tested structured questionnaire was used to collect information on the demography and training exposure of the residents in laparoscopy.Results:A total of 54 of 96 residents surveyed returned the questionnaire, giving a response rate of 56%. There were 53 (98.1%) males and 1 (1.9%) female. The age range of the respondents was between 30 and 46 years, with a mean of 34.2 ± 3.96 years. Thirty-two (59.3%) respondents had spent at least 2 years training in surgery. Thirty-six (66.7%) respondents had not participated in more than four laparoscopic procedures during their rotation. Forty-six percent of respondents reported that their experience in laparoscopy was mainly by observation of the procedures. Forty-nine (90.7%) of respondents surveyed had not attended any training program in laparoscopy. Eighty-one (81.0%) of respondents had a strong motivation and desire for future practice of laparoscopy.Conclusion:This study revealed that few Nigerian postgraduate trainees sampled in the survey were exposed and had training experience in laparoscopy.

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“…These include entry approaches, lack of depth perception with 2D image and instruments with limited mobility (except in robotic operations) (24). Although laparoscopic adrenalectomies are uncommon, cross-specialty program can be implemented by training with the more common types of other laparoscopic procedures (25). Robotic adrenalectomy is performed in some institutions, but the benefit is small and the cost is high (26,27).…”

Section: Endoscopic Procedures and Surgical Simulationmentioning

confidence: 99%

Challenges of training in adrenal surgery

Gimm¹,

Duh²

2019

Gland Surg

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While adrenal tumors are common, adrenalectomy is rather uncommon. This is one reason for the many challenges regarding the training of adrenal surgery. Here we focus on issues that are most pertinent regarding training of the young surgeons performing adrenalectomy. Due to the very limited literature, what is presented is mainly based on personal experience and/or from the literature published for other surgical operations and subspecialties. The discussed challenges include indications for surgery, surgical approaches and extent, and intraoperative complications. With advances in adrenal surgery, we expect some old challenges to be resolved, and some new challenges to arise. These challenges will be faced in order to continue to help our younger trainee acquire the knowledge and skills to best care for our patients with adrenal diseases.

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Implementation of a Cross-specialty Training Program in Basic Laparoscopy

Cited by 18 publications

References 24 publications

Impact of laparoscopic surgery training laboratory on surgeon's performance

Impact of laparoscopic surgery training laboratory on surgeon's performance

Survey of basic laparoscopic training exposure of Nigerian postgraduate trainees

Challenges of training in adrenal surgery

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