Laparoscopic simulation training: Testing for skill acquisition and retention

Bonrath, Esther M.; Weber, Barbara K.; Fritz, Mathias; Mees, Soeren Torge; Wolters, Heiner; Senninger, N.; Rijcken, Emile

doi:10.1016/j.surg.2011.12.036

Cited by 61 publications

(39 citation statements)

References 40 publications

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“…Such challenges are important for more complex skills such as laparoscopy18 20, 36. Existing training strategies including motivation, feedback techniques and redistributed practice opportunities have modest effect sizes10 37, 38.…”

Section: Discussionmentioning

confidence: 99%

“…The Fundamentals of Laparoscopic Surgery (FLS) programme uses SBTT to teach laparoscopic skills14, and performance speed and accuracy may be associated with intraoperative performance15 16. Complex motor skills such as precision cutting and single‐incision laparoscopy are difficult to acquire and also prone to decay17, 18, 19, 20. Improved strategies to optimize the efficiency and effectiveness of complex surgical skill training models are required.…”

Section: Introductionmentioning

confidence: 99%

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Effects of transcranial direct-current stimulation on laparoscopic surgical skill acquisition

et al. 2018

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BackgroundChanges in medical education may limit opportunities for trainees to gain proficiency in surgical skills. Transcranial direct‐current stimulation (tDCS) can augment motor skill learning and may enhance surgical procedural skill acquisition. The aim of this study was to determine the effects of tDCS on simulation‐based laparoscopic surgical skill acquisition.MethodsIn this double‐blind, sham‐controlled randomized trial, participants were randomized to receive 20 min of anodal tDCS or sham stimulation over the dominant primary motor cortex, concurrent with Fundamentals of Laparoscopic Surgery simulation‐based training. Primary outcomes of laparoscopic pattern‐cutting and peg transfer tasks were scored at baseline, during repeated performance over 1 h, and again at 6 weeks. Intent‐to‐treat analysis examined the effects of treatment group on skill acquisition and retention.ResultsOf 40 participants, those receiving tDCS achieved higher mean(s.d.) final pattern‐cutting scores than participants in the sham group (207·6(30·0) versus 186·0(32·7) respectively; P = 0·022). Scores were unchanged at 6 weeks. Effects on peg transfer scores were not significantly different (210·2(23·5) in the tDCS group versus 201·7(18·1) in the sham group; P = 0·111); the proportion achieving predetermined proficiency levels was higher for tDCS than for sham stimulation. Procedures were well tolerated with no serious adverse events and no decreases in motor measures.ConclusionThe addition of tDCS to laparoscopic surgical training may enhance skill acquisition. Trials of additional skills and translation to non‐simulated performance are required to determine the potential value in medical education and impact on patient outcomes. Registration number: NCT02756052 (https://clinicaltrials.gov/).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of transcranial direct-current stimulation on laparoscopic surgical skill acquisition

et al. 2018

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“…Subjects were categorized by training year (1)(2)(3)(4)(5), with those currently taking time off for research after completing 3 years categorized as fourth-year residents. Urology, cardiothoracic surgery, vascular surgery, as well as civilian preliminary and military preliminary residents were included, as their training before the date of the study had been identical to categorical general surgery residents.…”

Section: Methodsmentioning

confidence: 99%

“…1 Simulation allows for directed practice with immediate feedback, resulting in improved technical performance 1,2 and long-term skills retention. [3][4][5][6][7] The availability and complexity of surgical simulators are expanding to provide trainees with operative experience while adhering to standards for patient safety. Simulators for open surgery are complicated and costly.…”

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confidence: 99%

Randomized controlled trial comparing dynamic simulation with static simulation in trauma

Carden

Salcedo

Leshikar

et al. 2016

Journal of Trauma and Acute Care Surgery

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“…1 The evidence of specific patterns of deterioration of clinical skills after absences from the workplace is thin, and not directly applicable to primary care. 2 Practitioners vary both in their baseline clinical knowledge, and in the rate of deterioration during their time away.…”

Section: Doi: 103399/bjgp13x662984mentioning

confidence: 99%