Mandatory completion of a box trainer curriculum prior to laparoscopic apprenticeship in the OR for surgical residents: A Before and After study

Crochet, Patrice; Schmitt, Andy; Rambeaud, C.; Estrade, J.-P.; Karsenty, G.; Torre, Aurélien de la; Agostini, Aubert

doi:10.1016/j.jogoh.2018.01.002

Cited by 9 publications

(15 citation statements)

References 21 publications

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“…In truth, several studies now show how simulation can help not only to acquire technical skills but also to improve the perception of one’s own abilities in that specific task [9, 10, 22]. Several authors even consider mandatory the use of simulation before starting rotation in surgical room [23].…”

Section: Discussionmentioning

confidence: 99%

“…However, in literature, skills acquired by simulation-based training are transferable to the operative setting [23–25]. The lack of direct access to the operating room by all the specialists limits an adequate training and simulation could help us in this as pointed out by some authors [23–25]. For this reason, we have routinely introduced simulation in our programs.…”

Section: Discussionmentioning

confidence: 99%

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Simulation as tool for evaluating and improving technical skills in laparoscopic gynecological surgery

et al. 2019

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Background Simulation in laparoscopic surgery is nowadays recognized as a valid instrument for learning and training surgeons in different procedures. However, its role as evaluation test and self-assessment tool to verify basic surgical skills is still under discussion. Methods Thirty-three residents in obstetrics and gynecology at University of Pisa, Italy were recruited, and they received a simulation program consisting of 5 tasks. They had to perform basic laparoscopic surgery maneuvers as creating pneumoperitoneum, positioning trocars under vision, demonstrating the appropriate use of dominant and non-dominant hand and making single stitch and knot. They were evaluated with a modified OSATs scale. Results Senior trainees had better score than junior trainees (p value< 0,005) and after different sessions of simulation scores of both groups significantly improved (p < 0,001), especially for the junior group. All the trainees reported self-assessments that matched with the evaluation of external observers demonstrating the importance of simulation also as auto-evaluation test. Conclusions In this study, we demonstrated the role of simulation as powerful tool to evaluate and to self-assess surgical technical skills and to improve own capacities, with the use of a modified OSATs scale adapted to specific exercises.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Simulation as tool for evaluating and improving technical skills in laparoscopic gynecological surgery

et al. 2019

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“…All participants in our study achieved a score above the threshold set to progress to surgery in a live dog. Training programs in human and veterinary laparoscopy tend to involve repetitive, self‐directed, or guided practice over several weeks 3,22,30,43,44 . This format reflects evidence that laparoscopic performance improves progressively with practice and that ample, deliberate practice is required to reach expertise 3,45 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a laparoscopic abdominal simulator assessment to test readiness for laparoscopic ovariectomy in live dogs

French¹,

Griffon

Kass

et al. 2021

Veterinary Surgery

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Objective: To predict readiness for laparoscopic ovariectomy of live dogs on the basis of performance on a high-fidelity laparoscopic abdominal simulator and to determine interrater reliability of the assessment.Study design: Experimental study. Sample population: Seventeen fourth-year veterinary students.Methods: After a standardized laparoscopic training course, each participant performed a laparoscopic ovariectomy with a simulator. This performance was scored in real time by two evaluators using a rubric. Participants achieving a score of 112 of 160 performed a laparoscopic ovariectomy in a live dog, supervised by an instructor in the room. Two evaluators scored video recordings of each procedure using the rubric. Participants' opinions about the simulator were collected with a survey.Results: All participants scored above the threshold (range, 126-151) and successfully completed laparoscopic ovariectomy in a live dog, with an average of 10 of 17 participants requiring verbal guidance and 5 of 17 participants requiring intervention from the instructor. Interrater concordance was excellent for the rubrics used to score performance on the simulator (R = 0.91) and in vivo (R = 0.81). All participants agreed that the simulator should be used to assess trainee readiness prior to surgery in a live dog. Conclusion:Participants achieving a score of at least 126 of 160 on the simulator were able to perform a laparoscopic ovariectomy in a live dog under supervision. The scoring system for the simulator had excellent interrater concordance. Clinical significance: This simulator and scoring system can be used in laparoscopic training programs to assess readiness for progression to the operative setting.

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“…One observational study showed an improvement in GOALS scores for surgical trainees who used a box trainer in conjunction with a structured curriculum versus those who used a box trainer without a structured curriculum. 17 In the context of other (non-box trainer) laparoscopic simulators, there is evidence that feedback given at the end of a task can improve task performance. 18,19 There does not appear to be any significant difference between feedback given by peers versus experts on a newly taught basic technical task.…”

Section: Discussionmentioning

confidence: 99%

Impact of formal tuition, supervised practice and feedback on the acquisition of basic laparoscopic skills by novices using a box trainer

Lyons¹,

Brown²,

Ip³

2021

J Surg Simul

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Background and Aim: Laparoscopic box trainers are valuable in the teaching of basic laparoscopic skills. This study aims to define the impact of formal tuition, supervised practice and feedback on the acquisition of basic laparoscopic skills on a box trainer by novice. Methods: All medical undergraduate attendees of a conference were invited to participate. Participants with previous experience on laparoscopic simulators were excluded. Twenty-eight were randomized to the control group (self-directed learning/practice), 23 to the intervention group (formal tuition/supervised practice/feedback). Baseline and post-intervention performance were assessed using the Global Operative Assessment of Laparoscopic Skills (GOALS) score by blinded assessors. Results: Both groups showed an overall increase in GOALS score after exposure to the box trainer: control group, 7.79 (SD, 2.23) pre-intervention versus 8.25 (SD 3.04) postintervention; intervention group: 8.43 (SD 2.13) pre-intervention versus 9.35 (SD 2.42) post-intervention (P=0.52). The intervention group showed a greater overall increase in GOALS score compared with the control group, but this was not statistically significant (control mean improvement, + 0.46 [SD 4.08] versus intervention mean improvement + 0.91 [SD 3.84]; P=0.66). A lower performance in depth perception was reported for the control group (mean, À0.07). Conclusions: Box trainers are effective in assisting novices to acquire basic laparoscopic skills. Expert tuition, supervised practice and feedback appear to have an additional positive effect.

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Mandatory completion of a box trainer curriculum prior to laparoscopic apprenticeship in the OR for surgical residents: A Before and After study

Cited by 9 publications

References 21 publications

Simulation as tool for evaluating and improving technical skills in laparoscopic gynecological surgery

Simulation as tool for evaluating and improving technical skills in laparoscopic gynecological surgery

Evaluation of a laparoscopic abdominal simulator assessment to test readiness for laparoscopic ovariectomy in live dogs

Impact of formal tuition, supervised practice and feedback on the acquisition of basic laparoscopic skills by novices using a box trainer

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