Simulator training and non‐technical factors improve laparoscopic performance among <scp>OBGYN</scp> trainees

Ahlborg, Liv; Hedman, Leif; Nisell, Henry; Felländer‐Tsai, Li; Enochsson, Lars

doi:10.1111/aogs.12218

Cited by 33 publications

(44 citation statements)

References 32 publications

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“…The Begg test and Egger test were both significant (p = 0.014 and p = 0.006, respectively), indicating the possibility of publication bias. The most evident outliers were the studies by Nugent (left upper quadrant) and Ahlborg et al . (right lower quadrant).…”

Section: Resultsmentioning

confidence: 99%

“…An overview of the aptitude tests used to measure visual–spatial ability is shown in Appendix S4. In five groups of participants, laparoscopic skills were measured in the OR . The mean correlation in DS 0 (dataset in which unreported non‐significant correlations are coded as 0) was 0.32 (95% CI 0.25–0.39; p < 0.001), Q was statistically significant (74.55; p < 0.001) and I 2 was 53%, indicating above‐moderate heterogeneity (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The quality of the 34 included studies is shown in Appendix S3. Seven studies reported correlations that were not at risk of bias and six studies used an OR performance measurement and therefore did not raise concerns regarding applicability …”

Section: Resultsmentioning

confidence: 99%

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The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

et al. 2016

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In general, aptitude assessments are associated with laparoscopic skill level. Simulator-based assessment of aptitude appears to have the potential to represent a job sample and to enable the assessment of all forms of aptitude for laparoscopic surgery at once. A laparoscopy aptitude test can be a valuable additional tool in the assessment of candidates for medical specialties that require laparoscopic skills.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

et al. 2016

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“…For example, residents show increased self-efficacy after simulation in disclosing a medical error to a standardized patient (19), and multidisciplinary teams show improved self-efficacy after crew resource management-based operating room team training with simulation (12). In randomized controlled trials comparing simulation-based training with traditional educational techniques, residents in obstetrics and gynecology show favorable increases in self-efficacy after simulation in laparoscopic procedural techniques compared with nonsimulation trained peers (2), and simulator-trained nurses show greater self-efficacy in communication skills compared with case-based trained nurses (9).…”

Section: Diffusion and Disseminationmentioning

confidence: 99%

Inspiring careers in STEM and healthcare fields through medical simulation embedded in high school science education

Berk

Muret-Wagstaff

Goyal

et al. 2014

Advances in Physiology Education

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The most effective ways to promote learning and inspire careers related to science, technology, engineering, and mathematics (STEM) remain elusive. To address this gap, we reviewed the literature and designed and implemented a high-fidelity, medical simulation-based Harvard Medical School MEDscience course, which was integrated into high school science classes through collaboration between medical school and K-12 faculty. The design was based largely on the literature on concepts and mechanisms of self-efficacy. A structured telephone survey was conducted with 30 program alumni from the inaugural school who were no longer in high school. Near-term effects, enduring effects, contextual considerations, and diffusion and dissemination were queried. Students reported high incoming attitudes toward STEM education and careers, and these attitudes showed before versus after gains (P < .05). Students in this modest sample overwhelmingly attributed elevated and enduring levels of impact on their interest and confidence in pursuing a science or healthcare-related career to the program. Additionally, 63% subsequently took additional science or health courses, 73% participated in a job or educational experience that was science related during high school, and 97% went on to college. Four of every five program graduates cited a health-related college major, and 83% offered their strongest recommendation of the program to others. Further study and evaluation of simulation-based experiences that capitalize on informal, naturalistic learning and promote self-efficacy are warranted.

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“…This is very unfortunate, as especially this aspect of emerging self-efficacy can potentially be harmful if the resident has developed an unjustified perception of performance 22. These findings are in contrast to the study of Ahlborg et al, 6 who found evidence for a correlation between higher self-efficacy and shorter laparoscopic operation duration in gynaecology residents.…”

Section: Discussionmentioning

confidence: 83%

The Eyesi simulator in training ophthalmology residents: results of a pilot study on self-efficacy, motivation and performance

et al. 2017

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PurposeTo describe ophthalmology residents’ motivation and self-efficacy during cataract surgery training and to assess the relationship of self-efficacy and motivation on both simulator (Eyesi) and real-life surgical performance.MethodsProspective cohort study using a within-subject design. Eight residents were asked to fill out questionnaires on self-efficacy and motivation towards the Eyesi simulator and real-life cataract surgery at three different moments. Simulator performance was derived from the instrument’s output. Patient charts were reviewed to assess real-life surgical performance.ResultsComparative analysis, using a paired sampled t-test, showed a significant increase in self-efficacy towards real-life cataract surgery after completing the cataract training on the simulator (p=0.005). Furthermore, we found a significant correlation between total tasks to complete the cataract training and self-efficacy scored after working with the simulator (p=0.038). Motivation towards the simulator remained stable over time and seemed not to be influenced by simulator or real-life performance.ConclusionsWe found evidence that performance on the simulator correlated with residents’ self-efficacy scored after the simulator training, supporting the theory that self-efficacy is determined by prior performance. Self-efficacy seemed inversely related to the ease of completion of a task: delivery of a greater effort leads to more satisfaction and a higher perceived self-efficacy towards this particular task. Future studies should include more subjects to provide a more accurate insight in the role of self-efficacy and motivation in training complex surgical skills.

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Simulator training and non‐technical factors improve laparoscopic performance among OBGYN trainees

Abstract: Simulator training and non-technical factors appear to improve the laparoscopic performance among trainees/residents in obstetrics and gynecology.

Cited by 33 publications

References 32 publications

The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

Inspiring careers in STEM and healthcare fields through medical simulation embedded in high school science education

The Eyesi simulator in training ophthalmology residents: results of a pilot study on self-efficacy, motivation and performance

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