The need for training opportunities in advanced laparoscopic surgery

Rattner, David W.; Apelgren, Keith N.; Eubanks, William S.

doi:10.1007/s004640080021

Cited by 115 publications

(72 citation statements)

References 16 publications

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“…This was in accordance with the results of a questionnaire administered among residents in which they deemed that 10 of the same procedures needed to be performed to be a safe and confident surgeon. 22 Again, the value of this generalization is limited because of the heterogeneous range of assessed procedures.…”

Section: Discussionmentioning

confidence: 99%

Value of an objective assessment tool in the operating room

Hiemstra

Kolkman

Wolterbeek

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Value of an objective assessment tool in the operating room

Hiemstra

Kolkman

Wolterbeek

et al. 2011

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“…Difficulties in acquiring skills in advanced endoscopic surgery have also been highlighted in the USA and the Netherlands [2,3]. It is a general result of less training hours and less highly skilled trainers.…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopy training in the UK: the trainees’ perspective

2008

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The advanced hysteroscopy special skills module has been developed by the Royal College of Obstetricians and Gynaecologists (RCOG) in association with the British Society of Gynaecologic Endoscopists (BSGE). It is mainly aimed at senior specialist registrars in obstetrics and gynaecology in their final two years of training, but it can also be undertaken by non-training posts in the same field. By completion of the module, ideally within a year, trainees are expected to have reached independent competence in performing both diagnostic, as well as operative hysteroscopy. A survey was done on trainees attending the mandatory course at the RCOG (intermediate/advanced hysteroscopic surgery course in 2006), which is part of the requirement for obtaining the Advanced hysteroscopy special skills module. Feedback was obtained from 44 trainees who were either already registered for the special skills module in advanced hysteroscopy or were planning on registering. Overall, 50% of candidates found the oneyear target difficult to achieve. The majority attended at least one hysteroscopy outpatient clinic per week (85%) and/or one hysteroscopy theatre list per week (87%). This suggested the adequate attendance of hysteroscopy sessions; however, the problem was with operative hysteroscopy, which comprised 0-20% of training for the majority of trainees (59%). The conclusion was that the one-year target for obtaining the special skills module was difficult to achieve, with the most evident cause being the inability to acquire the expected operative hysteroscopy standard within the intended time.

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“…17,18 Surveys of residents conducted in the early 2000s reported a perceived need for additional training in MIS both in Canada and in the United States. 19,20 In 2003, Canadian general surgery residents identified limited advanced case volume, limited opportunity in the operating room and lack of attending surgeon interest as factors with a negative impact on their MIS training. 19 With the evolution of the practice, this seems to have changed.…”

Section: Multivariate Analysismentioning

confidence: 99%

The integration of minimally invasive surgery in surgical practice in a Canadian setting: results from 2 consecutive province-wide practice surveys of general surgeons over a 5-year period

Hallet

Mailloux

Chhiv

et al. 2015

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Background: Although minimally invasive surgery (MIS) has been quickly embraced, the introduction of advanced procedures appears more complex. We assessed the evolution of MIS in the province of Quebec over a 5-year period to identify areas for improvement in the modern surgical era. Methods:We developed, test-piloted and conducted a self-administered questionnaire among Quebec general surgeons in 2007 and 2012 to examine stated MIS practice, MIS training and barriers and facilitators to the use of MIS. 'en 2007 (82,3 % c. 64,3 %, p < 0,001). L'analyse multi-variée a indiqué que l'administration du questionnaire en 2007 était associée avec moins de chirurgiens pratiquant des procédures avancées de CMI (rapport de cote 0,13, intervalle de confiance à 95 % 0,05-0,29). En 2012, plus de répondants ont indiqué avoir obtenu leur expertise en CMI durant la résidence (p = 0,028). Results Conclusion :De 2007 à 2012, la pratique de procédures avancées de CMI a augmenté significativement dans la province de Québec. L'approche minimalement invasive apparait solidement établie dans la pratique chirurgicale actuelle. La place grandissante de la CMI dans les programmes de résidence semble avoir été cruciale dans cet essor. Les résultats de cette étude peuvent maintenant servir à développer d'autres projets visant à améliorer encore davantage la pratique de la CMI.

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The need for training opportunities in advanced laparoscopic surgery

Cited by 115 publications

References 16 publications

Value of an objective assessment tool in the operating room

Value of an objective assessment tool in the operating room

Hysteroscopy training in the UK: the trainees’ perspective

The integration of minimally invasive surgery in surgical practice in a Canadian setting: results from 2 consecutive province-wide practice surveys of general surgeons over a 5-year period

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