Validating a standardized laparoscopy curriculum for gynecology residents: a randomized controlled trial

Shore, Eliane M.; Grantcharov, Teodor P.; Husslein, H; Shirreff, Lindsay; Dedy, Nicolas J.; McDermott, Colleen D.; Lefebvre, Guylaine

doi:10.1016/j.ajog.2016.04.037

Cited by 54 publications

(47 citation statements)

References 38 publications

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“…While resident motivation has frequently been cited as an important area for research in surgical education [8,14,15], to our knowledge, existing literature has yet to leverage psychological theories of motivation to guide investigations. A major strength of this study is that it examines resident motivation through the theoretical lens of EVT, and this represents a novel application of this theory to the surgical education field and to surgical skill acquisition.…”

Section: Plos Onementioning

confidence: 99%

“…Simulation has been shown to facilitate laparoscopic skill acquisition and be transferrable to the operating room [2,7,8]. Access to laparoscopic simulation is the standard for residency programs in Canada, and it requires a significant investment of equipment and supplies [6,9,10].…”

Section: Introductionmentioning

confidence: 99%

“…However, studies of residents' independent use outside of the formal curricula illustrate that uptake of these resources is highly variable [10][11][12][13][14]. Several studies have identified motivation as integral to resident skill acquisition, [8,14,15] and some have identified the role that negative external motivators such as lack of time and competing responsibilities play in simulation use [14,15]. However, to our knowledge, theories of motivation have not been applied to the surgical resident context to determine what motivates residents to undertake independent practice of laparoscopic simulation.…”

Section: Introductionmentioning

confidence: 99%

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Motivation to access laparoscopic skills training: Results of a Canadian survey of obstetrics and gynecology residents

et al. 2020

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Objective Competency based medical education (CBME) requires novel approaches to surgical education. Significant investment has been made in laparoscopic simulation, which has been shown to foster skill development prior to patient encounters. However, research suggests variable voluntary use of these resources by residents, and little is known about the motivational factors that influence their utilization. The purpose of this study was to characterize factors that motivate residents to seek laparoscopic simulation experience outside of the formal curriculum. Design We developed a questionnaire grounded in Expectancy Value Theory, an established psychological theory of motivation, by adapting validated measures to fit the study context. We conducted a cross sectional survey of Canadian obstetrics and gynecology residents. Setting We invited residents enrolled in English-language obstetrics and gynecology training programs in Canada to participate. Participants All residents engaged in clinical duties during Winter 2018 were invited to complete the questionnaire. Forty-four Obstetrics and Gynecology (Ob/Gyn) residents participated in the study. Results Residents reported limited use of simulation resources and identified multiple barriers including lack of time, access, and supervision. They expressed concern about development of bad habits during independent practice, and simulation use was positively

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Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Motivation to access laparoscopic skills training: Results of a Canadian survey of obstetrics and gynecology residents

et al. 2020

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“…(6-11) It is known that standardization, easy reproducibility of the exercises, immediate feedback after each training session and in the operating room, with an acceptable cost, bring benefits to teaching laparoscopy. (12,13) …”

Section: Introductionmentioning

confidence: 99%

Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program

Fernandes

Ruano

Kati

et al. 2016

Einstein (São Paulo)

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Objective To evaluate laparoscopic skills of third-year Gynecology and Obstetrics residents after training at a training and surgical experimentation center.Methods Use of a prospective questionnaire analyzing demographic data, medical residency, skills, competences, and training in a box trainer and in pigs.Results After the training, there was significant improvement in laparoscopic skills according to the residents (before 1.3/after 2.7; p=0.000) and preceptors (before 2.1/after 4.8; p=0.000). There was also significant improvement in the feeling of competence in surgeries with level 1 and 2 of difficulty. All residents approved the training.Conclusion The training was distributed into 12 hours in the box trainer and 20 hours in animals, and led to better laparoscopic skills and a feeling of more surgical competence in laparoscopic surgery levels 1 and 2.

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“…Structured robotic simulation may become a mandatory component of surgical specialty residency programs [34]. Following suggestions that Canada adopt a standardized national ObGyn resident simulation program, a Canadian gynecologic laparoscopy simulation program was developed and validated [35][36][37]. The Canadian gynecologic laparoscopic simulation program may form the basis for global gynecologic laparoscopic simulation, use of which would complement FLS.…”

Section: Continuous Quality Improvement Project Needs Delineationmentioning

confidence: 99%

Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

Nwanodi¹

2017

Health Sci J

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In the United States, upon resident work hour restriction implementation, obstetrics and gynaecology residents' gynaecologic surgery volume decreased and operative time per caesarean delivery increased. High volume surgeons can have clinically significantly lower complication rates than low volume surgeons, p<0.001. Decreasing surgical volumes and increasing operative time raise the question of procedural patient safety in teaching institutions. Some institutions are turning to international rotations in resource-limited nations to increase residents' surgery volume, possibly doubling monthly surgical volume. As resource-limited nations need to train and increase their indigenous health care workforce, surgical skills simulation is ethically preferable to training high-resource nation residents in resourcelimited nations. A medical and surgical skills simulation center (SSSC) implementation is a workplace continuous quality improvement (CQI) project that can benefit multiple facility departments and community organizations. Stakeholder preparedness must be evaluated before embarking on a CQI project. Anonymous brainstorming contributes to CQI project selection. There is a preferred strategy for incorporating a SSSC into an obstetrics and gynecology department. Staff, space, systems, supplies, science, success, support, and sustainability will come into play at different stages of SSSC implementation. Once operational, the SSSC must undergo CQI to optimize effectiveness. Continuous quality improvement plan-do-study-act cycles are recommended at least as frequently as equipment upgrades.

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Validating a standardized laparoscopy curriculum for gynecology residents: a randomized controlled trial

Cited by 54 publications

References 38 publications

Motivation to access laparoscopic skills training: Results of a Canadian survey of obstetrics and gynecology residents

Motivation to access laparoscopic skills training: Results of a Canadian survey of obstetrics and gynecology residents

Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program

Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

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