BACKGROUND: This study compares a laparoscopic skill training protocol without proficiency targets to the same protocol with explicit targets and notification of progress. METHODS:Fourteen surgery interns were randomized into 2 groups. The intervention group received task-specific proficiency criteria to guide practice. The control group did not. After training, participants were evaluated by blinded faculty during laparoscopic cholecystectomy. RESULTS: The control group met significantly fewer of the 7 LapSim (Surgical Science Sweden AB, Gotëborg) targets (mean = 1.14) than the intervention group (mean = 7.00; P = .001) and significantly fewer of the 5 video trainer targets (mean = .86) than the intervention group (mean = 5.00; P = .001). Ratings of depth perception, bimanual dexterity, efficiency, tissue handling, autonomy, and overall competence were higher for the intervention group. Effect sizes ranged from medium to large (.394-.981), indicating an impact of the proficiency-based training protocol. CONCLUSIONS: Delineation of proficiency targets with reporting of progress improves interns' practice results, and appears to have a positive effect on their early operating room (OR) performance of laparoscopic cholecystectomy.
RCT Entities:
BACKGROUND: This study compares a laparoscopic skill training protocol without proficiency targets to the same protocol with explicit targets and notification of progress. METHODS: Fourteen surgery interns were randomized into 2 groups. The intervention group received task-specific proficiency criteria to guide practice. The control group did not. After training, participants were evaluated by blinded faculty during laparoscopic cholecystectomy. RESULTS: The control group met significantly fewer of the 7 LapSim (Surgical Science Sweden AB, Gotëborg) targets (mean = 1.14) than the intervention group (mean = 7.00; P = .001) and significantly fewer of the 5 video trainer targets (mean = .86) than the intervention group (mean = 5.00; P = .001). Ratings of depth perception, bimanual dexterity, efficiency, tissue handling, autonomy, and overall competence were higher for the intervention group. Effect sizes ranged from medium to large (.394-.981), indicating an impact of the proficiency-based training protocol. CONCLUSIONS: Delineation of proficiency targets with reporting of progress improves interns' practice results, and appears to have a positive effect on their early operating room (OR) performance of laparoscopic cholecystectomy.
Authors: L F Sánchez-Peralta; F M Sánchez-Margallo; J L Moyano-Cuevas; J B Pagador; S Enciso; E J Gómez-Aguilera; J Usón-Gargallo Journal: Int J Comput Assist Radiol Surg Date: 2012-04-11 Impact factor: 2.924
Authors: Martin W von Websky; Dimitri A Raptis; Martina Vitz; Rachel Rosenthal; P A Clavien; Dieter Hahnloser Journal: World J Surg Date: 2013-11 Impact factor: 3.352
Authors: J L Moyano-Cuevas; F M Sánchez-Margallo; L F Sánchez-Peralta; J B Pagador; S Enciso; P Sánchez-González; E J Gómez-Aguilera; J Usón-Gargallo Journal: Int J Comput Assist Radiol Surg Date: 2011-04-17 Impact factor: 2.924
Authors: Justin D Rivard; Ashley S Vergis; Bertram J Unger; Krista M Hardy; Chris G Andrew; Lawrence M Gillman; Jason Park Journal: Surg Endosc Date: 2014-01-18 Impact factor: 4.584