Ebbe Thinggaard1,2, Jakob Kleif3, Flemming Bjerrum4, Jeanett Strandbygaard4, Ismail Gögenur5, E Matthew Ritter6, Lars Konge7. 1. Department of Surgery, Zealand University Hospital, Koege, Denmark. ebbe.thinggaard@gmail.com. 2. Copenhagen Academy for Medical Education and Simulation, The Capital Region of Denmark, Blegdamsvej 9, Copenhagen, 2300, Denmark. ebbe.thinggaard@gmail.com. 3. Department of Surgery, Hilleroed Hospital, Hilleroed, Denmark. 4. Department of Obstetrics and Gynecology, Juliane Marie Centre, Rigshospitalet, Copenhagen, Denmark. 5. Department of Surgery, Zealand University Hospital, Koege, Denmark. 6. Department of Surgery and NCR Simulation Consortium, Uniformed Services University / Walter Reed National Military Medical Center, Bethesda, MD, USA. 7. Copenhagen Academy for Medical Education and Simulation, The Capital Region of Denmark, Blegdamsvej 9, Copenhagen, 2300, Denmark.
Abstract
BACKGROUND: The focus of research in simulation-based laparoscopic training has changed from examining whether simulation training works to examining how best to implement it. In laparoscopic skills training, portable and affordable box trainers allow for off-site training. Training outside simulation centers and hospitals can increase access to training, but also poses new challenges to implementation. This review aims to guide implementation of off-site training of laparoscopic skills by critically reviewing the existing literature. METHODS: An iterative systematic search was carried out in MEDLINE, EMBASE, ERIC, Scopus, and PsychINFO, following a scoping review methodology. The included literature was analyzed iteratively using a thematic analysis approach. The study was reported in accordance with the STructured apprOach to the Reporting In healthcare education of Evidence Synthesis statement. RESULTS: From the search, 22 records were identified and included for analysis. A thematic analysis revealed the themes: access to training, protected training time, distribution of training, goal setting and testing, task design, and unsupervised training. The identified themes were based on learning theories including proficiency-based learning, deliberate practice, and self-regulated learning. CONCLUSIONS: Methods of instructional design vary widely in off-site training of laparoscopic skills. Implementation can be facilitated by organizing courses and training curricula following sound education theories such as proficiency-based learning and deliberate practice. Directed self-regulated learning has the potential to improve off-site laparoscopic skills training; however, further studies are needed to demonstrate the effect of this type of instructional design.
BACKGROUND: The focus of research in simulation-based laparoscopic training has changed from examining whether simulation training works to examining how best to implement it. In laparoscopic skills training, portable and affordable box trainers allow for off-site training. Training outside simulation centers and hospitals can increase access to training, but also poses new challenges to implementation. This review aims to guide implementation of off-site training of laparoscopic skills by critically reviewing the existing literature. METHODS: An iterative systematic search was carried out in MEDLINE, EMBASE, ERIC, Scopus, and PsychINFO, following a scoping review methodology. The included literature was analyzed iteratively using a thematic analysis approach. The study was reported in accordance with the STructured apprOach to the Reporting In healthcare education of Evidence Synthesis statement. RESULTS: From the search, 22 records were identified and included for analysis. A thematic analysis revealed the themes: access to training, protected training time, distribution of training, goal setting and testing, task design, and unsupervised training. The identified themes were based on learning theories including proficiency-based learning, deliberate practice, and self-regulated learning. CONCLUSIONS: Methods of instructional design vary widely in off-site training of laparoscopic skills. Implementation can be facilitated by organizing courses and training curricula following sound education theories such as proficiency-based learning and deliberate practice. Directed self-regulated learning has the potential to improve off-site laparoscopic skills training; however, further studies are needed to demonstrate the effect of this type of instructional design.
Keywords:
Box trainer; Laparoscopy; Medical education; Off-site; Simulation; Technical skills
Authors: Ryan Brydges; Julian Manzone; David Shanks; Rose Hatala; Stanley J Hamstra; Benjamin Zendejas; David A Cook Journal: Med Educ Date: 2015-04 Impact factor: 6.251
Authors: Jeanett Strandbygaard; Flemming Bjerrum; Mathilde Maagaard; Per Winkel; Christian Rifbjerg Larsen; Charlotte Ringsted; Christian Gluud; Teodor Grantcharov; Bent Ottesen; Jette Led Sorensen Journal: Ann Surg Date: 2013-05 Impact factor: 12.969