Literature DB >> 28505682

[Implementation of a Laparoscopic Simulation Training in Undergraduate Medical Education - The Lübeck Toolbox-Curriculum].

Tilman Laubert1, Michael Thomaschewski1, Paul Auerswald1, Markus Zimmermann1, Linda Brüheim1, Tobias Keck1, Claudia Benecke1.   

Abstract

BACKGROUND: Simulation-based training has become increasingly relevant in minimally invasive surgery (MIS). It is unclear whether or not the established Lübeck Toolbox (LTB) Curriculum for the acquisition of basic MIS skills can be implemented to supplement standard undergraduate education in surgery and how it would be accepted. MATERIALS UND
METHODS: Since 04/2015, students at the medical school of the University of Lübeck have had the option to complete the highly standardized and validated LTB Curriculum. It consists of six subsequent tasks with pre-defined learning goals. Video tutorials allow for a self-educating approach. The individual training progress is documented continuously as scheduled by the curriculum. The program was evaluated in a standardized manner using an established online platform for the evaluation of university courses at the University of Lübeck.
RESULTS: Between 04/2015 and 07/2016, 63 students completed the LTB Curriculum. The general interest in a surgical specialty rose from an average of 1.61 (SD 0.78) before to 1.12 after the curriculum. The numbers of required repetitions for the training tasks 1 - 6 were median 24 (6 - 79), 23 (5 - 61), 7 (5 - 33), 15 (5 - 59), 16 (5 - 50), and 18 (7 - 48), respectively. None of the 63 students terminated the curriculum prematurely. On average, 4.35 (SD 1.58) hours per week were spent training with an overall duration of 4.1 (SD 1.2) weeks required to go through the LTB Curriculum. Evaluation results showed an overall rating of 1.0 (SD 0.17). The average learning progress, didactics and structure of the curriculum were rated as 1.0 (SD 0.24), 1.14 (SD 0.36), and 1.0 (SD 0.24), respectively. The relevance for the following study years and the future professional activity was reported to be 1.2 (SD 0.45) on average.
CONCLUSION: As an addition to the regular undergraduate program, the Lübeck Toolbox Curriculum was well accepted by many students. Evaluation showed exceedingly positive results. Furthermore, the data suggest that the LTB Curriculum may increase the interest in a surgical specialty among medical students. This aspect seems to be relevant in times where surgeons should make every effort to recruit young doctors for surgical residency. Georg Thieme Verlag KG Stuttgart · New York.

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Mesh:

Year:  2017        PMID: 28505682     DOI: 10.1055/s-0043-106851

Source DB:  PubMed          Journal:  Zentralbl Chir        ISSN: 0044-409X            Impact factor:   0.942


  7 in total

1.  Endovascular simulation training: a tool to increase enthusiasm for interventional radiology among medical students.

Authors:  Roman Kloeckner; Daniel Pinto Dos Santos; Fabian Stoehr; Sebastian Schotten; Michael B Pitton; Christoph Dueber; Franziska Schmidt; Nienke L Hansen; Bettina Baeßler
Journal:  Eur Radiol       Date:  2020-03-27       Impact factor: 5.315

2.  Conception of the Lübeck Toolbox curriculum for basic minimally invasive surgery skills.

Authors:  Tilman Laubert; Hamed Esnaashari; Paul Auerswald; Anna Höfer; Michael Thomaschewski; Hans-Peter Bruch; Tobias Keck; Claudia Benecke
Journal:  Langenbecks Arch Surg       Date:  2017-12-01       Impact factor: 3.445

3.  Testing Distinct Three-Dimensional Effects in Laparoscopy: A Prospective Randomized Trial Using the Lübecker Toolbox Curriculum.

Authors:  Michael Thomaschewski; Thorsten Jürgens; Claudia Benecke; Anna-Catherina Griesmann; Hamed Esnaashari; Romy Lux; Diana Scheppan; Ronja Simon; Tobias Keck; Tilman Laubert
Journal:  Visc Med       Date:  2020-02-24

4.  Learning curves, potential and speed in training of laparoscopic skills: a randomised comparative study in a box trainer.

Authors:  Wolfgang Kunert; Pirmin Storz; Nicolaus Dietz; Steffen Axt; Claudius Falch; Andreas Kirschniak; Peter Wilhelm
Journal:  Surg Endosc       Date:  2020-07-08       Impact factor: 4.584

5.  Efficacy of goal-directed minimally invasive surgery simulation training with the Lübeck Toolbox-Curriculum prior to first operations on patients: Study protocol for a multi-centre randomized controlled validation trial (NOVICE).

Authors:  Michael Thomaschewski; Tilman Laubert; Markus Zimmermann; Hamed Esnaashari; Reinhard Vonthein; Tobias Keck; Claudia Benecke
Journal:  Int J Surg Protoc       Date:  2020-03-14

6.  Changes in attentional resources during the acquisition of laparoscopic surgical skills.

Authors:  M Thomaschewski; M Heldmann; J C Uter; D Varbelow; T F Münte; T Keck
Journal:  BJS Open       Date:  2021-03-05

7.  Must Clinics Replace 2D by 3D Environments for an Efficient Training of Laparoscopic Novices? A Critical Analysis of the Learning Curve for Basic Skills.

Authors:  Maik Sahm; Clara Danzer; Alexis Leonhard Grimm; Christian Herrmann; Rene Mantke
Journal:  Front Surg       Date:  2022-01-17
  7 in total

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