Ioana Marcu1, Adrian Balica2, Jeffrey A Gavard3, Eugen C Campian3, Gustavo Leme Fernandes4, M Jonathon Solnik5, Vadim Morozov6, Nucelio Lemos7. 1. Department of Obstetrics and Gynecology, Saint Louis University School of Medicine, Saint Louis, MO, USA. imarcu2000@gmail.com. 2. Department of Obstetrics and Gynecology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA. 3. Department of Obstetrics and Gynecology, Saint Louis University School of Medicine, Saint Louis, MO, USA. 4. Department of Obstetrics and Gynecology, Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil. 5. Department of Obstetrics and Gynecology, Division of Gynecology and Minimally Invasive Surgery, Mount Sinai Hospital, Toronto, ON, Canada. 6. Department of Obstetrics and Gynecology, Division of Minimally Invasive Gynecologic Surgery, University of Maryland, Baltimore, MD, USA. 7. Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON, Canada.
Abstract
BACKGROUND: The objective of this study is to characterize participants in a laparoscopic cadaveric neuroanatomy course and assess knowledge of pelvic neuroanatomy before and after this course. METHODS: This is a survey-based cohort study with a setting in a university educational facility. The participants are surgeons in a multiday laparoscopic cadaveric pelvic neuroanatomy course. Participants completed a precourse survey, including demographics and comfort with laparoscopic surgery. They then completed an identical precourse and postcourse anatomic knowledge test. Main outcomes are scores on the anatomic knowledge test precourse and postcourse. RESULTS: 44 respondents were included: 25 completed fellowship, 15 completed residency, 2 were residents, and 2 were fellows. Participants were on average 11.09 years post training, with an average of 8.67 years from training if they completed fellowship and 18.62 years if they completed residency only. 22 of 42 respondents strongly agreed or agreed they are comfortable performing complex laparoscopic hysterectomies. The average precourse score was 32.18/50 points and the mean difference score (MDS, defined as mean of Postcourse scores minus Precourse scores) was 9.80, showing significant improvement (p < 0.001). Precourse and MDS scores were not significantly different when comparing country of practice, level of training, or time since training. CONCLUSION: Baseline knowledge of pelvic neuroanatomy was similar among groups when comparing fellowship status, place of training, or time since training. There was significant improvement in knowledge after training in this dissection method. This course garnered interest from surgeons with broad training backgrounds.
BACKGROUND: The objective of this study is to characterize participants in a laparoscopic cadaveric neuroanatomy course and assess knowledge of pelvic neuroanatomy before and after this course. METHODS: This is a survey-based cohort study with a setting in a university educational facility. The participants are surgeons in a multiday laparoscopic cadaveric pelvic neuroanatomy course. Participants completed a precourse survey, including demographics and comfort with laparoscopic surgery. They then completed an identical precourse and postcourse anatomic knowledge test. Main outcomes are scores on the anatomic knowledge test precourse and postcourse. RESULTS: 44 respondents were included: 25 completed fellowship, 15 completed residency, 2 were residents, and 2 were fellows. Participants were on average 11.09 years post training, with an average of 8.67 years from training if they completed fellowship and 18.62 years if they completed residency only. 22 of 42 respondents strongly agreed or agreed they are comfortable performing complex laparoscopic hysterectomies. The average precourse score was 32.18/50 points and the mean difference score (MDS, defined as mean of Postcourse scores minus Precourse scores) was 9.80, showing significant improvement (p < 0.001). Precourse and MDS scores were not significantly different when comparing country of practice, level of training, or time since training. CONCLUSION: Baseline knowledge of pelvic neuroanatomy was similar among groups when comparing fellowship status, place of training, or time since training. There was significant improvement in knowledge after training in this dissection method. This course garnered interest from surgeons with broad training backgrounds.
Authors: David S Chou; Corollos S Abdelshehid; Carlos A Uribe; Sephir S Khonsari; Louis Eichel; John R Boker; Allan M Shanberg; Thomas E Ahlering; Ralph V Clayman; Elspeth M McDougall Journal: J Endourol Date: 2005-04 Impact factor: 2.942
Authors: Marlene M Corton; Clifford Y Wai; Babak Vakili; Muriel K Boreham; Joseph I Schaffer; Robert L Coleman Journal: Am J Obstet Gynecol Date: 2003-09 Impact factor: 8.661
Authors: Peter D Vlaovic; Eric R Sargent; John R Boker; Federico A Corica; David S Chou; Corollos S Abdelshehid; Shannon M White; Leandro G Sala; Frank Chu; Todd Le; Ralph V Clayman; Elspeth M McDougall Journal: JSLS Date: 2008 Jan-Mar Impact factor: 2.172