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Skill Acquisition and Assessment for Laparoscopic Surgery

Skill Acquisition and Assessment for Laparoscopic Surgery Abstract Objectives: To describe a training method with objective evaluation to enhance laparoscopic surgical skills, to provide training in laparoscopic suturing techniques, and to assess whether specific training exercises were helpful in the attainment of intracorporeal suturing skills. Design: Trainees (N=150) were asked to perform standardized drills with distinct mechanical features, and skill acquisition was determined by accuracy and timing. Trainees were tested for the ability to perform an intracorporeal laparoscopic suture before and after analogous skill training with the drills. Setting: The training courses were held in teaching and nonteaching hospitals. Participants: Board-certified or board-eligible surgeons. Main Outcome Measures: Supervision by trained instructors and documentation of the time required to perform standardized drills. Results: The trainees showed steady improvement in skill acquisition during 10 trials (P<.001). Significant (P<.001) improvement was noted for the performance of suturing after compared with before the drills. Conclusion: Three standardized laparoscopic drills have been tested in 150 trainees and demonstrate the incremental acquisition of skills that correlate with improved performance in a challenging and complex laparoscopic skill, intracorporeal suturing.Arch Surg. 1997;132:200-204 References 1. Forde KA. Minimal access surgery: which path to competence? Surg Endosc . 1989;8:1047-1048.Crossref 2. Cushieri A. Reflections on surgical training . Surg Endosc . 1993;7:73-74.Crossref 3. See WA, Cooper CS, Fisher RJ. Urological laparoscopic practice patterns 1 year after formal training . J Urol . 1994;151:1595-1598. 4. Reznick RK. Surgical education: teaching and testing technical skills . Am J Surg . 1993;165:358-361.Crossref 5. Watson DCT, Matthews HR. Manual skills of trainee surgeons . J R Coll Surg Edinb . 1987;32:74-75. 6. Steele RJC, Walder C, Herber M. Psychomotor testing and the ability to perform an anastomosis in junior surgical trainees . Br J Surg . 1992;79:1065-1067.Crossref 7. Lazar HL, DeLand EC, Tompkins RK. Clinical performance versus in-training examinations as measures of surgical competence . Surgery . 1989;87:357-362. 8. Squire D, Giachino AA, Profitt AW, Heaney C. Objective comparison of manual dexterity in physicians and surgeons . Can J Surg . 1989;32:467-470. 9. Schueneman AL, Pickleman J, Hesselein R, et al. Neurological predictors of operative skill among general surgery residents . Surgery . 1984;96:288-295. 10. Taylor HL, Lintern G, Koonce JM. Quasi-transfer as a predictor of transfer from simulator to airplane . J Gen Psychol . 1992;120:257-276.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Skill Acquisition and Assessment for Laparoscopic Surgery

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1997.01430260098021
Publisher site
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Abstract

Abstract Objectives: To describe a training method with objective evaluation to enhance laparoscopic surgical skills, to provide training in laparoscopic suturing techniques, and to assess whether specific training exercises were helpful in the attainment of intracorporeal suturing skills. Design: Trainees (N=150) were asked to perform standardized drills with distinct mechanical features, and skill acquisition was determined by accuracy and timing. Trainees were tested for the ability to perform an intracorporeal laparoscopic suture before and after analogous skill training with the drills. Setting: The training courses were held in teaching and nonteaching hospitals. Participants: Board-certified or board-eligible surgeons. Main Outcome Measures: Supervision by trained instructors and documentation of the time required to perform standardized drills. Results: The trainees showed steady improvement in skill acquisition during 10 trials (P<.001). Significant (P<.001) improvement was noted for the performance of suturing after compared with before the drills. Conclusion: Three standardized laparoscopic drills have been tested in 150 trainees and demonstrate the incremental acquisition of skills that correlate with improved performance in a challenging and complex laparoscopic skill, intracorporeal suturing.Arch Surg. 1997;132:200-204 References 1. Forde KA. Minimal access surgery: which path to competence? Surg Endosc . 1989;8:1047-1048.Crossref 2. Cushieri A. Reflections on surgical training . Surg Endosc . 1993;7:73-74.Crossref 3. See WA, Cooper CS, Fisher RJ. Urological laparoscopic practice patterns 1 year after formal training . J Urol . 1994;151:1595-1598. 4. Reznick RK. Surgical education: teaching and testing technical skills . Am J Surg . 1993;165:358-361.Crossref 5. Watson DCT, Matthews HR. Manual skills of trainee surgeons . J R Coll Surg Edinb . 1987;32:74-75. 6. Steele RJC, Walder C, Herber M. Psychomotor testing and the ability to perform an anastomosis in junior surgical trainees . Br J Surg . 1992;79:1065-1067.Crossref 7. Lazar HL, DeLand EC, Tompkins RK. Clinical performance versus in-training examinations as measures of surgical competence . Surgery . 1989;87:357-362. 8. Squire D, Giachino AA, Profitt AW, Heaney C. Objective comparison of manual dexterity in physicians and surgeons . Can J Surg . 1989;32:467-470. 9. Schueneman AL, Pickleman J, Hesselein R, et al. Neurological predictors of operative skill among general surgery residents . Surgery . 1984;96:288-295. 10. Taylor HL, Lintern G, Koonce JM. Quasi-transfer as a predictor of transfer from simulator to airplane . J Gen Psychol . 1992;120:257-276.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Feb 1, 1997

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