Cost Comparison of Fundamentals of Laparoscopic Surgery Training Completed With Standard Fundamentals of Laparoscopic Surgery Equipment versus Low-Cost Equipment

Franklin, Brenton R.; Placek, Sarah B.; Wagner, Mercy D.; Haviland, Sarah M.; O’Donnell, Mary T.; Ritter, E. Matthew

doi:10.1016/j.jsurg.2016.11.013

Cited by 13 publications

(16 citation statements)

References 25 publications

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“…All of the residents in this study had access to box simulators, which are low fidelity. While these simulators are less expensive than high fidelity models with haptic feedback, some research has evaluated homemade training models and found that they provide many of the same benefits but at a reduced cost . In addition, cost should not be a deterrent for surgical residency programs to purchase a simulator because much of the research has been performed on lower cost, validated simulators such as the FLS box simulator, which is available with monitor and cart for approximately $6500 .…”

Section: Discussionmentioning

confidence: 99%

Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training

et al. 2019

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Objective To determine access to and use of minimally invasive surgery (MIS) simulators among American College of Veterinary Surgeons (ACVS) small animal residents and to identify barriers to simulator use and perceptions of simulator training. Study design Voluntary online survey. Sample population One hundred forty‐one ACVS small animal residents. Methods American College of Veterinary Surgeons residents were identified by contacting ACVS residency program directors. An emailed online survey was sent to residents along with a reminder email 2 weeks later. All surveys were collected within 1 month. Participation was voluntary but incentivized. Results Response rate to the survey was 79 of 141 (56%) residents. Twenty‐eight of 77 (36%) residents have access to a simulator, with box simulators being most common. Lack of time was the most frequent reason for not using the simulator more. Sixty‐eight of 77 (88%) and 65 of 77 (65%) residents agreed or strongly agreed that simulator‐based training improves laparoscopic skills and that simulator skills are transferable to the operating room, respectively. Residents with access to a simulator were more comfortable with basic laparoscopic surgeries at the end of their residency than those without such access (P = .04). Conclusion There is substantial room for improved access to and use of MIS simulator training in ACVS residency programs. Despite lack of simulator access, residents believed that simulator training improved their skill and comfort level with basic laparoscopic procedures. Clinical significance The results of this study inform us about access to and perceptions of MIS simulator training among residents. This information is important to surgeons responsible for training residents and may help guide the creation of a surgical skills curriculum.

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Section: Discussionmentioning

confidence: 99%

Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training

et al. 2019

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“…Furthermore, the use of low-cost consumables, like in our study, could drastically reduce the cost of training. In a cost comparison study between standard FLS equipment and low-cost equipment, Franklin BR et al found that the use of low-cost equipment results in significant financial savings and that a five-resident program will save approximately $8500 annually [22].…”

Section: Discussionmentioning

confidence: 99%

Reliability testing of a modified MISTELS score using a low-cost trainer box

et al. 2019

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Background Training programs such as the fundamentals of laparoscopic surgery (FLS) that are based on simulation are being currently used in several western countries. FLS allows skill acquisition and evaluation of competency in laparoscopic surgery. On the practical side, evaluation is determined by the MISTELS metrics (MISTELS is the acronym for the McGill inanimate system for training and evaluation of laparoscopic skills). This training program may be modified so that it can be implemented in countries with limited resources using a low-cost trainer box. Would the use of a low-cost trainer box alter the reliability of the MISTELS score? Objective of study The aim of the study was to evaluate the reliability of a modified MISTELS using a low-cost trainer box. Methods It was a prospective study carried out at Habib Thameur hospital in Tunis (Tunisia), between April 2016 and August 2016. The study involved residents from different surgical specialties in the departments of general surgery and paediatric surgery of the hospital during 2015 and 2016. This study assessed the reliability of a modified MISTELS system (Only three tasks were performed out of the five tasks used in the original MISTELS system). Evaluation was based on Cronbach’s alpha and intraclass correlation coefficients (ICC). A low-cost trainer box was designed and constructed. The residents included in the study performed three series of three tasks using this trainer box. The first series was scored by two trained raters to evaluate inter-rater reliability. The two-other series were successively performed to evaluate test-retest reliability. Results The internal consistency, assessed by Cronbach’s alpha, was at 0.929 which is an acceptable score. As for inter-rater and test-retest reliabilities that were assessed by ICCs, they yielded excellent scores that were at 1 and 0.95 (95% CI, 0.891–0.978) respectively. Conclusions The reliability of a modified MISTELS is not altered by the use of a low-cost trainer box. The score of the modified MISTELS is a reliable score for evaluating technical skills of surgical residents using a low-cost trainer box. Electronic supplementary material The online version of this article (10.1186/s12909-019-1572-4) contains supplementary material, which is available to authorized users.

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“…18 One study examining the cost of the FLS program estimated the annual fixed and consumable cost to train five residents at $10,282.60 USD. 19 While training of this depth and breadth is essential for residents who will be performing surgery on actual patients, it may not be necessary for medical students who simply need meaningful exposure to a variety of experiences.…”

Section: Introductionmentioning

confidence: 99%

An early introduction to surgical skills: Validating a low-cost laparoscopic skill training program purpose built for undergraduate medical education

Sellers

Ghannam

Asantey

et al. 2021

The American Journal of Surgery

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Background: Medical student exposure to laparoscopy is limited to observation despite the prevalence of minimally invasive techniques in practice. The high cost of laparoscopic simulation equipment, commonly called "box trainers", limits undergraduate exposure to skill training. Methods: Students at a Midwestern medical school were recruited to participate in an experimental laparoscopic skill training program. One cohort (n ¼ 17) used a DIY box trainer design freely available on MedEdPORTAL. A second cohort (n ¼ 17) used a commercially available equivalent. Pre-and posttraining attempts for four tasks were scored and the difference was calculated. The average differences for each cohort were then contrasted statistically. Results: Significant performance improvements (pre-and post-training) were demonstrated regardless of group allocation. The difference in performance between the cohorts was not significant for any task (p > 0.05). Conclusions: This low-cost training program using DIY box trainers is as effective as commercially available equivalent box trainers for introducing laparoscopic skills to medical students.

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Cost Comparison of Fundamentals of Laparoscopic Surgery Training Completed With Standard Fundamentals of Laparoscopic Surgery Equipment versus Low-Cost Equipment

Cited by 13 publications

References 25 publications

Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training

Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training

Reliability testing of a modified MISTELS score using a low-cost trainer box

An early introduction to surgical skills: Validating a low-cost laparoscopic skill training program purpose built for undergraduate medical education

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