Confronting new challenges: Faculty perceptions of gaps in current laparoscopic curricula in a changing training landscape

Charondo, Leslie Bernal; Brian, Riley; Syed, Shareef; Chern, Hueylan; Lager, Jeannette; Alseidi, Adnan; O'Sullivan, Patricia; Bayne, David

doi:10.1016/j.sopen.2023.09.006

Cited by 3 publications

(2 citation statements)

References 42 publications

(57 reference statements)

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“…We conducted the needs assessment through in-depth interviews with 14 laparoscopic surgeons in general surgery, obstetrics/gynecology, and urology. 25 Results from the needs assessment informed the goals, objectives, and educational strategies for the curriculum. We derived at-home curricular tasks from previously published in-person curricula, including the Fundamentals of Laparoscopic Surgery (FLS) 26 and Lapp.…”

Section: Methodsmentioning

confidence: 99%

An At-Home Laparoscopic Curriculum for Junior Residents in Surgery, Obstetrics/Gynecology, and Urology

Brian,

Bayne,

Ito

et al. 2024

MedEdPORTAL

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Introduction Laparoscopic surgery requires significant training, and prior studies have shown that surgical residents lack key laparoscopic skills. Many educators have implemented simulation curricula to improve laparoscopic training. Given limited time for dedicated, in-person simulation center practice, at-home training has emerged as a possible mechanism by which to expand training and promote practice. There remains a gap in published at-home laparoscopic curricula employing embedded feedback mechanisms. Methods We developed a nine-task at-home laparoscopic curriculum and an end-of-curriculum assessment following Kern's six-step approach. We implemented the curriculum over 4 months with first- to third-year residents. Results Of 47 invited residents from general surgery, obstetrics/gynecology, and urology, 37 (79%) participated in the at-home curriculum, and 25 (53%) participated in the end-of-curriculum assessment. Residents who participated in the at-home curriculum completed a median of six of nine tasks (interquartile range: 3–8). Twenty-two residents (47%) responded to a postcurriculum survey. Of these, 19 (86%) reported that their laparoscopic skills improved through completion of the curriculum, and the same 19 (86%) felt that the curriculum should be continued for future residents. Residents who completed more at-home curriculum tasks scored higher on the end-of-curriculum assessment ( p = .009 with adjusted R 2 of .28) and performed assessment tasks in less time ( p = .004 with adjusted R 2 of .28). Discussion This learner-centered laparoscopic curriculum provides guiding examples, spaced practice, feedback, and graduated skill development to enable junior residents to improve their laparoscopic skills in a low-stakes, at-home environment.

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Section: Methodsmentioning

confidence: 99%

An At-Home Laparoscopic Curriculum for Junior Residents in Surgery, Obstetrics/Gynecology, and Urology

Brian,

Bayne,

Ito

et al. 2024

MedEdPORTAL

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“…Upon completing basic training during their residency, they can attempt laparoscopic surgeries as lead surgeons. Appendectomy, cholecystectomy, and inguinal hernia repair are known to be appropriate procedures for residents performing their first laparoscopic surgeries [ 4 ].…”

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confidence: 99%

Advancements and challenges in minimally invasive surgery training among general-surgery residents in Thailand

Son

2023

J Minim Invasive Surg

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Comparing Peer and Faculty Feedback for Asynchronous Laparoscopic Skill Acquisition

Brian,

Cowan,

Knox

et al. 2024

Journal of Surgical Education

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Confronting new challenges: Faculty perceptions of gaps in current laparoscopic curricula in a changing training landscape

Cited by 3 publications

References 42 publications

An At-Home Laparoscopic Curriculum for Junior Residents in Surgery, Obstetrics/Gynecology, and Urology

An At-Home Laparoscopic Curriculum for Junior Residents in Surgery, Obstetrics/Gynecology, and Urology

Advancements and challenges in minimally invasive surgery training among general-surgery residents in Thailand

Comparing Peer and Faculty Feedback for Asynchronous Laparoscopic Skill Acquisition

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