Endoscopy teaching in Canada: A survey of obstetrics and gynecology program directors and graduating residents

Laparoscopy influences hiring practices within academic surgical departments

“…This position is particularly interesting because it reflects the opinion of surgical trainees shown by previous surveys as feeling inadequately prepared to perform advanced MIS procedures after residency [16,[18][19][20]. In a study of 85 U.S. senior surgical residents by Rattner et al [18], 47% of the respondents thought that additional training beyond residency was necessary for performing advanced laparoscopy, and 65% indicated that they were prepared to pursue one or two extra years of training to that effect.…”

Gynecology resident laparoscopy training: present and future

“…Call to Action ajog.org outcomes improve. 8,13,24 Initial learning and practice of laparoscopic surgical techniques should occur in a simulated environment prior to operating room experience. 2,11,12 With the increasing emphasis on simulation by our governing bodies (ie, the ACGME Milestones project, the RCPSC maintenance of certification requirements), it is important to determine what is being used currently so we know how to move forward as a specialty.…”

“…[1][2][3][4] Minimally invasive surgery involves less surgical trauma, shorter hospital stay, decreased postoperative pain, and faster recovery. 1,[4][5][6][7][8][9][10] The skill set required for laparoscopy requires a significant training effect to ensure safe outcomes. [1][2][3][4]10,11 The traditional apprenticeship model of surgical teaching in the operating room is no longer appropriate.…”

“…3,12 Although laparoscopy has become a standard of surgical care, 1 there is a discrepancy between what is taught and what is expected of graduating gynecologists 2,3,13-15 who lack the confidence to perform laparoscopic surgery independently and consider insufficient training to be a significant barrier. 8,13,[16][17][18] With the move toward competency-based education, the need for skill transmission and evaluation is all the more important. Strong evidence supports that formal curricula increase laparoscopic competency and improve patient outcomes.…”

“…Strong evidence supports that formal curricula increase laparoscopic competency and improve patient outcomes. 8,[18][19][20] In addition, the value of simulation has been extensively validated. 1,2,20 Despite this knowledge, comprehensive curriculum development in gynecologic surgery is lacking 1,2,20 and training varies widely among institutions due to the lack of a standardized gynecologic laparoscopy training program.…”