Identifying the need for and content of an advanced laparoscopic skills curriculum: results of a national survey

Nepomnayshy, Dmitry; Alseidi, Adnan; Fitzgibbons, Shimae; Stefanidis, Dimitrios

doi:10.1016/j.amjsurg.2015.10.009

Cited by 43 publications

(25 citation statements)

References 8 publications

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“…The reported study also confirms that laparoscopic suturing skills broaden the clinical applicability of laparoscopy and increases the laparoscopic caseload in both general surgery and urology [16,17]. For this reason, laparoscopic suturing should be introduced earlier in the surgical curriculum and should certainly be included in basic laparoscopic training courses to prepare them for the opportunity to come [4,5].…”

Section: Discussionsupporting

confidence: 58%

“…The 36 junior trainees were recruited from a basic laparoscopic skills training course. These senior trainees had almost finished their surgical training and had a better understanding of the need for laparoscopic skills training for the surgical trainees [4,5]. Five expert laparoscopic surgeons who were well recognized and reputed in their field (had experience of more than 200 laparoscopic procedures, taught and trained on a minimum of one laparoscopic course) identified 5 key questions associated with training of laparoscopic suturing skills.…”

Section: Assessors Training and Reliability In Using Objective Structmentioning

confidence: 99%

“…the common objective of delivering standardized, quality training through a strong accreditation process [4]. Laparoscopic suturing skill was the area most in need of improvement in a national survey conducted by Nepomnayshy et al in USA [5]. In the survey, the trainees found laparoscopic suturing skills to be the most deficient skill at the conclusion of residency training, as well as considering them to be the most important to master before completion of fellowship training [5].…”

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confidence: 99%

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Evidence to support the early introduction of laparoscopic suturing skills into the surgical training curriculum

2020

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Background: The objectives of this study were to investigate the relationship between the acquisition of laparoscopic suturing skills and other operative laparoscopic skills and to provide evidence to determine ideal time and duration to introduce laparoscopic suturing training. Methods: The first part of the study explored the relationship between the acquisition of laparoscopic suturing skills and proficiency of other operative laparoscopic skills. The second part of the study consisted of an opinion survey from senior and junior trainees on aspects of training in laparoscopic suturing. Results: One hundred twenty-eight surgical trainees participated in this study. The total scores of task performance of 57 senior surgical trainees in laparoscopic suturing skills consisting of needle manipulation and intracoporeal knot tying were improved significantly after the training course (46.9 ± 5.3 vs 29.5 ± 9.4, P < .001), the improvement rate was 59%. No statistically significant correlations were observed between intracorporeal laparoscopic suturing skills and proficiency in the basic laparoscopic manipulative skills assessed before (r = 0.193; P = 0.149) and after (r = 0.024; P = 0.857) the training course. 91% of senior trainees and 94% junior trainees expressed that intracorporeal suturing should be introduced at an early stage of the training curriculum. Conclusions: There was no statistically significant correlation between the performance on basic operative laparoscopic skills (non-suturing skills) and laparoscopic suturing skills observed in this study. The acquisition of basic laparoscopic skills is not a prerequisite for training in intracorporeal suturing and it may be beneficial for the surgical trainees to learn this skill early in the surgical training curriculum. Surgical trainees want to learn and practice laparoscopic suturing earlier than later in their training.

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Section: Discussionsupporting

confidence: 58%

Section: Assessors Training and Reliability In Using Objective Structmentioning

confidence: 99%

mentioning

confidence: 99%

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Evidence to support the early introduction of laparoscopic suturing skills into the surgical training curriculum

2020

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“…Similar to the MIS certification (I-III), here too, a two-step model was developed for achieving a certificate in gynaecological endoscopy with the possibility of structured further training culminating in the Master level [9]. With respect to advanced laparoscopic surgery in general, especially regarding sophisticated suturing techniques, bimanual coordination and dealing with difficult anatomical circumstances, there appears to be a need for a set curriculum for junior doctors in the area of minimally invasive surgery [10]. The Working Group for Gynaecological Endoscopy (AGE), the German Society of Gynaecology and Obstetrics (DGGG), and the Junges Forum of the DGGG all already endeavour to achieve a high-quality training programme for junior doctors by offering support and research grants.…”

mentioning

confidence: 99%

Expectations for Endoscopic Training During Gynaecological Specialty Training – Results of a Germany-wide Survey

Gabriel

Solomayer

Schott

et al. 2016

Geburtshilfe Frauenheilkd

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Endoscopy is an integral part of surgical gynaecology and is playing an increasingly important role in ensuring adequate gynaecological training in the context of specialty training in general. At present, little is known about the expectations and notions of young junior doctors with respect to endoscopic training. For this reason, junior doctors throughout Germany were surveyed on this topic and asked to share their opinions. Methods: Using an anonymized standardized survey, the following information was elicited: importance of endoscopic training, willingness to take courses, expectations for instructors and the hospital, ideas about the number of required operations, both as a surgical assistant and as a surgeon, as well as satisfaction with the current status of training. The questionnaires were sent via the Young Forum (Junges Forum) of the German Society of Gynaecology and Obstetrics (DGGG) and the newsletter of the Working Group for Gynaecological Endoscopy (AGE). Results: The evaluation of the study was based on 109 completed questionnaires. The resident junior doctors were 31 years old on average and were in their third to fourth year of their specialty training on average. The majority of the participants (87%) considered the learning of endoscopic techniques to be very important and advocated regular participation in endoscopy training courses. Among the participants, 48% were prepared to invest up to €1500 of their own funds to attend courses up to twice a year during the entire specialty training period. The expectations of the instructors and institutions focused on technical expertise, the willingness and time for teaching and on the number and range of surgical procedures, followed by being granted leave for the courses and having costs covered for the courses. Thirty-eight per cent stated that their ex-

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“…The use of laparoscopic surgery for colorectal cancer treatment has been increasing rapidly and steadily , but because of the limitations in forceps manipulation and the surgeon's technical skills , the quality is not equivalent to that of open surgery . However, laparoscopic surgery using close visual inspection of detailed images has various advantages over conventional open surgery .…”

Section: Introductionmentioning

confidence: 99%

Fruitful first experience with an 8K ultra‐high‐definition endoscope for laparoscopic colorectal surgery

Ohigashi

Takenaka

Shimada

et al. 2018

Asian J Endoscop Surgery

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We performed laparoscopic surgery for three cases of colorectal cancer using an 8K ultra-high-definition endoscopic system, which offers 16-fold higher resolution than the current 2K high-definition endoscope. The weight of the camera has been successfully reduced to 370 g. To maximize the advantages of the 8K ultra-high-definition endoscope, surgery was performed by darkening the room and placing a large 85-in. display as close to the surgeon as possible. As a result, the autonomic nerve was preserved, and the membrane structure could be clearly observed. Moreover, we were able to feel the stereoscopic effect near the 3-D image. This suggests the possibility of improved curability and function preservation with the 8K endoscope. Although there are some disadvantages that need to be overcome, the 8K ultra-high-definition endoscope will surely contribute to further progress in laparoscopic surgery. Details of the 8K UHD endoscope systemWe used the 8K UHD endoscopic system (8), which consists of an 8K camera head, rigid endoscope, xenon light source, camera control unit, 8K monitor, and 8K Asian J Endosc Surg 12 (2019) 362-365

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Identifying the need for and content of an advanced laparoscopic skills curriculum: results of a national survey

Cited by 43 publications

References 8 publications

Evidence to support the early introduction of laparoscopic suturing skills into the surgical training curriculum

Evidence to support the early introduction of laparoscopic suturing skills into the surgical training curriculum

Expectations for Endoscopic Training During Gynaecological Specialty Training – Results of a Germany-wide Survey

Fruitful first experience with an 8K ultra‐high‐definition endoscope for laparoscopic colorectal surgery

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