Manual Laparoscopic Skills Development Using a Low-Cost Trainer Box in Tanzania

Beard, Jessica H.; Akoko, Larry; Mwanga, Ally; Mkony, Charles; O’Sullivan, Patricia

doi:10.1016/j.jsurg.2013.06.005

Cited by 38 publications

(29 citation statements)

References 14 publications

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“…Laparoscopic training programs have been described in several developing nations. [5][6][7][8][9] In this study, we demonstrated that residents had significant improvement in the time needed to complete these tasks with minimal practice. This is consistent with existing literature in surgical education.…”

Section: Commentsmentioning

confidence: 71%

Laparoscopic simulation for surgical residents in Ethiopia: course development and results

Morrow

Bekele

Tegegne

et al. 2016

The American Journal of Surgery

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Section: Commentsmentioning

confidence: 71%

Laparoscopic simulation for surgical residents in Ethiopia: course development and results

Morrow

Bekele

Tegegne

et al. 2016

The American Journal of Surgery

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“…In the literature, the most common material used to simulate the abdominal wall and cavity is plastic (Table 1) [14,[24][25][26][27][28][29][30][31][32]. For simulating the abdominal wall, we decided to build LABOT by using plywood and rubber, which are cheap and easy to manipulate.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Homemade, Low-Cost Laparoscopic Simulator for Resident Surgeons (LABOT)

Soriero

Atzori

Barra

et al. 2020

IJERPH

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Several studies have demonstrated that training with a laparoscopic simulator improves laparoscopic technical skills. We describe how to build a homemade, low-cost laparoscopic training simulator (LABOT) and its validation as a training instrument. First, sixty surgeons filled out a survey characterized by 12 closed-answer questions about realism, ergonomics, and usefulness for surgical training (global scores ranged from 1—very insufficient to 5—very good). The results of the questionnaires showed a mean (±SD) rating score of 4.18 ± 0.65 for all users. Then, 15 students (group S) and 15 residents (group R) completed 3 different tasks (T1, T2, T3), which were repeated twice to evaluate the execution time and the number of users’ procedural errors. For T1, the R group had a lower mean execution time and a lower rate of procedural errors than the S group; for T2, the R and S groups had a similar mean execution time, but the R group had a lower rate of errors; and for T3, the R and S groups had a similar mean execution time and rate of errors. On a second attempt, all the participants tended to improve their results in doing these surgical tasks; nevertheless, after subgroup analysis of the T1 results, the S group had a better improvement of both parameters. Our laparoscopic simulator is simple to build, low-cost, easy to use, and seems to be a suitable resource for improving laparoscopic skills. In the future, further studies should evaluate the potential of this laparoscopic box on long-term surgical training with more complex tasks and simulation attempts.

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“…A training programme including 300 min of training on bench models has been shown to significantly improve surgical skills in laparoscopic cholecystectomy, 24 and other training programmes have included training for more than 7 hours in order to show an acceptable level of competency. 25 26 …”

Section: Discussionmentioning

confidence: 99%

Is the current level of training in the use of equipment for prehospital radio communication sufficient? A cross-sectional study among prehospital physicians in Denmark

Holm

2017

BMJ Open

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BackgroundPhysicians working in prehospital care are expected to handle radio communication both within their own sector as well as with other divisions of the National Emergency Services. To date, no study has been conducted on the level of training received by physicians in the use of the equipment provided or on the level of competency acquired by physicians.MethodsIn order to investigate the self-assessed skill level acquired in the use of the TETRA (TErrestrial Trunked RAdio) authority radio for communication in a prehospital setting, a cross-sectional study was conducted by questionnaire circulated to all 454 physicians working in the Danish Emergency Medical Services.ResultsA lack of training was found among physicians working in prehospital care in Denmark in relation to the proper use of essential communication equipment. Prior to starting their first shift in a prehospital setting 38% of physicians reported having received no training in the use of the equipment, while 80% of physicians reported having received one1 hour of training or less. Among the majority of physicians their current level of training was sufficient for their everyday needs for prehospital communication but for 28% of physicians their current level of training was insufficient as they were unable to handle communication at this level.ConclusionAs the first study in its field, this study investigated the training received in the use of essential communication equipment among physicians working in prehospital care in Denmark. The study found that competency does not appear to have been prioritised as highly as other technical skills needed to function in these settings. For the majority of physicians their current level of training was sufficient for everyday use but for a substantial minority further training is required, especially if the redundancy of the prehospital system is to be preserved.

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Manual Laparoscopic Skills Development Using a Low-Cost Trainer Box in Tanzania

Cited by 38 publications

References 14 publications

Laparoscopic simulation for surgical residents in Ethiopia: course development and results

Laparoscopic simulation for surgical residents in Ethiopia: course development and results

Development and Validation of a Homemade, Low-Cost Laparoscopic Simulator for Resident Surgeons (LABOT)

Is the current level of training in the use of equipment for prehospital radio communication sufficient? A cross-sectional study among prehospital physicians in Denmark

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