Two-year skill retention and certification exam performance after fundamentals of laparoscopic skills training and proficiency maintenance

Intégration de la simulation dans la formation des internes en chirurgie. Programme pédagogique du centre de simulation médicale de la faculté de médecine de Nice

“…• une formation obligatoire [25], prolongée [26], débutée dès le début du cursus [27], sanctionnée par une éva-luation certificative, organisée une année après la fin de l'enseignement pour en valider les acquis de façon pérenne [7] ; • la sélection critères de validation précis et reproductibles des différents exercices et des différentes simulations. Il s'agissait soit de scores [27,28], soit de critères métriques [16,29] en fonction des différentes procédures.…”

“…L'aspect technique avec la possibilité via des simulateurs de développer une aptitude technique pérenne [7] sur certains gestes (gestuelle coelioscopique [8][9][10], endoscopique, de chirurgie ouverte). L'aptitude au raisonnement devant certaines situations cliniques et la notion de travail en équipe.…”

Impact of Fundamentals of Laparoscopic Surgery Training During Medical School on Performance by First Year Surgical Residents

“…Evidence has been developed showing that this proficiencybased method is feasible for training novices and uniformly produces sufficient skill acquisition for successful FLS certification [13]. This proficiency-based training also results in significant skill retention in surgical residents at intervals of 1 and 2 y post-training [5,15]. On the other hand, our group has reported excellent 1 y FLS skill retention using an open curriculum in a ''production'' training environment without requirements to achieve proficiency as defined above [22].…”

“…FLS was launched in 2004, and since that time over 2500 individuals have taken the FLS examination with an overall FLS certification rate of 87.9% [3]. The FLS examination has become a high stake examination since certification is now required for surgery residents to apply to sit for the qualifying examination of the American Board of Surgery [4,5].…”

“…tasks required for successful certification is an active area of research. Proficiency-based skills training curricula have emerged as the most commonly proposed training style for FLS [5,12,15]; however, the best distribution of the training within a surgical residency and the amount of training that will be required is unknown. There are few reports addressing the effectiveness of initiating FLS training during medical school and no reports with respect to whether the durability of skills acquired then could reduce training requirements during residency.…”