The impact of intensive laparoscopic training course with structured assessment and immediate feedback on residents’ operative performance in animal lab

Iman Ghaderi, Tung Tran, Melissa Carton, Julia Samamé, Carlos Galvani

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: The objective of this study was to examine the impact of an intensive laparoscopic training course incorporating structured assessment and immediate feedback on residents’ operative performance in animal lab. Methods: Surgical residents participated in a 2-day intensive laparoscopic training course. They performed the same procedures on two consecutive days on live pigs. Junior residents (PGY1-2) performed laparoscopic cholecystectomy and incisional hernia repair and the senior residents (PGY3-5) performed laparoscopic Nissen fundoplication, splenectomy, and low anterior colon resection. Assessment tools with proven validity evidence (global and procedure-specific rating tools for operative assessment of laparoscopic skills) were used to assess their operative performance. Faculty assessment and self-assessments were completed immediately after each procedure on both days. The Wilcoxon rank test was used to examine the effect of training on resident performance after one repetition. Results: Forty surgical residents (20 junior and 20 senior residents) participated. There was a significant improvement in general laparoscopic skills during incisional hernia repair and Nissen fundoplication using global rating scales (p < 0.05). Moreover, there was an improvement in their performance during cholecystectomy, incisional hernia repair, and low anterior colectomy when procedure-specific skills assessments were used (p < 0.05). There was a positive correlation between residents’ self-reported confidences and their operative performance Conclusion: Trainees showed significant improvements in performance in general and procedure-specific laparoscopic skills in a wide range of procedures after an intensive training course. This study demonstrates the benefit of a structured training curriculum in improving operative performance in basic and advanced laparoscopic skills in a simulated environment. Future studies are needed to examine the duration of training required to achieve skill retention and competency.

Original languageEnglish (US)
Pages (from-to)3370-3378
Number of pages9
JournalSurgical endoscopy
Volume35
Issue number7
DOIs
StatePublished - Jul 2021
Externally publishedYes

Keywords

  • Animal lab
  • Curriculum
  • Laparoscopy
  • Simulation
  • Surgery
  • Training

ASJC Scopus subject areas

  • Surgery

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