Abstract
Laparoscopic skills training of surgical residents: a comparison of two proficiency-based independent approaches
Highlights
To maximize the benefit of time in the operating room, laparoscopic skills training outside the operating room has become the gold standard for educating surgical residents
In this un-blinded, randomized study, two proficiencybased independent approaches were employed to teach laparoscopic skills to beginners, with one tactic employing standard on-site physical box trainers at the workplace and the other relying on a similar device used in the trainee’s home, outside the stress of the work environment
Several studies have shown that learning can be facilitated if learners are able to self-direct their own training experience[11,12,13] while other studies have shown that low cost, portable training device can improve laparoscopic skills.[18,19]
Summary
To maximize the benefit of time in the operating room, laparoscopic skills training outside the operating room has become the gold standard for educating surgical residents. Several studies have suggested that mandatory, proctored, proficiency-based goal-directed training is the best method for training.[1,2,3] this approach is not without disadvantages This type of training requires a significant amount of practice time per trainee in a workplace environment where shortened work hours are being mandated.[4,5,6] This laborious process of proctored, on-site training programs is time consuming and significantly impinges on the residents’ pre-existing didactic requirements, patient care responsibilities, and overall operative experience.[7,8,9] duty-hour limitations have led to a significant re-evaluation of the traditional surgical education paradigm, with emphasis on increased efficiency of educational efforts. There is an economical aspect to consider as the use of surgical educators can be costly, time consuming, and difficult to achieve for smaller institutions
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