Abstract
BackgroundSimulation in laparoscopic surgery is nowadays recognized as a valid instrument for learning and training surgeons in different procedures. However, its role as evaluation test and self-assessment tool to verify basic surgical skills is still under discussion.MethodsThirty-three residents in obstetrics and gynecology at University of Pisa, Italy were recruited, and they received a simulation program consisting of 5 tasks. They had to perform basic laparoscopic surgery maneuvers as creating pneumoperitoneum, positioning trocars under vision, demonstrating the appropriate use of dominant and non-dominant hand and making single stitch and knot. They were evaluated with a modified OSATs scale.ResultsSenior trainees had better score than junior trainees (p value< 0,005) and after different sessions of simulation scores of both groups significantly improved (p < 0,001), especially for the junior group. All the trainees reported self-assessments that matched with the evaluation of external observers demonstrating the importance of simulation also as auto-evaluation test.ConclusionsIn this study, we demonstrated the role of simulation as powerful tool to evaluate and to self-assess surgical technical skills and to improve own capacities, with the use of a modified OSATs scale adapted to specific exercises.
Highlights
Simulation in laparoscopic surgery is nowadays recognized as a valid instrument for learning and training surgeons in different procedures
The aim of this study is to demonstrate the role of simulation in laparoscopy on improving technical skills in trainees in obstetrics and gynecology and as evaluation tool to self-assess own capacities with the use of a modified OSATs scale
Simulation improves technical skill especially in “naïve” residents The improvement on technical skills is similar in all trainees without statistically significant differences but it is worthy to note that, after the training with simulator, junior residents (PGY 1) present very close
Summary
Simulation in laparoscopic surgery is nowadays recognized as a valid instrument for learning and training surgeons in different procedures. Its role as evaluation test and self-assessment tool to verify basic surgical skills is still under discussion. Surgical training is one of the most important aspects in different medical specialties. One of the main methods of surgical residency training remains an intensive internship in the operating room, it presents several negative aspects including potential risks to the patient safety [1] and the need for trainees to spend many hours in the operating theatre before achieving good results, with limited training opportunities due to the lack of time and to the many professional activities that must be performed [2]. The aim of this study is to demonstrate the role of simulation in laparoscopy on improving technical skills in trainees in obstetrics and gynecology and as evaluation tool to self-assess own capacities with the use of a modified OSATs scale
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