Laparoscopic simulation training with proficiency targets improves practice and performance of novice surgeons

Paul G. Gauger; Linnea S. Hauge; Pamela B. Andreatta; Stanley J. Hamstra; Miranda L. Hillard; Eamonn P. Arble; Steven J. Kasten; Patricia B. Mullan; Paul S. Cederna; Rebecca M. Minter

doi:10.1016/j.amjsurg.2009.07.034

Laparoscopic simulation training with proficiency targets improves practice and performance of novice surgeons

Paul G. Gauger, Linnea S. Hauge, Pamela B. Andreatta, Stanley J. Hamstra, Miranda L. Hillard, Eamonn P. Arble, Steven J. Kasten, Patricia B. Mullan, Paul S. Cederna, Rebecca M. Minter

Urology

Research output: Contribution to journal › Article › peer-review

77 Scopus citations

Abstract

Background: This study compares a laparoscopic skill training protocol without proficiency targets to the same protocol with explicit targets and notification of progress. Methods: Fourteen surgery interns were randomized into 2 groups. The intervention group received task-specific proficiency criteria to guide practice. The control group did not. After training, participants were evaluated by blinded faculty during laparoscopic cholecystectomy. Results: The control group met significantly fewer of the 7 LapSim (Surgical Science Sweden AB, Gotëborg) targets (mean = 1.14) than the intervention group (mean = 7.00; P = .001) and significantly fewer of the 5 video trainer targets (mean = .86) than the intervention group (mean = 5.00; P = .001). Ratings of depth perception, bimanual dexterity, efficiency, tissue handling, autonomy, and overall competence were higher for the intervention group. Effect sizes ranged from medium to large (.394-.981), indicating an impact of the proficiency-based training protocol. Conclusions: Delineation of proficiency targets with reporting of progress improves interns' practice results, and appears to have a positive effect on their early operating room (OR) performance of laparoscopic cholecystectomy.

Original language	English (US)
Pages (from-to)	72-80
Number of pages	9
Journal	American journal of surgery
Volume	199
Issue number	1
DOIs	https://doi.org/10.1016/j.amjsurg.2009.07.034
State	Published - Jan 2010

Bibliographical note

Funding Information:
Supported by the Graduate Medical Education Innovations Fund of the University of Michigan Medical School.

Keywords

Competency
Laparoscopic skills
Proficiency
Simulation
Targets
Virtual reality trainers

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Laparoscopic simulation training with proficiency targets improves practice and performance of novice surgeons",

abstract = "Background: This study compares a laparoscopic skill training protocol without proficiency targets to the same protocol with explicit targets and notification of progress. Methods: Fourteen surgery interns were randomized into 2 groups. The intervention group received task-specific proficiency criteria to guide practice. The control group did not. After training, participants were evaluated by blinded faculty during laparoscopic cholecystectomy. Results: The control group met significantly fewer of the 7 LapSim (Surgical Science Sweden AB, Got{\"e}borg) targets (mean = 1.14) than the intervention group (mean = 7.00; P = .001) and significantly fewer of the 5 video trainer targets (mean = .86) than the intervention group (mean = 5.00; P = .001). Ratings of depth perception, bimanual dexterity, efficiency, tissue handling, autonomy, and overall competence were higher for the intervention group. Effect sizes ranged from medium to large (.394-.981), indicating an impact of the proficiency-based training protocol. Conclusions: Delineation of proficiency targets with reporting of progress improves interns' practice results, and appears to have a positive effect on their early operating room (OR) performance of laparoscopic cholecystectomy.",

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author = "Gauger, {Paul G.} and Hauge, {Linnea S.} and Andreatta, {Pamela B.} and Hamstra, {Stanley J.} and Hillard, {Miranda L.} and Arble, {Eamonn P.} and Kasten, {Steven J.} and Mullan, {Patricia B.} and Cederna, {Paul S.} and Minter, {Rebecca M.}",

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AU - Hauge, Linnea S.

AU - Andreatta, Pamela B.

AU - Hamstra, Stanley J.

AU - Hillard, Miranda L.

AU - Arble, Eamonn P.

AU - Kasten, Steven J.

AU - Mullan, Patricia B.

AU - Cederna, Paul S.

AU - Minter, Rebecca M.

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N2 - Background: This study compares a laparoscopic skill training protocol without proficiency targets to the same protocol with explicit targets and notification of progress. Methods: Fourteen surgery interns were randomized into 2 groups. The intervention group received task-specific proficiency criteria to guide practice. The control group did not. After training, participants were evaluated by blinded faculty during laparoscopic cholecystectomy. Results: The control group met significantly fewer of the 7 LapSim (Surgical Science Sweden AB, Gotëborg) targets (mean = 1.14) than the intervention group (mean = 7.00; P = .001) and significantly fewer of the 5 video trainer targets (mean = .86) than the intervention group (mean = 5.00; P = .001). Ratings of depth perception, bimanual dexterity, efficiency, tissue handling, autonomy, and overall competence were higher for the intervention group. Effect sizes ranged from medium to large (.394-.981), indicating an impact of the proficiency-based training protocol. Conclusions: Delineation of proficiency targets with reporting of progress improves interns' practice results, and appears to have a positive effect on their early operating room (OR) performance of laparoscopic cholecystectomy.

AB - Background: This study compares a laparoscopic skill training protocol without proficiency targets to the same protocol with explicit targets and notification of progress. Methods: Fourteen surgery interns were randomized into 2 groups. The intervention group received task-specific proficiency criteria to guide practice. The control group did not. After training, participants were evaluated by blinded faculty during laparoscopic cholecystectomy. Results: The control group met significantly fewer of the 7 LapSim (Surgical Science Sweden AB, Gotëborg) targets (mean = 1.14) than the intervention group (mean = 7.00; P = .001) and significantly fewer of the 5 video trainer targets (mean = .86) than the intervention group (mean = 5.00; P = .001). Ratings of depth perception, bimanual dexterity, efficiency, tissue handling, autonomy, and overall competence were higher for the intervention group. Effect sizes ranged from medium to large (.394-.981), indicating an impact of the proficiency-based training protocol. Conclusions: Delineation of proficiency targets with reporting of progress improves interns' practice results, and appears to have a positive effect on their early operating room (OR) performance of laparoscopic cholecystectomy.

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KW - Laparoscopic skills

KW - Proficiency

KW - Simulation

KW - Targets

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Laparoscopic simulation training with proficiency targets improves practice and performance of novice surgeons

Abstract

Bibliographical note

Keywords

UN SDGs

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