A structured curriculum for the acquisition of basic surgical endoscopic skills for surgical residents and quantification of skills improvement.

Fischer, Marc; Galanis, Michail; Gioutsos, Konstantinos; Lutz, Jon Andri; Azenha Figueiredo, Filipe; Dorn, Patrick (2024). A structured curriculum for the acquisition of basic surgical endoscopic skills for surgical residents and quantification of skills improvement. Surgery open science, 20, pp. 82-93. Elsevier 10.1016/j.sopen.2024.05.021

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INTRODUCTION

New strategies and methods are needed to ensure that new generations can train and acquire surgical skills in a safe environment.

MATERIALS AND METHODS

From January 2020 to October 2020, we performed a single centre, prospective observational cohort study. 19 participants (15 students, 4 residents) enrolled and 16 participants (13 students, 3 residents) successfully completed the curriculum. We performed a quantitative data analysis to evaluate its effectiveness in gaining and improving basic surgical endoscopic skills.

RESULTS

The time for single knot tying pre-, mid-, and post-training was reduced significantly, the average time (sec) decreased by 79.5 % (p < 0.001), the total linear distance (cm) by 74.5 % (p < 0.001) and the total angular distance (rad) by 71.7 % (p < 0.001). The average acceleration (mm/s2) increased by 20 % (p = 0.041). Additionally, the average speed increased by 23.5 % (p < 0.001), while motion smoothness (m/s3) increased by 20.4 % (p = 0.02).

CONCLUSION

The obtained performance scores showed a significant increase in participants improving their basic surgical performance skills on the endoscopic simulator. This curriculum can be easily implemented in any surgical specialty as part of the residency training curriculum before first exposure in the operation room. All 16 participants recommended the implementation of such simulator training in their surgical training curriculum.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery

UniBE Contributor:

Galanis, Michail, Gioutsos, Konstantinos, Lutz, Jon Andri, Azenha Figueiredo, Luís Filipe, Dorn, Patrick

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2589-8450

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

09 Jul 2024 08:40

Last Modified:

10 Jul 2024 15:25

Publisher DOI:

10.1016/j.sopen.2024.05.021

PubMed ID:

38973812

Uncontrolled Keywords:

Endoscopic skills Simulator training Surgical curriculum

BORIS DOI:

10.48350/198700

URI:

https://boris.unibe.ch/id/eprint/198700

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