The learning effect of intraoperative video-enhanced surgical procedure training
Identifieur interne : 002913 ( Main/Curation ); précédent : 002912; suivant : 002914The learning effect of intraoperative video-enhanced surgical procedure training
Auteurs : M. J. Van Det [Pays-Bas] ; W. J. H. J. Meijerink [Pays-Bas] ; C. Hoff [Pays-Bas] ; L. J. Middel [Pays-Bas] ; S. A. Koopal [Pays-Bas] ; J. P. E. N. Pierie [Pays-Bas]Source :
- Surgical Endoscopy [ 0930-2794 ] ; 2011.
Abstract
The transition from basic skills training in a skills lab to procedure training in the operating theater using the traditional master-apprentice model (MAM) lacks uniformity and efficiency. When the supervising surgeon performs parts of a procedure, training opportunities are lost. To minimize this intervention by the supervisor and maximize the actual operating time for the trainee, we created a new training method called INtraoperative Video-Enhanced Surgical Training (INVEST).
Ten surgical residents were trained in laparoscopic cholecystectomy either by the MAM or with INVEST. Each trainee performed six cholecystectomies that were objectively evaluated on an Objective Structured Assessment of Technical Skills (OSATS) global rating scale. Absolute and relative improvements during the training curriculum were compared between the groups. A questionnaire evaluated the trainee’s opinion on this new training method.
Skill improvement on the OSATS global rating scale was significantly greater for the trainees in the INVEST curriculum compared to the MAM, with mean absolute improvement 32.6 versus 14.0 points and mean relative improvement 59.1 versus 34.6% (
INVEST significantly enhances technical and procedural skill development during the early learning curve for laparoscopic cholecystectomy. Trainees were positive about the content and the idea of the curriculum.
Url:
DOI: 10.1007/s00464-010-1545-5
PubMed: 21359903
PubMed Central: 3116121
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J." last="Van Det">M. J. Van Det</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Medical Center Leeuwarden, Leeuwarden</wicri:regionArea><wicri:noRegion>Leeuwarden</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Surgery, University Medical Center Groningen, P. O. Box 30001, 9700 Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, University Medical Center Groningen, P. O. Box 30001, 9700 Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName></affiliation></author><author><name sortKey="Meijerink, W J H J" sort="Meijerink, W J H J" uniqKey="Meijerink W" first="W. J. H. J." last="Meijerink">W. J. H. J. Meijerink</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Department of Gastro Intestinal Surgery, Free University Medical Center, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Gastro Intestinal Surgery, Free University Medical Center, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Hoff, C" sort="Hoff, C" uniqKey="Hoff C" first="C." last="Hoff">C. Hoff</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Medical Center Leeuwarden, Leeuwarden</wicri:regionArea><wicri:noRegion>Leeuwarden</wicri:noRegion></affiliation></author><author><name sortKey="Middel, L J" sort="Middel, L J" uniqKey="Middel L" first="L. J." last="Middel">L. J. Middel</name><affiliation wicri:level="4"><nlm:aff id="Aff4">Department of Health Sciences, University of Groningen, Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Health Sciences, University of Groningen, Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName><orgName type="university">Université de Groningue</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff5">Department of Oral Health and Clinical Epidemiology, University of Groningen, Groningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Health and Clinical Epidemiology, University of Groningen, Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName><orgName type="university">Université de Groningue</orgName></affiliation></author><author><name sortKey="Koopal, S A" sort="Koopal, S A" uniqKey="Koopal S" first="S. A." last="Koopal">S. A. Koopal</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Medical Center Leeuwarden, Leeuwarden</wicri:regionArea><wicri:noRegion>Leeuwarden</wicri:noRegion></affiliation></author><author><name sortKey="Pierie, J P E N" sort="Pierie, J P E N" uniqKey="Pierie J" first="J. P. E. N." last="Pierie">J. P. E. N. Pierie</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Medical Center Leeuwarden, Leeuwarden</wicri:regionArea><wicri:noRegion>Leeuwarden</wicri:noRegion></affiliation></author></analytic><series><title level="j">Surgical Endoscopy</title><idno type="ISSN">0930-2794</idno><idno type="eISSN">1432-2218</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The transition from basic skills training in a skills lab to procedure training in the operating theater using the traditional master-apprentice model (MAM) lacks uniformity and efficiency. When the supervising surgeon performs parts of a procedure, training opportunities are lost. To minimize this intervention by the supervisor and maximize the actual operating time for the trainee, we created a new training method called INtraoperative Video-Enhanced Surgical Training (INVEST).</p></sec><sec><title>Methods</title><p>Ten surgical residents were trained in laparoscopic cholecystectomy either by the MAM or with INVEST. Each trainee performed six cholecystectomies that were objectively evaluated on an Objective Structured Assessment of Technical Skills (OSATS) global rating scale. Absolute and relative improvements during the training curriculum were compared between the groups. A questionnaire evaluated the trainee’s opinion on this new training method.</p></sec><sec><title>Results</title><p>Skill improvement on the OSATS global rating scale was significantly greater for the trainees in the INVEST curriculum compared to the MAM, with mean absolute improvement 32.6 versus 14.0 points and mean relative improvement 59.1 versus 34.6% (<italic>P</italic> = 0.02).</p></sec><sec><title>Conclusion</title><p>INVEST significantly enhances technical and procedural skill development during the early learning curve for laparoscopic cholecystectomy. 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