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Retention of basic laparoscopic skills after a structured training program.

Hiemstra E, Kolkman W, van de Put MA, Jansen FW - Gynecol Surg (2009)

Bottom Line: The final test results were compared with retention test results as a measure of durability of acquired skills.Nevertheless, all retention scores remained better than the baseline results.In conclusion, basic laparoscopic skills acquired during a short training program merely sustain over time.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynaecology, Leiden University Medical Center, K6-76, P.O. Box 9600, 2300 RC Leiden, The Netherlands.

ABSTRACT
The purpose of this study was to test the retention of basic laparoscopic skills on a box trainer 1 year after a short training program. For a prior study, eight medical students without prior experience (novices) underwent baseline testing, followed by five weekly training sessions and a final test. During each of seven sessions, they performed five tasks on an inanimate box trainer. Scores were calculated by adding up the time to completion of the task with penalty points, consequently rewarding speed and precision. The sum score was the sum of the five scores. One year later, seven of them underwent retention testing for the current study. The final test results were compared with retention test results as a measure of durability of acquired skills. Novices' scores did not worsen significantly for four out of five tasks (i.e., placing a pipe cleaner p = 0.46, placing beads p = 0.24, cutting a circle p = 0.31, and knot tying p = 0.13). However, deterioration was observed in the performance on stretching a rubber band (p < 0.05), as well as in the sum score (p < 0.05). Nevertheless, all retention scores remained better than the baseline results. In conclusion, basic laparoscopic skills acquired during a short training program merely sustain over time. However, ongoing practice is advisable, especially to preserve tissue-handling skills, since these may be the first to deteriorate.

No MeSH data available.


Related in: MedlinePlus

Laparoscopic training tasks
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Related In: Results  -  Collection


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Fig1: Laparoscopic training tasks

Mentions: The tasks in this study, as well as the scoring system, were based on the studies of Derossis et al. [17] and are shown in Fig. 1. The tasks vary from simple placing object tasks to more complicated maneuvers such as cutting and knot tying.Fig. 1


Retention of basic laparoscopic skills after a structured training program.

Hiemstra E, Kolkman W, van de Put MA, Jansen FW - Gynecol Surg (2009)

Laparoscopic training tasks
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2837243&req=5

Fig1: Laparoscopic training tasks
Mentions: The tasks in this study, as well as the scoring system, were based on the studies of Derossis et al. [17] and are shown in Fig. 1. The tasks vary from simple placing object tasks to more complicated maneuvers such as cutting and knot tying.Fig. 1

Bottom Line: The final test results were compared with retention test results as a measure of durability of acquired skills.Nevertheless, all retention scores remained better than the baseline results.In conclusion, basic laparoscopic skills acquired during a short training program merely sustain over time.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynaecology, Leiden University Medical Center, K6-76, P.O. Box 9600, 2300 RC Leiden, The Netherlands.

ABSTRACT
The purpose of this study was to test the retention of basic laparoscopic skills on a box trainer 1 year after a short training program. For a prior study, eight medical students without prior experience (novices) underwent baseline testing, followed by five weekly training sessions and a final test. During each of seven sessions, they performed five tasks on an inanimate box trainer. Scores were calculated by adding up the time to completion of the task with penalty points, consequently rewarding speed and precision. The sum score was the sum of the five scores. One year later, seven of them underwent retention testing for the current study. The final test results were compared with retention test results as a measure of durability of acquired skills. Novices' scores did not worsen significantly for four out of five tasks (i.e., placing a pipe cleaner p = 0.46, placing beads p = 0.24, cutting a circle p = 0.31, and knot tying p = 0.13). However, deterioration was observed in the performance on stretching a rubber band (p < 0.05), as well as in the sum score (p < 0.05). Nevertheless, all retention scores remained better than the baseline results. In conclusion, basic laparoscopic skills acquired during a short training program merely sustain over time. However, ongoing practice is advisable, especially to preserve tissue-handling skills, since these may be the first to deteriorate.

No MeSH data available.


Related in: MedlinePlus