Simulation‑based structured training for developing laparoscopy skills in general surgery and obstetrics & gynecology postgraduates
نویسندگان
1 Department of Obstetrics and Gynaecology, AIIMS, Bhopal, Madhya Pradesh, India
2
doi
چکیده
BACKGROUND: Simulation‑based training is an important strategy for skill development in acompetency‑based curriculum, especially so for laparoscopic surgery given its unique learning curve,need for practice, and patient safety concerns. The study was conducted for postgraduates in twosurgical disciplines in a medical college tertiary care center. The study evaluates the acceptability andutility of structured simulation‑based training for laparoscopic skills. Simulations provide deliberatepractice in the leaner supportive environment.MATERIALS AND METHODS: The educational intervention was carried out among the 16postgraduates from year 2 and year 3 of general surgery and obstetrics and gynecology. A structuredtraining and assessment module was designed and validated, and a 12‑week structured trainingon laparoscopic box trainers was given to postgraduates under faculty guidance. Feedbackfrom postgraduates and faculty was obtained using separate validated questionnaires. Thepre‑ and post‑training assessment scores were compared applying the Wilcoxon matched‑pairssigned‑rank (2‑tailed) test using the SPSS Windows Version 20.0 (IBM Corporation).RESULTS: Sixteen postgraduates participated in the study. The median satisfaction score of thepostgraduates was 4 (range 3–5), a scale of a maximum of 5. The group identified faculty feedback,stepwise skills learning, supportive learning environment, and trainers’ motivation as enabling factorsin the training. The faculty observed that the trainees were effectively engaged. The group meanimprovement scores in percentage were 40.08 for task 1, 42.08 for task 2, 43.13 for task 3, and45.63 for task 4.CONCLUSIONS: It is feasible to incorporate faculty‑guided sessions of simulation training in basiclaparoscopy skills for postgraduates in our setup. It is well accepted by the key stakeholders, andwe recommend it to be incorporated in the formal training program.