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Basic surgical skills training: Does it work?
Author(s) -
KOCH Juliette,
CLEMENTS Sarah,
ABBOTT Jason
Publication year - 2011
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2010.01285.x
Subject(s) - trainer , electrosurgery , medicine , laparoscopy , physical therapy , baseline (sea) , surgery , computer science , programming language , oceanography , geology
Background and Aim: We assessed the RANZCOG Basic Surgical Skills Workshop (BSSW) with regards to trainees’ basic knowledge and skill using a laparoscopic pelvi‐trainer. Methods: First‐year trainees answered a multiple choice questionnaire (MCQ) and performed timed simulated laparoscopic exercises with a pelvi‐trainer before completing a 2‐day workshop. Assessment was repeated following the workshop, at 6 months and 5 years. Results: MCQ results improved immediately after the workshop (baseline 16/34 vs post‐course 23/34; P = 0.0001) declined at 6 months (post‐course 24/34 vs 6 months 20/34; P = 0.009) with no change at 5 years (20/34 at 5 years). The time to complete both the simple and the complex laparoscopic exercises improved significantly following the workshop (simple: baseline 30 s, post‐course 23 s; P = 0.008, complex: baseline 219 s, post‐course 145 s; P = 0.0001) and was maintained at 6 months (simple: post‐course 22 s, 6 months 23 s; P = 0.644, complex: post‐course 124 s, 6 months 125 s; P = 0.958), but the time to complete the simple exercise was no better at 5 years and the time to complete the complex exercise was increased at 5 years (6 months 115 s, 5 years 172 s, P = 0.023). Conclusions: First‐year trainees’ basic knowledge of electrosurgery, hysteroscopy and laparoscopy and the time to perform skills on a laparoscopic pelvi‐trainer improved after a BSSW but there was no further improvement at 5 years.