Effects of Systematically Guided vs. Self-Directed Laparoscopic Box Training on Learning Performances: An Observational Study.

IF 2.4 4区 医学 Q2 OBSTETRICS & GYNECOLOGY
Geburtshilfe Und Frauenheilkunde Pub Date : 2024-12-06 eCollection Date: 2024-12-01 DOI:10.1055/a-2415-5929
Melissa Neubacher, Dogus Darici, Natalia Krawczyk, Max Arslan, Maximilian Pruss, Tanja Fehm, Ines Beyer
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引用次数: 0

Abstract

Introduction: Minimally invasive surgery is increasing in all fields of surgery. It is currently unknown whether structured training is superior to self-directed training. The aim of this study is to analyze the enhancement of surgical skills in laparoscopy box trainers in a systematically guided training program compared to self-directed training.

Material and methods: Two groups of 40 medical students were included in the study between 04/2021 and 01/2023. Each training session on the laparoscopic box trainer (Medishield BV, NL) was automatically protocolled, including time, force, and path length. The structured group consisted of 21 students working in peer tandem, while the self-directed group consisted of 19 last-year students in their four-month elective. The observational study was conducted in an ecological study design.

Results: The self-directed cohort completed an average of 15 training sessions compared to the structured cohort's 10 sessions. All participants in both groups improved in time, path length, and force. The structured cohort showed nearly linear improvement, while the self-directed cohort had high deviation in results.

Conclusion: Supervision and collaborative work positively influence laparoscopic training success. Mere availability of training does not exploit the potential of laparoscopic box trainers. Curriculums for young surgeons or medical students should include institutionalized training with a structured schedule and a training partner for improved outcomes.

简介微创手术在外科各个领域的应用都在不断增加。目前尚不清楚结构化培训是否优于自主培训。本研究的目的是分析与自主培训相比,系统指导培训计划中的腹腔镜手术盒培训师对手术技能的提高情况:在 2021 年 4 月至 2023 年 1 月期间,两组共 40 名医科学生参加了研究。腹腔镜箱式训练器(荷兰 Medishield BV 公司)上的每个训练环节都自动进行了原始记录,包括时间、力度和路径长度。结构化组由 21 名学生组成,进行同伴串联;自主组由 19 名上一年级学生组成,进行为期四个月的选修课。观察研究采用生态研究设计:结果:自主学习组平均完成了 15 次训练,而结构化学习组只完成了 10 次。两组的所有参与者在时间、路径长度和力量方面都有所提高。结构化组学员的成绩几乎呈线性提高,而自主组学员的成绩偏差较大:结论:指导和合作对腹腔镜培训的成功有积极影响。结论:督导和合作对腹腔镜培训的成功有积极影响。仅仅提供培训并不能挖掘腹腔镜培训师的潜力。年轻外科医生或医科学生的课程设置应包括制度化培训、结构化时间表和培训伙伴,以提高培训效果。
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来源期刊
Geburtshilfe Und Frauenheilkunde
Geburtshilfe Und Frauenheilkunde 医学-妇产科学
CiteScore
2.50
自引率
22.20%
发文量
828
审稿时长
6-12 weeks
期刊介绍: Geburtshilfe und Frauenheilkunde (GebFra) addresses the whole field of obstetrics and gynecology and is concerned with research as much as with clinical practice. In its scientific section, it publishes original articles, reviews and case reports in all fields of the discipline, namely gynecological oncology, including oncology of the breast obstetrics and perinatal medicine, reproductive medicine, and urogynecology. GebFra invites the submission of original articles and review articles. In addition, the journal publishes guidelines, statements and recommendations in cooperation with the DGGG, SGGG, OEGGG and the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF, Association of Scientific Medical Societies, www.awmf.org). Apart from the scientific section, Geburtshilfe und Frauenheilkunde has a news and views section that also includes discussions, book reviews and professional information. Letters to the editors are welcome. If a letter discusses an article that has been published in our journal, the corresponding author of the article will be informed and invited to comment on the letter. The comment will be published along with the letter.
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