A structured four‐step curriculum in basic laparoscopy: development and validation. (24th January 2014)

• Record Type: Journal Article
• Authors: Strandbygaard, Jeanett; Bjerrum, Flemming; Maagaard, Mathilde; Rifbjerg Larsen, Christian; Ottesen, Bent; Sorensen, Jette L.
• Is Part Of: Acta obstetricia et gynecologica Scandinavica. Volume 93:Number 4(2014)
• Page Start: 359
• Page End: 366
• Publication Date: 2014-01-24
• Subjects: Gynecology -- Periodicals; Pregnancy -- Periodicals; Obstetrics -- Periodicals; 618.05
• DOI: 10.1111/aogs.12330
• Languages: English
• ISSNs: 0001-6349

Abstract

<abstract abstract-type="main" id="aogs12330-abs-0001"> <title>Abstract</title> <sec id="aogs12330-sec-0001" sec-type="section"> <title>Objective</title> <p>The objective of this study was to develop a four‐step curriculum in basic laparoscopy consisting of validated modules integrating a cognitive component, a practical component and a procedural component.</p> </sec> <sec id="aogs12330-sec-0002" sec-type="section"> <title>Design</title> <p>A four‐step curriculum was developed. The methodology was different for each step. <italic>Step 1:</italic> A 1‐day course in basic laparoscopy developed on the background of a regional needs analysis. <italic>Step 2:</italic> A multiple‐choice test, developed and validated through interviews with experts in laparoscopy and subsequently through a Delphi audit involving regional chief physicians. <italic>Step 3:</italic> A procedural training task (a salpingectomy) on a validated virtual reality simulator. <italic>Step 4:</italic> An operation on a patient (a salpingectomy) with following formative assessment based on a validated assessment scale.</p> </sec> <sec id="aogs12330-sec-0003" sec-type="section"> <title>Setting</title> <p>University hospital, Copenhagen, Denmark.</p> </sec> <sec id="aogs12330-sec-0004" sec-type="section"> <title>Population</title> <p>Fifty‐two first‐year residents in obstetrics and gynecology from 2009 to 2011.</p> </sec> <sec id="aogs12330-sec-0005" sec-type="section"> <title>Method</title> <p>Observational cohort study.</p> </sec> <sec id="aogs12330-sec-0006" sec-type="section"> <title>Main outcome measure</title> <p>Completion rate.</p> </sec> <sec id="aogs12330-sec-0007" sec-type="section"> <title>Results</title> <p>All participants completed step 1 and improved post‐course test scores compared with pre‐course test scores, <italic>p</italic> = 0.001. Step 2 was completed by 75% (37/52); all improved test scores after 6 months, <italic>p </italic>= 0.001. Step 3 was completed by 75%. Participants used 238 min (range 75–599) and 38 repetitions (range 8–99) to reach proficiency level on a virtual reality simulator. Step 4 was completed by 55%. There was no correlation between test scores and simulator training time. Protected training time was correlated with increasing completion rate.</p> </sec> <sec id="aogs12330-sec-0008" sec-type="section"> <title>Conclusion</title> <p>A four‐step curriculum in basic laparoscopy is applicable in residency training. Protected training time correlated with increasing completion rate.</p> </sec> </abstract>