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Akdemir A, Cakmak K, Ari SA, Sendag F. Effectiveness of the world's first 1-Day online hands-on laparoscopic suturing training during COVID-19 pandemic. J OBSTET GYNAECOL 2022; 42:2100-2104. [PMID: 35166139 DOI: 10.1080/01443615.2022.2033182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
We aimed to investigate the effectiveness of an online laparoscopic suturing training course conducted via an online meeting program. The mean needle loading, stitching, and knot-tying times were 77.3 s, 63.0 s, and 140.3 s, respectively on the initial test. Total laparoscopic suture time before the course was 273.8 s. After the course, time measures across all parameters decreased significantly (p < .001). The mean needle loading, suture passing, and knot tying times were 25.0 s, 31.0 s, and 34.6 s on the final test. The total intracorporeal suture time after the course was 90.0 s. The Objective and Structured Assessment of Technical Skills Scores significantly increased from 16.8 at the initial test to 25.4 at the final test (p < .001).IMPACT STATEMENTWhat is already known on this subject? Training models like box trainers and virtual reality simulators have frequently been shown to significantly improve laparoscopic skills.What the results of this study add? A 1-day online laparoscopic suturing course significantly reduces the intracorporeal suturing time.What the implications are of these findings for clinical practice and/or further research? Basis the results, online laparoscopic suturing training might become the new norm for training over conventional training given the benefits of cost and time savings.
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Affiliation(s)
- Ali Akdemir
- Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey
| | - Kubra Cakmak
- Department of Obstetrics and Gynecology, Esenler Maternity and Children's Hospital, Esenler, Istanbul
| | - Sabahattin Anil Ari
- Department of Obstetrics and Gynecology, Menemen State Hospital, Menemen, Izmir
| | - Fatih Sendag
- Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey
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Belotto M, Coutinho L, Pacheco-Jr AM, Mitre AI, Fonseca EAD. INFLUENCE OF MINIMALLY INVASIVE LAPAROSCOPIC EXPERIENCE SKILLS ON ROBOTIC SURGERY DEXTERITY. ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA 2022; 34:e1604. [PMID: 35019119 PMCID: PMC8735341 DOI: 10.1590/0102-672020210003e1604] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Accepted: 02/04/2021] [Indexed: 12/02/2022]
Abstract
Background:
It is unclear if there is a natural transition from laparoscopic to robotic surgery with transfer of abilities.
Aim: To measure the performance and learning of basic robotic tasks in a simulator of individuals with different surgical background.
Methods:
Three groups were tested for robotic dexterity: a) experts in laparoscopic surgery (n=6); b) experts in open surgery (n=6); and c) non-medical subjects (n=4). All individuals were aged between 40-50 years. Five repetitions of four different simulated tasks were performed: spatial vision, bimanual coordination, hand-foot-eye coordination and motor skill.
Results:
Experts in laparoscopic surgery performed similar to non-medical individuals and better than experts in open surgery in three out of four tasks. All groups improved performance with repetition.
Conclusion:
Experts in laparoscopic surgery performed better than other groups but almost equally to non-medical individuals. Experts in open surgery had worst results. All groups improved performance with repetition.
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Affiliation(s)
- Marcos Belotto
- Department of Surgery, Pancreas Division, Santa Casa de São Paulo, São Paulo, SP, Brazil.,Sirio-Libanes Hospital, São Paulo, Brazil
| | | | - Adhemar M Pacheco-Jr
- Department of Surgery, Pancreas Division, Santa Casa de São Paulo, São Paulo, SP, Brazil
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Peker N, Biler A, Hortu İ, Şendağ F. Effectiveness of a one-day laparoscopic suture course. J OBSTET GYNAECOL 2019; 39:981-985. [PMID: 31303078 DOI: 10.1080/01443615.2019.1584882] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
We aimed to determine the effectiveness of a one-day course on laparoscopic suturing skills development by performing a prospective study with obstetrics and gynaecology specialists. The course consisted of a theoretical portion describing the suturing technique basics and a practical portion consisting of box trainer suturing. Before and after the course, each trainee was given 10 min to introduce the suture material into the abdomen, properly position the needle using a needle holder, pass the suture through premarked points on the silicone pads and tie an intracorporeal knot. The procedures were video recorded and evaluated after the course. The results showed that there were statistically significant reductions in the needle holding, suture passing and knot tying times after completing the course. Overall, the one-day course was an effective training programme for improving a surgeon's laparoscopic suturing skills. IMPACT STATEMENT What is already known on this subject? Currently, many countries have centres that provide laparoscopic training as part of the medical residency education. However, a standardised training programme has not been implemented worldwide. What do the results of this study add? In this study, we pointed out the effectiveness of a one-day laparoscopic suturing course. A one-day suturing course is easy to implement, cheap and effective. What are the implications of these findings for clinical practice and/or further research? A one-day suturing course should be implemented worldwide, especially in those countries lacking sufficient financial resources to provide laparoscopic training as part of the medical residency programme.
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Affiliation(s)
- Nuri Peker
- Department of Obstetrics and Gynecology, Uşak University , Istanbul , Turkey
| | - Alper Biler
- Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital , Izmir , Turkey
| | - İsmet Hortu
- Department of Obstetrics and Gynecology, Ege University School of Medicine , Izmir , Turkey
| | - Fatih Şendağ
- Department of Obstetrics and Gynecology, Ege University School of Medicine , Izmir , Turkey
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Kamal AH, Quinn D, Gilligan TD, Davis BC, Dalby CK, Bretsch J, McNiff KK, Jacobson JO, Kamal AH, Quinn D, Gilligan TD, Corning Davis B, Dalby CK, Bretsch J, McNiff KK, Jacobson JO. ReCAP: Feasibility and Effectiveness of a Pilot Program to Facilitate Quality Improvement Learning in Oncology: Experience of the American Society of Clinical Oncology Quality Training Program. J Oncol Pract 2015; 12:177; e215-23. [PMID: 26286099 DOI: 10.1200/jop.2015.004762] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
PURPOSE Studies have demonstrated that structured training programs can improve health professionals' skills in performing clinical care or research. We sought to develop and test a novel quality training program (QTP) tailored to oncology clinicians. METHODS The American Society of Clinical Oncology QTP consisted of three in-person learning sessions and four phases: prework, planning, implementation, and sustain and spread. We measured two primary outcomes: program feasibility and effectiveness. Feasibility was evaluated by recording participation. Effectiveness was measured using the Kirkpatrick model, which evaluates four outcomes: reaction, learning, behavior, and results. We collected qualitative feedback through a focus group of participants and mixed quantitative–qualitative results from a 6-month follow-up evaluation survey. Results are presented using descriptive statistics. RESULTS We received feedback from of 80% of participants who took part in 92% of in-person program days. QTP deliverables were completed by 100% of teams; none withdrew from the program. Regarding reaction, 100% of respondents expressed interest in actively contributing to future QTP courses. For learning, most teams continued to use the core methodology tools (eg, project charter, aims statements) after the program. Regarding behavior, when asked about intention to serve as a local quality improvement leader, a majority said they “definitely will” serve as: team leader on a specific project (75%), project champion or sponsor (75%), or teacher or trainer for others (64%). In evaluating outcomes, 50% reported applying learned methodology to new projects at their local institution. CONCLUSION We demonstrate one of the first feasible and effective training programs to facilitate quality improvement learning for oncology clinicians.
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Affiliation(s)
- Arif H Kamal
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Doris Quinn
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Timothy D Gilligan
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Barbara Corning Davis
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Carole K Dalby
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Jennifer Bretsch
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Kristen K McNiff
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Joseph O Jacobson
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Arif H Kamal
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Doris Quinn
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Timothy D Gilligan
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Barbara Corning Davis
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Carole K Dalby
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Jennifer Bretsch
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Kristen K McNiff
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
| | - Joseph O Jacobson
- Duke Cancer Institute, Durham, NC; The University of Texas MD Anderson Cancer Center, Houston, TX; Cleveland Clinic, Cleveland, OH; Partners North Shore Medical Center, Miami, FL; Dana-Farber Cancer Institute, Boston, MA; and American Society of Clinical Oncology, Alexandria, VA
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