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Fundamentals of Laparoscopic Surgery simulator training to proficiency improves laparoscopic performance in the operating room—a randomized controlled trial
by
Fayez, Raad
, Vassiliou, Melina C.
, Fried, Gerald M.
, Kaneva, Pepa A.
, Sroka, Gideon
, Feldman, Liane S.
in
Biological and medical sciences
/ Cholecystectomy
/ Cholecystectomy, Laparoscopic - education
/ Clinical Competence
/ Competency-Based Education - methods
/ Computer Simulation
/ Curricula
/ Digestive system. Abdomen
/ Dissection
/ Education, Medical, Graduate - methods
/ Efficiency
/ Endoscopy
/ Ethics
/ Female
/ Fundamentals of Laparoscopic Surgery (FLS)
/ Gallbladder
/ General aspects
/ Group dynamics
/ Humans
/ Investigative techniques, diagnostic techniques (general aspects)
/ Laparoscopic skill assessment
/ Laparoscopy
/ Male
/ Medical residencies
/ Medical sciences
/ Monitoring, Intraoperative
/ Motor Skills
/ Multivariate Analysis
/ Operating room performance
/ Operating Rooms
/ Patient safety
/ Probability
/ Proficiency-based training
/ Quebec
/ Randomization
/ Reference Values
/ Simulation
/ Single-Blind Method
/ Skill development
/ Skills
/ Surgeons
/ Surgery
/ Task Performance and Analysis
/ Teaching
/ Thoracic surgery
/ Time Factors
/ Training
/ Urology
/ Virtual reality
2010
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Fundamentals of Laparoscopic Surgery simulator training to proficiency improves laparoscopic performance in the operating room—a randomized controlled trial
by
Fayez, Raad
, Vassiliou, Melina C.
, Fried, Gerald M.
, Kaneva, Pepa A.
, Sroka, Gideon
, Feldman, Liane S.
in
Biological and medical sciences
/ Cholecystectomy
/ Cholecystectomy, Laparoscopic - education
/ Clinical Competence
/ Competency-Based Education - methods
/ Computer Simulation
/ Curricula
/ Digestive system. Abdomen
/ Dissection
/ Education, Medical, Graduate - methods
/ Efficiency
/ Endoscopy
/ Ethics
/ Female
/ Fundamentals of Laparoscopic Surgery (FLS)
/ Gallbladder
/ General aspects
/ Group dynamics
/ Humans
/ Investigative techniques, diagnostic techniques (general aspects)
/ Laparoscopic skill assessment
/ Laparoscopy
/ Male
/ Medical residencies
/ Medical sciences
/ Monitoring, Intraoperative
/ Motor Skills
/ Multivariate Analysis
/ Operating room performance
/ Operating Rooms
/ Patient safety
/ Probability
/ Proficiency-based training
/ Quebec
/ Randomization
/ Reference Values
/ Simulation
/ Single-Blind Method
/ Skill development
/ Skills
/ Surgeons
/ Surgery
/ Task Performance and Analysis
/ Teaching
/ Thoracic surgery
/ Time Factors
/ Training
/ Urology
/ Virtual reality
2010
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Fundamentals of Laparoscopic Surgery simulator training to proficiency improves laparoscopic performance in the operating room—a randomized controlled trial
by
Fayez, Raad
, Vassiliou, Melina C.
, Fried, Gerald M.
, Kaneva, Pepa A.
, Sroka, Gideon
, Feldman, Liane S.
in
Biological and medical sciences
/ Cholecystectomy
/ Cholecystectomy, Laparoscopic - education
/ Clinical Competence
/ Competency-Based Education - methods
/ Computer Simulation
/ Curricula
/ Digestive system. Abdomen
/ Dissection
/ Education, Medical, Graduate - methods
/ Efficiency
/ Endoscopy
/ Ethics
/ Female
/ Fundamentals of Laparoscopic Surgery (FLS)
/ Gallbladder
/ General aspects
/ Group dynamics
/ Humans
/ Investigative techniques, diagnostic techniques (general aspects)
/ Laparoscopic skill assessment
/ Laparoscopy
/ Male
/ Medical residencies
/ Medical sciences
/ Monitoring, Intraoperative
/ Motor Skills
/ Multivariate Analysis
/ Operating room performance
/ Operating Rooms
/ Patient safety
/ Probability
/ Proficiency-based training
/ Quebec
/ Randomization
/ Reference Values
/ Simulation
/ Single-Blind Method
/ Skill development
/ Skills
/ Surgeons
/ Surgery
/ Task Performance and Analysis
/ Teaching
/ Thoracic surgery
/ Time Factors
/ Training
/ Urology
/ Virtual reality
2010
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Fundamentals of Laparoscopic Surgery simulator training to proficiency improves laparoscopic performance in the operating room—a randomized controlled trial
Journal Article
Fundamentals of Laparoscopic Surgery simulator training to proficiency improves laparoscopic performance in the operating room—a randomized controlled trial
2010
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Overview
The purpose of this study was to assess whether training to proficiency with the Fundamentals of Laparoscopic Surgery (FLS) simulator would result in improved performance in the operating room (OR).
Nineteen junior residents underwent baseline FLS testing and were assessed in the OR using a validated global rating scale (GOALS) during elective laparoscopic cholecystectomy. Those with GOALS scores ≤15 were randomly assigned to training (n = 9) or control (n = 8) groups. An FLS proficiency-based curriculum was used in the training group. Scoring on FLS and in the OR was repeated after the study period. Evaluators were blinded to randomization status.
Sixteen residents completed the study. There were no differences in baseline simulator (49.1 ± 17 vs 39.5 ± 16,
P = .27) or OR scores (11.3 ± 2.0 vs 12.0 ± 1.8;
P = .47). After training, simulator scores were higher in the trained group (95.1 ± 4 vs 60.5 ± 23,
P = .004). OR performance improved in the control group by 1.8 to 13.8 ± 2.2 (
P = .04), whereas the trained group improved by 6.1 to 17.4 ± 1.9 (
P = .0005 vs control;
P < .0001 vs baseline).
This study clearly demonstrates the educational value of FLS simulator training in surgical residency curricula.
Publisher
Elsevier Inc,Elsevier,Elsevier Limited
Subject
Biological and medical sciences
/ Cholecystectomy, Laparoscopic - education
/ Competency-Based Education - methods
/ Education, Medical, Graduate - methods
/ Ethics
/ Female
/ Fundamentals of Laparoscopic Surgery (FLS)
/ Humans
/ Investigative techniques, diagnostic techniques (general aspects)
/ Laparoscopic skill assessment
/ Male
/ Quebec
/ Skills
/ Surgeons
/ Surgery
/ Task Performance and Analysis
/ Teaching
/ Training
/ Urology
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