Application of advanced integrated two-stage laparoscopic simulation training course in standardized training of surgical residents

Abstract

Abstract:

ObjectiveTo explore the feasibility and rationality of advanced integrated two-stage laparoscopic simulation training course in standardized training of surgical residents.MethodsFrom December 2019 to December 2021, the advanced integrated two-stage laparoscopic simulation training course was carried out among 2019—2020 surgical residents who received standardized training in our hospital. The course was divided into two stages. In the first stage, BEST (best essential surgical technology training) course, adopted Darwin^®endoscopic training system, Tianyan^®endoscopic training system, Microport^®3D laparoscopic training system and simple simulative models were used. The second stage, BEST PLUS course, same platform as that in BEST course andin vitroanimal models were used. The questionnaire survey method (before and after class questionnaire) was adopted to evaluate the curriculum setting, such as curriculum form, simulators, teaching method, time arrangement, curriculum difficulty, training effect, curriculum satisfaction and so on.ResultsA total of 37 surgical residents completed the two-stage course training and the questionnaire survey. The overall satisfaction rate with the curriculum setting was 100%. There were 32 residents (86.5%) thought that first stage training course could significantly improve their clinical skills, 35 residents (94.6%) thought that second stage training course could significantly improve their clinical skills, and 36 resident (97.3%) thought that the first stage curriculum could significantly help them improve performance in the second stage curriculum.ConclusionsThe trainees had a high degree of recognition and satisfaction for the advanced integrated two-stage laparoscopic simulation training course. The overall design of course was reasonable and feasible, and was attractive to trainees.

Key words:Standardized training for surgical residents,Laparoscopic simulation training,Advanced integrated two-stage course

CLC Number:

ZHANG Luyang, JU Ping, ZHOU Xueliang, SHAO Yanfei, WU Chao, WANG Jiayu, SUN Jing, PAN Ruijun, CAI Wei. Application of advanced integrated two-stage laparoscopic simulation training course in standardized training of surgical residents[J]. Journal of Surgery Concepts & Practice, 2024, 29(03): 249-253.

Figures/Tables6

Fig 1

Fig 2

Self-evaluation before training	5	4	3	2	1	Mean value
Theoretical knowledge	3(8.1)	8(21.6)	16(43.2)	4(10.8)	6(16.2)	2.9±1.2
Laparoscopic technique	3(8.1)	3(8.1)	18(48.6)	5(13.5)	8(21.6)	2.7±1.2
Laparoscopic suture knotting technique	2(5.4)	3(8.1)	13(35.1)	6(16.2)	13(35.1)	2.3±1.2
Laparoscopic camera-holding technique	5(13.5)	12(32.4)	10(27.0)	3(8.1)	7(18.9)	3.1±1.3

Tab 1

Tab 2

Results of questionnaire survey after training[n=37, n(%)]

Level of satisfaction	High	Medium	Low
First stage training
Theory and video explanation	35 （94.6）	2 (5.4）	0
Trainer’s guidance	34 (91.9)	3 (8.1)	0
Environment and atmosphere	35 （94.6）	2 (5.4）	0
Time of training	33 （89.2）	3 (8.1)	1 （2.7）
Degree of difficulty	34 (91.9)	3 (8.1)	0
Training equipment and molds	28 （75.7）	7 (18.9)	2 （5.4）
Second stage training
Theory and video explanation	36 （97.3）	1 （2.7）	0
Trainer’s guidance	37 (100.0)	0	0
Environment and atmosphere	36 （97.3）	1 （2.7）	0
Time of training	34 (91.9)	2 （5.4）	1 （2.7）
Degree of difficulty	29 (78.4)	7 (18.9)	1 （2.7）
Training equipment and molds	35 （94.6）	2 （5.4）	0

Tab 2

Stage	Significant improvement	Slight improvement	No improvement
Effect of first stage training	32（86.5）	4（10.8）	1（2.7）
Effect of second stage training	35（94.6）	2（5.4）	0
Effect of integrated two-stage training course	36（97.3）	1（2.7）	0
Recognition of training course design	37（100.0）	0	0

Tab 3

Course	Time（min）
First stage training （n=35）
Ring shifting among track	0.9±0.2
Rope shifting through tunnel	2.2±0.4
Bean shifting to high-low column	4.1±0.6
Second stage training
Laparoscopic cholecystectomy (n=25)	9.8±2.7
Laparoscopic gastric perforation repair (n=32)	11.1±2.8

Tab 4

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