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A laparoscopic surgical training and accreditation program up and running.
1Department of Obstetrics and Gynaecology, The Queen Elizabeth Hospital, Woodville, South Australia.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|February 25, 2000
Summary
Implementing laparoscopic surgery training and accreditation programs based on Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) guidelines is feasible. These guidelines can serve as a gold standard for hospital accreditation committees.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
- Medical Accreditation
Background:
- A training and accreditation program for laparoscopic surgery was established in March 1997.
- The program followed guidelines from the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG).
Purpose of the Study:
- To assess the feasibility and outcomes of implementing the RANZCOG laparoscopic surgery training and accreditation program.
- To evaluate the accreditation process for registrars and consultants in advanced laparoscopic surgery.
Main Methods:
- Registrars underwent supervised surgery for accreditation at different training levels.
- Consultants applied for clinical privileges in advanced laparoscopic surgery.
- Formal assessment of 143 minor and 83 advanced laparoscopic procedures was conducted.
Main Results:
- Eight out of nine registrars completed training to level 2 laparoscopy.
- 39.8% of advanced laparoscopic procedures were directly supervised, with experienced surgeons available for 15 additional procedures.
- Two consultants received full accreditation for level 3 procedures, and two received provisional accreditation.
Conclusions:
- Implementation of RANZCOG guidelines for laparoscopic surgery training and accreditation is achievable.
- These guidelines demonstrate potential as a gold standard for hospital accreditation in surgical training.