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Basic surgical skills training: does it work?

Juliette Koch1, Sarah Clements, Jason Abbott

  • 1Department of Reproductive Medicine, Royal Hospital for Women, Randwick, New South Wales, Australia. drjuliettekoch@gmail.com

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|February 9, 2011
PubMed
Summary
This summary is machine-generated.

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The RANZCOG Basic Surgical Skills Workshop (BSSW) improved surgical trainees' knowledge and laparoscopic skills initially. However, these gains in basic surgical skills training did not show further improvement at the 5-year mark.

Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Skills Assessment

Background:

  • The RANZCOG Basic Surgical Skills Workshop (BSSW) is a key training program for surgical trainees.
  • Assessing the long-term effectiveness of surgical skills training is crucial for competency.
  • Laparoscopic pelvi-trainers offer a standardized method for evaluating basic surgical skills.

Purpose of the Study:

  • To evaluate the impact of the RANZCOG Basic Surgical Skills Workshop (BSSW) on trainees' foundational knowledge and skills.
  • To assess the durability of learning and skill acquisition over a 5-year period.
  • To determine if the BSSW leads to sustained improvements in laparoscopic surgical performance.

Main Methods:

  • First-year surgical trainees completed a multiple-choice questionnaire (MCQ) and timed laparoscopic pelvi-trainer exercises.

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  • Assessments were conducted pre-workshop, immediately post-workshop, at 6 months, and at 5 years.
  • Statistical analysis was used to compare performance metrics across different time points.

    • Main Results:

    • MCQ scores significantly improved post-workshop but declined by 6 months and showed no change at 5 years.
    • Time to complete laparoscopic exercises improved significantly after the workshop and was maintained at 6 months.
    • While simple exercise times remained stable, complex exercise completion time increased by 5 years, indicating skill decay.

    Conclusions:

    • The BSSW effectively enhances initial knowledge and laparoscopic skills in surgical trainees.
    • Skills acquired through the BSSW demonstrate initial improvement and short-term retention.
    • Long-term (5-year) assessment reveals a plateau and potential decline in complex laparoscopic skills, suggesting a need for ongoing training reinforcement.