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Laparoscopic skills training using inexpensive box trainers: which exercises to choose when constructing a validated
H W R Schreuder1, C B van den Berg, E J Hazebroek
1Department of Gynaecological Oncology Department of Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands. h.w.r.schreuder@umcutrecht.nl
BJOG : an International Journal of Obstetrics and Gynaecology
|October 11, 2011
Summary
This study established face and construct validity for a new laparoscopic box/video trainer course. The validated exercises offer an inexpensive yet effective training solution for surgical residents.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery Training
Background:
- Laparoscopic surgery requires specialized training.
- Box/video trainers are essential tools for developing surgical skills.
- Validated exercises are needed for effective and efficient training.
Purpose of the Study:
- To establish face and construct validity for a novel laparoscopic box/video trainer course.
- To provide a comprehensive overview of validated exercises for box/video training.
Main Methods:
- A cross-sectional study was conducted with 42 participants (novices, intermediates, experts).
- A six-exercise laparoscopic training course with a penalty score was developed.
- Participants completed exercises twice, and face validity was assessed via questionnaire.
- An evidence-based literature search identified validated box/video trainer exercises.
Main Results:
- Total scores positively correlated with laparoscopic experience.
- Intermediate and expert groups significantly outperformed the novice group (P ≤ 0.001).
- The course received good overall assessment and is suitable for early-stage residents (years 1-3).
Conclusions:
- Face and construct validity were established for an inexpensive box/video training course.
- A practical overview of validated exercises is provided for optimal, tailored training selection.

