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Standardized laparoscopic simulation positively affects a student's surgical experience.

Edgar Luis Galiñanes1, Jonathan R Shirshenkan, Jennifer Doty

  • 1University of Missouri, Department of Surgery, Columbia, Missouri 65212, USA. galinanese@health.missouri.edu

Journal of Surgical Education
|June 4, 2013
PubMed
Summary

A standardized orientation including a multimedia presentation significantly improved third-year medical students' surgical clerkship experience. However, this enhanced training did not increase interest in surgery or perceived comfort levels.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Laparoscopy

Background:

  • Medical students' early exposure to surgical procedures influences their career choices.
  • Standardized training methods are crucial for effective skill acquisition in minimally invasive surgery.
  • Assessing the impact of novel educational interventions on student experience is vital for curriculum development.

Purpose of the Study:

  • To evaluate the effect of a standardized orientation to basic laparoscopy on third-year medical students' clerkship experience.
  • To determine if an enhanced laparoscopic orientation impacts students' comfort and interest in surgery.
  • To compare the outcomes of a combined simulation and multimedia presentation versus simulation alone.

Main Methods:

  • Fifty-three third-year medical students were randomized into two groups.
  • Both groups received a 40-minute hands-on laparoscopic simulation.
  • One group additionally received a 20-minute multimedia presentation on laparoscopy basics.

Main Results:

  • 100% of students receiving the combined training found it helpful for their clerkship (p=0.002).
  • No statistical difference was observed in perceived comfort or interest in surgery between groups.
  • The multimedia presentation group reported a higher positive effect on their experience (92% vs 86%).

Conclusions:

  • A standardized laparoscopic orientation positively impacts medical students' clerkship experience.
  • Enhanced orientation does not significantly increase students' interest in surgery as a career.
  • Surgical interest is multifactorial, influenced by various clerkship experiences beyond basic laparoscopic training.