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Simulator training and non-technical factors improve laparoscopic performance among OBGYN trainees
Liv Ahlborg1, Leif Hedman, Henry Nisell
1Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden; Center for Advanced Medical Simulation and Training (CAMST), Karolinska University Hospital, Stockholm, Sweden; Department of Obstetrics and Gynecology, Södertälje Hospital, Södertälje, Sweden; Division of Obstetrics and Gynecology, Karolinska University Hospital, Stockholm, Sweden.
Simulator training and mentorship significantly improve laparoscopic surgery skills for obstetrics and gynecology residents. These methods enhance self-efficacy and flow, leading to shorter operation times and better performance.
Area of Science:
- Medical Education
- Surgical Simulation
- Gynecologic Surgery
Background:
- Laparoscopic surgery proficiency is crucial for obstetrics and gynecology residents.
- Traditional training may not fully address the development of technical and non-technical skills.
Purpose of the Study:
- To evaluate the impact of simulator training and structured mentorship on laparoscopic performance in residents.
- To assess the role of non-technical factors like self-efficacy and flow in surgical outcomes.
Main Methods:
- Prospective randomized study with 28 residents in three groups: simulator training, mentorship, and control.
- Assessment of visuospatial ability, self-efficacy, and flow, alongside laparoscopic performance (surgery duration).
- Correlation analysis of non-technical factors with surgical outcomes and group comparisons using Mann-Whitney U-test.
Main Results:
- No baseline differences between groups.
- Trained groups showed significantly higher self-efficacy and flow scores.
- Trained groups demonstrated significantly shorter surgical durations, indicating improved laparoscopic performance.
Conclusions:
- Proficiency-based simulator training and structured mentorship effectively enhance laparoscopic skills in obstetrics and gynecology residents.
- Non-technical factors, including self-efficacy and flow, are positively correlated with improved surgical performance.
