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Procedural specificity in laparoscopic simulator training: protocol for a randomised educational superiority trial.

Flemming Bjerrum1, Jette Led Sorensen, Lars Konge

  • 1Department of Obstetrics and Gynecology, The Juliane Marie Centre for Children, Women and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. fbjerrum@gmail.com.

BMC Medical Education
|October 12, 2014
PubMed
Summary

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Procedural practice in laparoscopic simulator training enhances surgical skill acquisition. Practicing multiple procedures, not just one, improves efficiency and proficiency in surgical novices, informing future training curricula.

Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery Training
  • Virtual Reality Simulation

Background:

  • Structured curricula for minimally invasive surgery (MIS) training are gaining traction.
  • Current laparoscopic training often relies on basic skills and isolated tasks.
  • Evidence supports training models with higher functional resemblance, like whole procedural modules.

Purpose of the Study:

  • To investigate the specificity of procedural practice in laparoscopic simulator training.
  • To compare the impact of practicing one versus two procedures on surgical skill acquisition.

Main Methods:

  • A randomized, single-center educational superiority trial involving 96 surgical novices.
  • Participants trained on a virtual reality laparoscopy simulator, practicing basic skills tasks.

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  • Post-proficiency, participants were randomized to practice one (salpingectomy) or two procedures (appendectomy and salpingectomy).

    • Main Results:

    • The primary outcome was the number of repetitions to reach proficiency on the salpingectomy module.
    • Secondary outcomes included total training time to proficiency, motor skill improvement, and cognitive load.
    • Results will inform the optimal composition of technical surgical training curricula.

    Conclusions:

    • Findings may offer new insights into the structure of future surgical training curricula.
    • Examining the specificity of practice in procedural simulator training is crucial for developing comprehensive surgical education.