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Validity of a cross-specialty test in basic laparoscopic techniques (TABLT).

E Thinggaard^1,2, F Bjerrum³, J Strandbygaard³

¹Centre for Clinical Education, Capital Region of Denmark, Copenhagen, Denmark.

The British Journal of Surgery

|June 23, 2015

Summary

The Training and Assessment of Basic Laparoscopic Techniques (TABLT) test is a reliable tablet-based system for evaluating fundamental laparoscopic skills. It demonstrates validity across surgical specialties, aiding novice trainees in developing essential competencies.

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Area of Science:

Surgical Education
Medical Simulation
Laparoscopic Surgery

Background:

Existing box trainer systems offer advanced skills but lack portability and affordability for basic laparoscopic training.
A need exists for a cost-effective, portable system to train and assess fundamental laparoscopic techniques across surgical specialties prior to patient procedures.

Purpose of the Study:

To establish validity evidence for the Training and Assessment of Basic Laparoscopic Techniques (TABLT) test.
To evaluate TABLT as a tablet-based system for assessing basic laparoscopic skills.

Main Methods:

Recruited 60 laparoscopic surgeons and trainees from general surgery, gynecology, and urology departments.
Participants included novices, intermediates, and experienced surgeons performing the TABLT test.
Performance scores were determined by time and errors, with validity assessed using a contemporary framework.

Main Results:

The TABLT test demonstrated high reliability (intraclass correlation coefficient = 0.99).
Significant differences in performance were observed between surgical experience groups (ANOVA, P < 0.001).
A strong positive correlation (Pearson's r = 0.73) was found between laparoscopic experience and performance scores.

Conclusions:

The TABLT test is a reliable and valid tool for assessing basic laparoscopic skills.
It can effectively assist novice surgical trainees in various specialties to acquire fundamental laparoscopic competencies.