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Introducing a laparoscopic simulation training and credentialing program in gynaecology: an observational study
Sarah Janssens1, Michael Beckmann1, Donna Bonney2
1Mater Health Services, School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Background:
Simulation training in laparoscopic surgery has been shown to improve surgical performance.
Aims:
To describe the implementation of a laparoscopic simulation training and credentialing program for gynaecology registrars.
Materials And Methods:
A pilot program consisting of protected, supervised laparoscopic simulation time, a tailored curriculum and a credentialing process, was developed and implemented. Quantitative measures assessing simulated surgical performance were measured over the simulation training period. Laparoscopic procedures requiring credentialing were assessed for both the frequency of a registrar being the primary operator and the duration of surgery and compared to a presimulation cohort. Qualitative measures regarding quality of surgical training were assessed pre- and postsimulation.
Results:
Improvements were seen in simulated surgical performance in efficiency domains. Operative time for procedures requiring credentialing was reduced by 12%. Primary operator status in the operating theatre for registrars was unchanged. Registrar assessment of training quality improved.
Conclusions:
The introduction of a laparoscopic simulation training and credentialing program resulted in improvements in simulated performance, reduced operative time and improved registrar assessment of the quality of training.
