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Outcomes of Fundamentals of Laparoscopic Surgery (FLS) mastery training standards applied to an ergonomically
Sarah B Placek1,2, Brenton R Franklin3,4, Sarah M Haviland3,4
1Division of General Surgery, USU/Walter Reed Department of Surgery, BLD A Room 3020, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA. sarah.b.placek2.mil@mail.mil.
Objective:
Using previously established mastery learning standards, this study compares outcomes of training on standard FLS (FLS) equipment with training on an ergonomically different (ED-FLS), but more portable, lower cost platform.
Methods:
Subjects completed a pre-training FLS skills test on the standard platform and were then randomized to train on the FLS training platform (n = 20) or the ED-FLS platform (n = 19). A post-training FLS skills test was administered to both groups on the standard FLS platform.
Results:
Group performance on the pretest was similar. Fifty percent of FLS and 32 % of ED-FLS subjects completed the entire curriculum. 100 % of subjects completing the curriculum achieved passing scores on the post-training test. There was no statistically discernible difference in scores on the final FLS exam (FLS 93.4, ED-FLS 93.3, p = 0.98) or training sessions required to complete the curriculum (FLS 7.4, ED-FLS 9.8, p = 0.13).
Conclusions:
These results show that when applying mastery learning theory to an ergonomically different platform, skill transfer occurs at a high level and prepares subjects to pass the standard FLS skills test.
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