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Comparison of 2 training programs for basic laparoscopic skills and simulated surgery performance in veterinary
Chi-Ya Chen1, Claude A Ragle1, Rachael Lencioni1
1Department of Veterinary Clinical Sciences, Washington State University, Pullman, Washington.
Veterinary Surgery : VS
|October 10, 2017
Summary
Both training curricula improved basic laparoscopic skills (BLS) in veterinary students. Motion metrics were more effective than OSATS for assessing surgical performance after training.
Area of Science:
- Veterinary Surgery
- Surgical Education
- Minimally Invasive Procedures
Background:
- Laparoscopic surgery is increasingly important in veterinary medicine.
- Standardized training curricula are needed to develop proficiency in minimally invasive techniques.
- Assessing surgical skill acquisition requires objective and reliable metrics.
Purpose of the Study:
- To compare the effectiveness of two distinct training curricula on the development of laparoscopic skills in veterinary students.
- To evaluate surgical performance using both motion metrics and objective structured assessment of technical skills (OSATS) in a simulated environment.
Main Methods:
- A prospective study involving 33 veterinary students with no prior minimally invasive surgery experience.
- Students were randomized into either a skill-based or procedural-based training curriculum (10 sessions).
- Basic laparoscopic skills (BLS) and simulated laparoscopic cholecystectomy performance were assessed pre- and post-training using the McGill system, motion metrics, and OSATS.
Main Results:
- Both training groups demonstrated significant improvement in BLS post-curriculum (P < .001).
- Motion metrics analysis revealed shorter task completion times (P = .0187) and improved economy of movement (P = .0457) after training.
- No significant differences in OSATS scores were observed between pre- and post-training assessments.
Conclusions:
- Both skill-based and procedural-based training curricula effectively enhanced basic laparoscopic skills in veterinary students.
- Motion metrics provided a more sensitive assessment of surgical performance improvements compared to OSATS.
- Further research is warranted to explore the impact of different simulators and varied experience levels on veterinary laparoscopic surgical training.
