A Structured Modular Approach: The Answer to Training in Laparoscopic Colorectal Surgery.

Area of Science:

• Surgical Education
• Minimally Invasive Surgery
• Colorectal Surgery

Background:

• Laparoscopic colorectal surgery (LCS) is integral to managing colorectal diseases.
• Specialist training for LCS is not uniformly available, necessitating structured methods.
• A competency-based training approach is crucial for safe learning curve navigation.

Purpose of the Study:

• To develop a modular, structured training program for LCS.
• To ensure competency-based progression from novice to independent surgeon.
• To provide a standardized framework for surgical trainees.

Main Methods:

• A decade-long development of a structured training approach.
• Defined 7 progression levels from junior trainee to consultant.
• Incorporated courses and trainer status achievement.
• Enabled objective progress tracking and targeted learning.

Main Results:

• Successfully produced competent laparoscopic colorectal surgeons in the UK and internationally.
• Demonstrated the program's effectiveness in skill development.
• Facilitated training of multiple surgeons with varying experience levels concurrently.

Conclusions:

• The structured training module has proven effective for junior surgeons.
• The generic progression levels suggest adaptability to other laparoscopic procedures.
• This competency-based model enhances surgical training quality and accessibility.