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Creating a Proficiency-based Remote Laparoscopic Skills Curriculum for the COVID-19 Era.

Madhuri B Nagaraj¹, Kareem R AbdelFattah¹, Daniel J Scott¹

¹Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

Journal of Surgical Education

|July 24, 2021

Summary

This study developed a remote laparoscopic skills curriculum for surgery interns, proving effective for remote learning and skill acquisition. The program demonstrated construct validity and feasibility, enhancing surgical education during challenging times.

Keywords:

COVID-19. Abbreviations : TC Laparoscopic curriculum Practice-Based Learning and Improvement at-home simulation training remote training time to task completion

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Area of Science:

Medical Education
Surgical Simulation
Laparoscopic Surgery Training

Background:

COVID-19 social distancing impacted traditional surgical intern education.
Early simulation training is crucial for basic skill acquisition in surgery.

Purpose of the Study:

To create a proficiency-based laparoscopic skills curriculum utilizing remote learning methods.
To assess the construct validity and skill acquisition of the remote curriculum.

Main Methods:

Developed 5 surgical tasks focusing on hand-eye coordination, depth perception, and precision.
Established a scoring formula and proficiency benchmark based on expert surgeon performance.
Implemented remote training for 29 surgery interns using portable boxes, including pre- and post-test video submissions.

Main Results:

The curriculum demonstrated construct validity, with significant differences between expert and trainee pre-test performances.
After 1 month of remote self-training, 8 residents achieved proficiency in all 5 tasks.
Trainee post-test scores significantly improved compared to pre-test scores (p=0.01).

Conclusions:

The proficiency-based remote curriculum is feasible and effective for surgical skill acquisition.
Video-based performance assessment supports remote learning and may enable future innovations like video coaching.
This approach offers a viable solution for surgical education continuity.