Simulation-based structured training for developing laparoscopy skills in general surgery and obstetrics & gynecology...

Area of Science:

• Medical Education
• Surgical Training
• Simulation-Based Learning

Background:

• Laparoscopic surgery requires extensive practice due to its steep learning curve and patient safety implications.
• Simulation-based training offers a controlled environment for deliberate practice, crucial for developing surgical competencies.
• This study focused on postgraduate surgical residents in general surgery and obstetrics and gynecology.

Purpose of the Study:

• To evaluate the acceptability and utility of a structured simulation-based training program for laparoscopic skills.
• To assess the impact of simulation training on postgraduate surgical residents' skills.
• To determine the feasibility of integrating simulation training into a formal surgical curriculum.

Main Methods:

• A 12-week structured training program using laparoscopic box trainers was implemented for 16 postgraduate residents.
• Training was conducted under faculty guidance, with a validated training and assessment module.
• Pre- and post-training assessment scores were compared using the Wilcoxon matched-pairs signed-rank test.

Main Results:

• Postgraduate residents reported high satisfaction with the training (median score of 4 out of 5).
• Key enabling factors included faculty feedback, stepwise skill acquisition, and a supportive learning environment.
• Significant mean improvement scores were observed across all four assessed tasks, ranging from 40.08% to 45.63%.

Conclusions:

• Faculty-guided simulation training is a feasible method for improving basic laparoscopy skills in postgraduate surgical residents.
• The program demonstrated high acceptance among residents and faculty.
• Integration of this simulation training into formal curricula is recommended for enhancing surgical education.