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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Updated: Sep 6, 2025

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Scotland's "Incentivised Laparoscopy Practice" programme: Engaging trainees with take-home laparoscopy simulation.

Kenneth G Walker1, Adarsh P Shah2, Paul M Brennan3

  • 1Scottish Surgical Simulation Collaborative, Royal College of Surgeons of Edinburgh and Royal College of Physicians and Surgeons of Glasgow, Scotland, UK; NHS Education for Scotland, Edinburgh, Scotland, UK; Raigmore Hospital (NHS Highland) and Centre for Health Science, Inverness, Scotland, UK.

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
|June 23, 2022
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Summary
This summary is machine-generated.

Enhanced home-based surgical simulation programs require more than just simulators. A comprehensive approach with motivated trainees, practice, feedback, and clear goals is crucial for successful engagement in laparoscopic training.

Keywords:
Curriculum reformDeliberate practiceLaparoscopySurgical simulationSurgical trainingTrainee engagement

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Laparoscopic Training

Background:

  • Portable laparoscopy simulation transfer validity is established.
  • Previous home-based simulation programs (ILPv1) showed inconsistent trainee engagement.
  • Learning from prior studies informed revisions for the 2018-2022 program versions (ILP v2.1-2.3).

Purpose of the Study:

  • To report on trainee engagement with revised home-based laparoscopic simulation programs (ILP v2.1-2.3).
  • To evaluate the effectiveness of a comprehensive simulation strategy in surgical training.

Main Methods:

  • Core Surgical Trainees (n=147) participated over three years (2018-2022).
  • Trainees received loaned portable simulators, a 6-month program with induction, support, and feedback.
  • Prescribed tasks included video instruction, metric scoring, and faculty-evaluated video uploads for certification.

Main Results:

  • Pass rates significantly improved in ILP v2.1-2.3 (94%, 76%, 70%) compared to ILP v1 (26%).
  • Engagement was impacted by the COVID-19 pandemic in the ILP v2.2 cohort.
  • The program included trainees not specializing in laparoscopy.

Conclusions:

  • Providing simulators alone is insufficient for effective surgical training.
  • Successful trainee engagement requires a holistic program: motivated learners, practice, feedback, and clear assessment.
  • The Incentivised Laparoscopy Practice (ILP) program is a complex intervention within a broader educational reform.