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Stepwise training program: A novel practice schedule for laparoscopic suturing.

Hsin-An Chen1,2,3, Shih-Wei Huang4,5,6, Shih-Chiang Shen1,2

  • 1Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

Heliyon
|December 11, 2023
PubMed
Summary
This summary is machine-generated.

This study shows that a stepwise training program significantly improves laparoscopic suturing skills for medical students and surgical trainees. A catch-up effect was observed, bringing trainees

Keywords:
Laparoscopic suturingPractice scheduleStepwise training

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Area of Science:

  • Medical Education
  • Surgical Training
  • Laparoscopic Surgery

Background:

  • Laparoscopic surgery requires specialized skills, including precise suturing.
  • Traditional training methods may not adequately prepare trainees for complex laparoscopic procedures.
  • A structured, stepwise approach to skill acquisition is often beneficial in surgical education.

Purpose of the Study:

  • To evaluate the effectiveness of a stepwise training program for laparoscopic suturing.
  • To assess learning outcomes and skill acquisition in medical students and surgical trainees.

Main Methods:

  • A stepwise training program was developed, breaking down laparoscopic suturing into discrete steps.
  • Participants included medical students, surgical trainees, and attending surgeons (control group).
  • Learning outcomes were measured using the laparoscopic suturing competency assessment tool (LS-CAT) and suturing time.

Main Results:

  • Both suturing time and LS-CAT scores significantly improved after the stepwise training (p < 0.01).
  • Students and trainees showed similar performance in both tests, indicating effective skill transfer.
  • Initially, surgeons outperformed students and trainees, but post-training, students and trainees reached comparable skill levels to surgeons.

Conclusions:

  • The stepwise training program is effective in enhancing laparoscopic suturing skills for learners.
  • A 'catch-up effect' was observed, demonstrating the program's ability to rapidly improve skills.
  • This structured approach offers a valuable method for surgical skill development in minimally invasive procedures.