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Effects of Systematically Guided vs. Self-Directed Laparoscopic Box Training on Learning Performances: An
Melissa Neubacher1, Dogus Darici2, Natalia Krawczyk1
1Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Düsseldorf, Düsseldorf, Germany.
Geburtshilfe Und Frauenheilkunde
|December 9, 2024
Summary
Structured laparoscopic training significantly enhances surgical skills compared to self-directed learning. A guided program with peer collaboration yields more consistent improvements in medical students using box trainers.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
- Medical Training
Background:
- Minimally invasive surgery (MIS) adoption is rapidly expanding across surgical specialties.
- The comparative efficacy of structured versus self-directed training for MIS skills remains unclear.
- Laparoscopic box trainers offer a platform for skill acquisition in MIS.
Purpose of the Study:
- To compare the effectiveness of a structured, guided training program versus self-directed learning for enhancing laparoscopic surgical skills.
- To analyze skill acquisition in medical students using laparoscopic box trainers.
Main Methods:
- An observational study involving 80 medical students divided into structured (n=21) and self-directed (n=19) training groups.
- Training sessions on a laparoscopic box trainer were protocolled, measuring time, force, and path length.
- The structured group trained in peer tandems, while the self-directed group trained during a four-month elective.
Main Results:
- Both groups demonstrated improvements in time, path length, and force metrics.
- The structured training group exhibited nearly linear skill improvement.
- The self-directed group showed greater variability in performance outcomes despite completing more sessions.
Conclusions:
- Supervision and collaborative learning are crucial for successful laparoscopic training.
- Unstructured access to training tools does not maximize skill development potential.
- Institutionalized curricula incorporating structured schedules and peer training are recommended for optimal surgical skill acquisition in trainees.
