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Learning Modern Laryngeal Surgery in a Dissection Laboratory

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Simultaneous Remote Laparoscopic Training for Trainees Among Multiple Institutions: Can Remote Coaching Replace

Kenji Baba¹, Yuto Hozaka¹, Kan Tanabe²

¹Department of Digestive Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.

Asian Journal of Endoscopic Surgery

|December 22, 2024

Summary

Remote laparoscopic training effectively reduced surgical education disparities between urban and rural areas in Japan. This method proved comparable to on-site coaching, enhancing skills for all trainees.

Keywords:

laparoscopic surgical training remote coaching surgical education

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Area of Science:

Medical Education
Surgical Training
Telemedicine

Background:

Regional disparities in medical practice in Japan create inequities in surgical education.
Addressing these disparities is crucial for equitable healthcare.
Laparoscopic surgery training is particularly affected by these urban-rural divides.

Purpose of the Study:

To evaluate the effectiveness of simultaneous remote coaching for laparoscopic surgery.
To compare remote coaching with traditional on-site coaching.
To determine if remote coaching can mitigate regional disparities in surgical education.

Main Methods:

A standardized laparoscopic training method was used.
28 surgical trainees were divided into remote and on-site coaching groups.
Training involved lectures, practical sessions, and assessments over 1 hour weekly for three sessions.

Main Results:

No significant difference in suture ligation time reduction rate (RTR) between remote and on-site groups (43.2% vs. 71.2%, p=0.26).
Both groups showed favorable participant ratings for training content and distance learning.
Median RTR was 57%, indicating skill improvement in both coaching modalities.

Conclusions:

Simultaneous remote laparoscopic training is a viable and effective method.
This approach can help reduce disparities in surgical education.
Remote coaching offers a promising solution for equitable surgical training access.