Related Experiment Video
Updated: May 5, 2026
Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
Published on: August 15, 2025
Conceptualizing and determining laparoscopic competencies in surgical residents: A qualitative study from China
Yao Xiao1, Yue Zhang2, Yanmeng Zhao2
1School of Public Health, Southern Medical University, Guangzhou, China; Clinical Skills Training Center, Zhujiang Hospital, Southern Medical University, Guangzhou, China; School of Health Management, Southern Medical University, Guangzhou, China.
Objective:
Given the inadequacy of current evaluation systems for laparoscopic training, this study aims to develop a multidimensional competency framework for surgical residents. The framework is intended to identify key indicators that distinguish excellent performance and better support resident training.
Methods:
Based grounded theory and the Iceberg Model, interviews with 15 specialists and 21 residents informed the competency framework. For validation, residents were divided into "excellent" and "average" cohorts, undergoing double-blind competency scoring and comparative analysis.
Results:
The finalized competency framework comprises 47 specific competency characteristics across four themes: knowledge, skills, traits, and motives. Comparative analysis revealed four key competency characteristic (Surgical Procedures, Self-awareness, Professional Ethics, and Optimism & Confidence) that significantly distinguished excellent from average residents.
Conclusion:
By integrating explicit and implicit competencies, this model provides a novel evaluation tool for identifying and cultivating surgical talent, offering a paradigm shift for quality assurance in standardized laparoscopic residency programs.
