Educational Problems, Surgery
Conditions
Keywords
Education, Simulation, Surgery, Transfer, Self-regulated learning, Gynecology, Urology, Laparoscopy, Home
Brief summary
The study is a prospective, randomized comparative study using a mixed methods design. The primary objective is to compare the effect of self-regulated simulation training (SRST) to instructor-regulated simulation training (IRST) in basic laparoscopic skills. The study population is first-year trainees in the specialties General Surgery, Urology and Obstetrics and Gynaecology within the postgraduate training region of northern Denmark. 46 first-year trainees will be randomized into two groups, one receiving SRST and one receiving IRST in basic laparoscopic skills.
Interventions
OTHERHome-based self-regulated simulation training (SRST)
Participants allocated to the SRST arm train basic laparoscopic skills at home. Participants train by themselves using a portable box training model (BT). Training is conducted and structured through an online application-based training platform. Training is instructed by online instructional videos and texts. The BT is connected to a laptop and the participants can submit videos of their training exercises for assessment through the online training platform.
OTHERCentralized instructor-regulated simulation training (IRST)
Participants allocated to the IRST arm train basic laparoscopic skills at the simulation centre. Participants train on a portable box training model (BT). Training is structured through an online application-based training platform and facilitated and instructed by surgical specialists. The BT is connected to a laptop and the participants can submit videos of their training exercises for assessment through the online training platform.
Sponsors
University of Aarhus
Central Denmark Region
North Denmark Region
KARL STORZ Endoscopy Denmark
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Participant is a medical doctor * Participant is a first-year trainee in abdominal surgery, urology, or gynaecology and obstetrics. * Participant is willing and able to give informed consent for participation in the study.
Exclusion criteria
* Performed \> 50 lap procedures prior to enrollment * participated in training programs provided by the former course provider in the postgraduate training region of northern Denmark
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean time for laparoscopic skills test (LASTT). | 0-7 months | Laparoscopic skills testing models (pre-test, post-test and retention-test). Scoring based on mean timing of 3 consecutively performed exercises (0-180 secs). Low time-scores are better than high time scores. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Test-score SUTT | 1-7 months | Laparoscopic knot tying testing model (post-test and retention test). Blinded outcome assessor. Score based on timing and quality of sutures and stitches (score range -2 to 18). High score is better than low score. |
| Training time | 6-8 weeks | Accumulated raw training time (mins) |
| Training distribution | 6-8 weeks | Number of training sessions |
| Pass-rates | 6-8 weeks | Pass/failure of proficiency-based training program (binary) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Interview | 0-3 months | Qualitative data: Semi-structured interviews |
Countries
Denmark
Outcome results
None listed