TY - JOUR
T1 - Fundamentals of Laparoscopic Surgery simulator training to proficiency improves laparoscopic performance in the operating room-a randomized controlled trial
AU - Sroka, Gideon
AU - Feldman, Liane S.
AU - Vassiliou, Melina C.
AU - Kaneva, Pepa A.
AU - Fayez, Raad
AU - Fried, Gerald M.
N1 - Funding Information:
Funded by an educational grant from the Royal College of Physicians and Surgeons of Canada and an unrestricted educational grant from Covidien, Canada.
Funding Information:
Dr Sroka received fellowship funding from the American Physician Fellowship.
PY - 2010/1
Y1 - 2010/1
N2 - Background: The purpose of this study was to assess whether training to proficiency with the Fundamentals of Laparoscopic Surgery (FLS) simulator would result in improved performance in the operating room (OR). Methods: Nineteen junior residents underwent baseline FLS testing and were assessed in the OR using a validated global rating scale (GOALS) during elective laparoscopic cholecystectomy. Those with GOALS scores ≤15 were randomly assigned to training (n = 9) or control (n = 8) groups. An FLS proficiency-based curriculum was used in the training group. Scoring on FLS and in the OR was repeated after the study period. Evaluators were blinded to randomization status. Results: Sixteen residents completed the study. There were no differences in baseline simulator (49.1 ± 17 vs 39.5 ± 16, P = .27) or OR scores (11.3 ± 2.0 vs 12.0 ± 1.8; P = .47). After training, simulator scores were higher in the trained group (95.1 ± 4 vs 60.5 ± 23, P = .004). OR performance improved in the control group by 1.8 to 13.8 ± 2.2 (P = .04), whereas the trained group improved by 6.1 to 17.4 ± 1.9 (P = .0005 vs control; P < .0001 vs baseline). Conclusions: This study clearly demonstrates the educational value of FLS simulator training in surgical residency curricula.
AB - Background: The purpose of this study was to assess whether training to proficiency with the Fundamentals of Laparoscopic Surgery (FLS) simulator would result in improved performance in the operating room (OR). Methods: Nineteen junior residents underwent baseline FLS testing and were assessed in the OR using a validated global rating scale (GOALS) during elective laparoscopic cholecystectomy. Those with GOALS scores ≤15 were randomly assigned to training (n = 9) or control (n = 8) groups. An FLS proficiency-based curriculum was used in the training group. Scoring on FLS and in the OR was repeated after the study period. Evaluators were blinded to randomization status. Results: Sixteen residents completed the study. There were no differences in baseline simulator (49.1 ± 17 vs 39.5 ± 16, P = .27) or OR scores (11.3 ± 2.0 vs 12.0 ± 1.8; P = .47). After training, simulator scores were higher in the trained group (95.1 ± 4 vs 60.5 ± 23, P = .004). OR performance improved in the control group by 1.8 to 13.8 ± 2.2 (P = .04), whereas the trained group improved by 6.1 to 17.4 ± 1.9 (P = .0005 vs control; P < .0001 vs baseline). Conclusions: This study clearly demonstrates the educational value of FLS simulator training in surgical residency curricula.
KW - Fundamentals of Laparoscopic Surgery (FLS)
KW - Laparoscopic skill assessment
KW - Operating room performance
KW - Proficiency-based training
KW - Simulation
UR - http://www.scopus.com/inward/record.url?scp=72049107711&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2009.07.035
DO - 10.1016/j.amjsurg.2009.07.035
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
AN - SCOPUS:72049107711
SN - 0002-9610
VL - 199
SP - 115
EP - 120
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 1
ER -
