EXPERIENCE OF USING LAPAROSCOPIC TRAINER BOX WITH THE AIM OF IMPROVING MEDICAL STUDENTS’ PRACTICAL SKILLS
DOI:
https://doi.org/10.11603/me.2414-5998.2019.3.10520Keywords:
laparoscopy, minimally invasive surgery, educational model, simulation; medical students, educationAbstract
During the last years an exponential increase of technical equipment role is being observed in surgical practice. Minimally invasive surgical interventions are widely integrated and require specialists to acquire specific skills. Considering inconsistency between educational programs and modern tendencies, there is a need to create new training courses. The article describes experience of laparoscopic trainer box application for improving medical students’ practical skills, who had no laparoscopic experience in the past. Participants completed training course, consisting of seven exercises, on constructed by us laparoscopic box trainer. Assessment of skill improvement was performed, comparing participants’ results at the beginning and end of the course. All participants were able to successfully complete each of the seven laparoscopic exercises, with accomplishment of target level up to the last set. All students refined upon their results in the average from 1.6 to 4.65 times, depending on the exercise. Constructed in the clinic laparoscopic box trainer with the suite of exercises is useful and reasonable for effective increase of practical skills level and motivation of medical students. Early introducing future specialists with standards of mini-invasive surgery is an important part of their educational process and helps to create innovation oriented professional thinking.
References
Liaturinska, O.V., & Makarova, M.O. (2014). Rol samostiinoi roboty studentiv na kafedri dytiachoi khirurhii [Students individual work on pediatric surgery chair as one of credit-transfer education system factors]. Zaporozhskyi medytsynskiy zhurnal – Zaporozhye Medical Journal, 1 (82), 116-119 [in Ukrainian].
Chandrasekera, S.K., Donohue, J.F., & Orley, D. (2006). Basic laparoscopic surgical training: examination of a low-cost alternative. European Urology, 50, 1285-1291. DOI: 10.1016/j.eururo.2006.05.052.
Chen, C., Ragle, C., Lencioni, R., & Fransson, B.A. (2017). Comparison of 2 training programs for basic laparoscopic skills and simulated surgery performance in veterinary students. Veterinary Surgery, 46, 1187-1197. DOI: 10.1111/vsu.12729.
Derossis, A.M., Antoniuk, M., & Fried, G.M. (1999). Evaluation of laparoscopic skills: a 2-year follow-up during residency training. Canadian Journal of Surgery, 42, 293-296.
Cavalini, W.L.P., Claus, C.M.P., & Dimbarre, D. (2014). Development of laparoscopic skills in medical students naive to surgical training. Einstein (Sao Paulo), 12 (4), 467-472. DOI: 10.1590/s1679-45082014ao3237.
Dhariwal, A.K., Prabhu, R.Y., Dalvi, A.N., & Supe, A.N. (2007). Effectiveness of box trainers in laparoscopic training. Journal of Minimal Access Surgery, 3 (2), 57-63. DOI: 10.4103/0972-9941.33274.
Adrales, G.L., Chu, U.B., & Witzke, D.B. (2003). Evaluating minimally invasive surgery training using low-cost mechanical simulations. Surgical Endoscopy, 17 (4), 580-585. DOI: 10.1007/s00464-002-8841-7.
Feldman, L.S., Sherman, V., & Fried, G.M. (2004). Using simulators to assess laparoscopic competence: ready for widespread use? Surgery, 135, 28. DOI: 10.1016/s0039-6060(03)00155-7.
Gawad, N., Zevin, B., Bonrath, E.M., Dedy, N.J., Louridas, M., & Grantcharov, T.P. (2014). Introduction of a comprehensive training curriculum in laparoscopic surgery for medical students: a randomized trial. Surgery, 156 (3), 698-706. DOI: 10.1016/j.surg.2014.04.046.
Schreuder, H., van den Berg, C., Hazebroek, E., Verheijen, R., Schijven, M. (2011). Laparoscopic skills training using inexpensive box trainers: which exercises to choose when constructing a validated training course. BJOG, 118, 1576-1584. DOI: 10.1111/j.1471-0528.2011.03146.x.
Bansal, V.K., Tamang, T., & Misra, M.C. (2012). Laparoscopic suturing skills acquisition: a comparison between laparoscopy-exposed and laparoscopy-naive surgeons. JSLS, 16, 623- 631. DOI: 10.4293/108680812x13462882737375.
Sellers, T., Ghannam, M., Asantey, K., Klei, J., Olive, E., & Roach, V. (2019). Low-cost laparoscopic skill training for medical students using homemade equipment. MedEdPORTAL, 15, 10810. DOI: 10.15766/mep_2374-8265.10810.
Fried, G.M., Feldman, L.S., Vassiliou, M.C., Fraser, S.A., Stanbridge, D., & Ghitulescu, G. (2004). Proving the value of simulation in laparoscopic surgery. Annals of Surgery, 240, 518-525. DOI: 10.1097/01.sla.0000136941.46529.56.
Hasnaoui, A., Zaafouri, H., Haddad, D., Bouhafa, A., & Ben Maamer, A. (2019). Reliability testing of a modified MISTELS score using a low-cost trainer box. BMC Medical Education., 19 (1), 132. DOI: 10.1186/s12909-019-1572-4.
Rosser, J.C., Rosser, L.E., & Savalgi, R.S. (1998). Objective evaluation of a laparoscopic surgical skill program for residents and senior surgeons. Archives of Surgery, 133, 657-661. DOI: 10.1001/archsurg.133.6.657.
Shakir, T., Lee, T., & Lim, J. (2014). Should medical students be given laparoscopic training? Gynecological Surgery, 11, 241. DOI:10.1007/s10397-014-0870-4.
Vassiliou, M., Ghitulescu, G., & Feldman, L. (2006). The MISTELS program to measure technical skill in laparoscopic surgery. Surgical Endoscopy, 20 (5), 744-747. DOI: 10.1007/s00464-005-3008-y.
