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Proficiency-Based Laparoscopic Simulator Training Leads to Improved Operating Room Skill That Is Resistant to Decay

^* To whom correspondence should be addressed. E-mail: dimitrios.stefanidis{at}carolinas.org.

	Abstract

The aim of this study was to assess skill retention in the operating room following completion of a proficiency-based laparoscopic skills curriculum. Novices (n = 15) were randomized to a control and a training group that practiced to proficiency on the Fundamentals of Laparoscopic Surgery suturing model. The performance of both groups was assessed on the simulator and on a live porcine laparoscopic Nissen fundoplication model at training completion (posttest) and 5 months later (retention test). Training to proficiency required 4.7 ± 1.2 hours and 41 ± 10 repetitions. Trained participants outperformed controls, and their performance deteriorated slightly between posttests and retention tests on the simulator (505 ± 22 vs 462 ± 50, respectively; P < .05) but not in operating room (263 ± 138 vs 279 ± 88, respectively; P = .38). Proficiency-based simulator training results in durable improvement in operative skill of trainees even in the absence of practice for up to 5 months. Minute simulator performance changes do not translate to the operating room.

First published on April 2, 2008, doi:10.1177/1553350608316683

Surgical Innovation 2008;15:69.

A more recent version of this article appeared on March 1, 2008


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