Chaithra L, Virinder Kumar Bansal, Asuri Krishna, Om Prakash, H. K. Bhattacharjee, M. C. Misra. AIIMS, New Delhi
Introduction: Focused training outside OR has been considered an important tool for quality improvement of surgical resident performance. However whether it translates into a significant contributor is yet to be ascertained. There are presently limited randomized trials to objectively assess the effectiveness of focused training outside the OR in laparoscopy of surgical residents and their operative performance.
Materials and Methods: The study was a single blinded double armed randomized control study conducted between July 2016to March 2018. Eighteen fourth and fifth semester students of surgical residency were included in the study. The baseline performance was assessed in OR by performing laparoscopic cholecystectomy by validated scores i.e. GOALS, additional 5 criteria, task specific check list, error checklist, Visual analogue score, then the residents were randomized into Trained(n=9) and Control group(n=9).Training group received a 5 days short term focused training on Teubingen trainer with integrated porcine model and the improvement was reassessed in OR after 4 weeks.
Results: Demographic profile and baseline score were comparable. The training group showed statistical significant GOALS (9.88±1.76 to 12±0.66, p value- 0.05),task specific checklist (42.22±10.92 to 53.33±14.14, p–value 0.027), error checklist. The operating time significantly reduced(p value =0.0025).VAS was suggestive of similar level of difficulty.
Conclusion: Our study concludes that the training on the Tuebingen Trainer with integrated porcine organs results in a statistically significant improvement in the operating room performance of surgical residents as compared to the non trained residents thereby indicating a transfer of skills from training to operative room.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94357
Program Number: P391
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster