Jose Quezada, MD, Pablo Achurra, Martín Inzunza, MD, Ruben Ávila, MD, Julia Varas, MD, Nicolas Jarufe. Pontificia Universidad Católica de Chile
Background: Learning laparoscopy is difficult and many educational tools including simulation training are required. Feedback plays a crucial role for motor skill training but require expert tutors and its time consuming.
E-learning increases knowledge acquisition through a more interacting multimedia experience and reduces de costs of learning. In the last decade multiple applications (apps) have been developed for mobile medical training.
A new iOS app was developed using specially designed educational videos that explain the main technical aspects in advanced laparoscopy through simulation training. The aim of this study is to present the first results of its incorporation in a surgical simulation lab as a complement of effective feedback.
Methods: Twenty-five consecutive residents were trained in our simulation lab through a 15 session validated training program for the acquisition of advanced laparoscopic skills needed for the performance of a laparoscopic hand-sewn jejuno-jejunostomy. Every session had written instructions and a basic tutorial video.
The app consist two main sections, the first one explains the essential techniques needed for intracorporeal suturing and the second is a complete walkthrough of the validated training program.
The trainees were divided in two groups, the first was trained without using the app (NAPP) and the second group was trained using the app (YAPP). Both groups of trainees could ask for feedback anytime they needed. Trainees were assessed before and after the training program using validated rating scales and the number of necessary tutor-feedback sessions were registered.
Finally the YAPP group answered a survey about the strengths and weaknesses of the app for learning advanced laparoscopic skills.
Results: Twenty-five residents completed the training program; 15 YAPP and 10 NAPP. Both groups finalized their training with no statistical significant differences in their scores (p:0.32). The number of tutor-feedback needed to complete the training in the YAPP vs NAPP was of [4(3-6) vs 13(10-14) (p<0.001)] respectively.
In the questionnaire all participants considered that the app was effective for learning advanced laparoscopy. Over 4000 downloads have been registered since the app was published in the Apple App Store in 2013.
Conclusion: We present a novel smartphone app that guides laparoscopic training using simulation-based educational videos with very good results. The use of app guided learning reduces de need of expert tutor feedback reducing the costs of simulated training.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88273
Program Number: P347
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster