Takashi Iwata1, Masashi Akaike1, Jun Higashijima2, Takuya Tokunaga2, Masaaki Nishi2, Hideya Kashihara2, Chie Takasu2, Daichi Ishikawa2, Mitsuo Shimada2. 1Research Center for Education of Health Bioscience, The University of Tokushima Graduate School, 2Department of Digestive Surgery, Tokushima University Graduate School
Background: It is important that making individual procedures a language, and an objective qualitative evaluation for the laproscopic training. Recently, task training and the sham operation using the virtual simulator are carried out for medical students as the basic laparoscopic maneuver training, but there are few reports of objective qualitative evaluation for the training. In this study, we investigated Rubric evaluation as the qualitative evaluation for laparoscopic training.
Materials and Methods: One hundred and six students in 5th grade of Tokushima Univ. were participated. Basic laparoscopic task training (gummy band ligation, beads transfer, delivery of beads, gauze excision) with training box and sham laparoscopic cholecystectomy with virtual simulator were performed. Task execution time and Rubric evaluation which includes the evaluation standard that became a language for each maneuver were performed before and after basic task training and sham operation. The group who are bad at laparoscopic maneuver was decided by time exceeded in tasks more than two from before practice. Relationship between the group who are bad at laparoscopic maneuver and the group which self-evaluation was higher in a Rubric evaluation was investigated.
Results: In basic task training, average task execution time in all students was shortened after practice compared with before practice, but investigated individual, 6 students exceeded in more than two tasks. Rubric evaluation in basic task training showed no difference between self-evaluation and evaluation by tutor before and after practice. In sham laparoscopic cholecystectomy, all students and tutor showed high score by Rubric evaluation after practice compared with before practice. Some students showed higher score than tutor, especially in part of extension of operation field by elevation of the Gall bladder, exposure of triangle of Calot, and exposure of cystic duct. Students who showed high score by self-evaluation in many maneuver of sham laparoscopic cholecystectomy also exceeded in more than two basic tasks.
Conclusions: As rubric evaluation showed the point of the maneuver is made a language definitely, it was useful for an objective qualitative evaluation for laparoscopic training.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87703
Program Number: P324
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster