The intercollegiate Basic Surgical Skills Course

Objective: This study was undertaken to establish residents’ progress in minimal access surgery (MAS) after attending the Intercollegiate Basic Surgical Skills Course (BSSC) by means of the Xitact LS500 laparoscopy simulator assessment program. Methods: Twenty-five surgical residents attended the BSSC in Leiden and Eindhoven, The Netherlands. Before and after the course, participants performed three “runs” on the Xitact LS500, featuring a standardized laparoscopic cholecystectomy clip-and-cut task. A control group of 25 interns not attending the course also performed two sessions of three runs. Parameters of interest were “score” and “time for completion of task”. Results: No significant differences were found within the resident group for the parameters “time” and “score” when comparing outcomes pre- and post-BSSC. No significant differences were found comparing time and score between residents and interns on each of the six runs, except for time in run 2. Over six runs, both residents and interns became significantly faster. Conclusions: The Xitact LS500 cholecystectomy simulator did not detect significant improvement in MAS performance among a group of surgical residents attending the BSSC.

[1]  T. Mori,et al.  Significance of ``hands-on training'' in laparoscopic surgery , 1998, Surgical Endoscopy.

[2]  J. Sackier.  Evaluation of technical surgical skills. Lessons from minimal access surgery. , 1998, Surgical endoscopy.

[3]  D A Rogers,et al.  Improving Continuing Medical Education for Surgical Techniques: Applying the Lessons Learned in the First Decade of Minimal Access Surgery , 2001, Annals of surgery.

[4]  N J Soper,et al.  Laparoscopic cholecystectomy. The new 'gold standard'? , 1992, Archives of surgery.

[5]  The European Association for Endoscopic Surgery recommendations for training in laparoscopic surgery. , 1994 .

[6]  A. Darzi,et al.  Skill transfer from virtual reality to a real laparoscopic task , 2001, Surgical Endoscopy.

[7]  Daniel B. Jones,et al.  Laparoscopic training on bench models: better and more cost effective than operating room experience? , 2000, Journal of the American College of Surgeons.

[8]  A. Gallagher,et al.  Virtual Reality Training in Laparoscopic Surgery: A Preliminary Assessment of Minimally Invasive Surgical Trainer Virtual Reality (MIST VR) , 1999, Endoscopy.

[9]  R. Reznick,et al.  Teaching and testing technical skills. , 1993, American journal of surgery.

[10]  Litynski Gs,et al.  Mouret, Dubois, and Perissat: The Laparoscopic Breakthrough in Europe (1987-1988) , 1999, JSLS : Journal of the Society of Laparoendoscopic Surgeons.

[11]  R. Rege,et al.  Laparoscopic skills training. , 2001, American journal of surgery.

[12]  A. Gallagher,et al.  A comparison between randomly alternating imaging, normal laparoscopic imaging, and virtual reality training in laparoscopic psychomotor skill acquisition. , 2000, American journal of surgery.

[13]  D. Maclellan,et al.  Formal teaching of basic surgical skills. , 1995, The Australian and New Zealand journal of surgery.

[14]  J. Jakimowicz,et al.  The Advanced Dundee Endoscopic Psychomotor Tester (ADEPT) objectifying subjective psychomotor test performance , 2002, Surgical Endoscopy And Other Interventional Techniques.

[15]  C Sutton,et al.  Learning rate for laparoscopic surgical skills on MIST VR, a virtual reality simulator: quality of human-computer interface. , 1999, Annals of the Royal College of Surgeons of England.

[16]  G. Litynski.  Mouret, Dubois, and Perissat: The Laparoscopic Breakthrough in Europe (1987-1988) , 1999, JSLS : Journal of the Society of Laparoendoscopic Surgeons.

[17]  M. Talamini,et al.  Traditional versus laparoscopic cholecystectomy. , 1991, American journal of surgery.

[18]  G. Fried,et al.  The effect of practice on performance in a laparoscopic simulator , 1998, Surgical Endoscopy.

[19]  J. Sackier.  Evaluation of technical surgical skills , 1998, Surgical Endoscopy.

[20]  M S Wilson,et al.  MIST VR: a virtual reality trainer for laparoscopic surgery assesses performance. , 1997, Annals of the Royal College of Surgeons of England.

[21]  C. Lewis.  Continuing medical education: past, present, future. , 1998, The Western journal of medicine.

[22]  M. D. Menger,et al.  Effectiveness of a hands-on training course for laparoscopic spine surgery in a porcine model , 1999, Surgical Endoscopy.

[23]  J. Jakimowicz,et al.  Construct Validity , 2018, Definitions.

[24]  M. Schijven,et al.  Face-, expert, and referent validity of the Xitact LS500 Laparoscopy Simulator , 2002, Surgical Endoscopy And Other Interventional Techniques.

[25]  R. Wilbur.  Continuing medical education: past, present, and future. , 1987, JAMA.

[26]  Teodor P. Grantcharov,et al.  An objective method for the evaluation of laparoscopic surgical skills , 2001 .

[27]  G. Fried,et al.  Evaluation of laparoscopic skills: a 2-year follow-up during residency training. , 1999, Canadian journal of surgery. Journal canadien de chirurgie.

[28]  T. Dent,et al.  Training, credentialling, and granting of clinical privileges for laparoscopic general surgery. , 1991, American Journal of Surgery.

[29]  T Saito,et al.  Virtual reality in surgical education. , 1995, Computers in biology and medicine.

[30]  W. Melvin,et al.  Laparoscopic skills enhancement. , 1996, American journal of surgery.

[31]  D. Wilkins,et al.  The assessment of surgical skills and a simple knot-tying exercise. , 2001, Annals of the Royal College of Surgeons of England.

[32]  G. Ahlberg,et al.  Does training in a virtual reality simulator improve surgical performance? , 2001, Surgical Endoscopy And Other Interventional Techniques.

[33]  C. D. Smith,et al.  A computer-based laparoscopic skills assessment device differentiates experienced from novice laparoscopic surgeons , 2001, Surgical Endoscopy.

[34]  M Schijven,et al.  Construct validity: experts and novices performing on the Xitact LS500 laparoscopy simulator. , 2003, Surgical endoscopy.

[35]  P J Baldwin,et al.  Validity of surgical simulation for the assessment of operative skill , 2001, The British journal of surgery.

[36]  A. Darzi,et al.  The role of the Basic Surgical Skills course in the acquisition and retention of laparoscopic skill , 2001, Surgical Endoscopy.