The efficacy of laparoscopic skills training in a Mobile Simulation Unit compared with a fixed site: a comparative study
- 251 Downloads
Laparoscopic skills development via simulation-based medical education programs has gained support in recent years. However, the impact of training site type on skills acquisition has not been examined. The objective of this research was to determine whether laparoscopic skills training outcomes differ as a result of training in a Mobile Simulation Unit (MSU) compared with fixed simulation laboratories.
An MSU was developed to provide delivery of training. Fixed-site and MSU laparoscopic skills training outcomes data were compared. Fixed-site participants from three Australian states were pooled to create a cohort of 144 participants, which was compared with a cohort derived from pooled MSU participants in one Australian state. Data were sourced from training periods held from October 2009 to December 2010. LapSim and Fundamentals of laparoscopic surgery (FLS) simulators were used at the MSU and fixed sites. Participants self-reported on demographic and experience variables. They trained to a level of competence on one simulator and were assessed on the other simulator, thus producing crossover scores. No participants trained at both site types.
When FLS-trained participants were assessed on LapSim, those who received MSU training achieved a significantly higher crossover score than their fixed-site counterparts (p < 0.001). Compared with baseline data, MSU LapSim-trained participants assessed on FLS displayed a performance increase of 23.1 %, whereas MSU FLS-trained participants assessed on LapSim demonstrated a 12.4 % increase in performance skills. Participants at fixed sites displayed performance increases of 5.2 and 10.9 %, respectively.
Mobile Simulation Unit-delivered laparoscopic simulation training is not inferior to fixed-site training.
KeywordsLaparoscopic skills Simulation Surgical training Fundamentals of laparoscopic surgery LapSim Mobile training unit
- 5.Taylor MM, Stokes WS, Bajuscak R, Serdula M, Siegel KL, Griffin B, Keiser J, Agate L, Kite-Powell A, Roach D, Humbert N, Brusuelas K, Shekar SS (2007) Mobilizing mobile medical units for hurricane relief: the United States Public Health Service and Broward County Health Department response to hurricane Wilma, Broward County, Florida. J Public Health Manag Pract 13:447–452PubMedGoogle Scholar
- 15.Rosenthal ME, Ritter EM, Goova MT, Castellvi AO, Tesfay ST, Pimentel EA, Hartzler R, Scott DJ (2010) Proficiency-based fundamentals of laparoscopic surgery skills training results in durable performance improvement and a uniform certification pass rate. Surg Endosc 24:2453–2457PubMedCrossRefGoogle Scholar
- 18.Watkins KE, Marsick VJ (1996) In action: creating the learning organization. American Society for Training and Development, AlexandriaGoogle Scholar