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Training the Trainer in Laparoscopic Surgery

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Training in Minimal Access Surgery

Abstract

This chapter describes how a surgeon can become a teacher. In addition to providing a training framework of teaching technical skills, the chapter covers other factors including psychological, leadership and human factors that underpin a successful trainer in minimal access surgery. It also explores the concept of conscious competence as a surgeon and a trainer and how can this be applied in teaching advanced laparoscopic skills. Last it provides the lessons learned from the Laparoscopic Colorectal National Training Programme Training the Trainer (LAPCO TT) curriculum that can be applied to other surgical specialities.

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References

  1. Kligman M. Training considerations for laparoscopic bariatric surgery. In: National Institutes of Health, National Library of Medicine. Minimally Invasive Surgery Training: Theories, Models, Outcomes. Online book. http://mastri.umm.edu/NIH-Book/training_bariatric.html. Accessed May 2013.

  2. Bristol Royal Infirmary Inquiry [Internet]. Learning from Bristol: The report of the public inquiry into children’s heart surgery at the Bristol Royal Infirmary 1984–1995. Command paper: CM 5207, BRII; 2001. http://www.bristol-inquiry.org.uk/final_report/the_report.pdf. Accessed 5 Mar 2013.

  3. Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg. 1993;165:9–14.

    Article  CAS  PubMed  Google Scholar 

  4. Moore MJ, Bennett CL. The learning curve for laparoscopic cholecystectomy: The Southern Surgeons Club. Am J Surg. 1995;170:55–9.

    Article  CAS  PubMed  Google Scholar 

  5. Kumar U, Gill IS. Learning curve in human laparoscopic surgery. Curr Urol Rep. 2006;7:120–4.

    Article  PubMed  Google Scholar 

  6. Secin FP, Savage C, Abbou C, de La Taille A, Salomon L, Rassweiler J, Hruza M, Rozet F, Cathelineau X, Janetschek J, Nassar F, Turk I, Vanni AJ, Gill IS, Koenig P, Kaouk JH, Pineiro LM, Pansadoro V, Emiliozzi P, Bjartell A, Jiborn T, Eden C, Richards AJ, Van Velthoven R, Stolzenburg J-U, Rabenalt R, Su L-M, Pavlovich CP, Levinson AW, Touijer KA, Vickers A, Guillonneau B. The learning curve for laparoscopic radical prostatectomy: an international multicenter study. J Urol. 2010;184:2291–6.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Gowande AA. Creating the educated surgeon in the 21st century. Am J Surg. 2001;181:551–6.

    Article  Google Scholar 

  8. van Sickle KR, Gallagher AG, Smith CD. The effect of escalating feedback on the acquisition of psychomotor skills for laparoscopy. Surg Endosc. 2007;21:220–4.

    Article  PubMed  Google Scholar 

  9. American Board of Surgery, available at http://www.absurgery.org/default.jsp?certgsqe_resassess. Last accessed 14 July 2014.

  10. Larson JL, Williams RG, Ketchum J, Boehler ML, Dunnington GL. Feasibility, reliability and validity of an operative performance rating system for evaluating surgery residents. Surgery. 2005;138(4):640–7.

    Article  PubMed  Google Scholar 

  11. Intercollegiate Surgical Curriculum Project, available at: https://www.iscp.ac.uk. Last accessed 14 July 2014.

  12. Siu J, Maran N, Paterson-Brown S. Observation of behavioural markers of non-technical skills in the operating room and their relationship to intra-operative incidents. Surgeon. 2014 Jul 9. pii: S1479-666X(14)00075-4.

    Google Scholar 

  13. McCrory B, LaGrange CA, Hallbeck M. Quality and safety of minimally invasive surgery: past, present, and future. Biomed Eng Comput Biol. 2014;6:1–11.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Flin R, O’Connor P, Crichton M. Safety at the Sharp End: a guide to non-technical skills. Aldershot: Ashgate Publishing Limited; 2008.

    Google Scholar 

  15. Miskovic D, Wyles SM, Ni M, Darzi AW, Hanna GB. Systematic review on mentoring and simulation in laparoscopic colorectal surgery. Ann Surg. 2010;252(6):943–51.

    Article  PubMed  Google Scholar 

  16. Steinert Y, Mann K, Centeno A, et al. A systematic review of faculty development initiatives designed to improve teaching effectiveness in medical education: BEME Guide No. 8. Med Teach. 2006;28(6):497–526. doi:10.1080/01421590600902976.

    Article  PubMed  Google Scholar 

  17. Joint Advisory Group on GI Endoscopy. Secondary Joint Advisory Group on GI Endoscopy JAG Endoscopy Training System. http://www.jets.nhs.uk/.

  18. Mackenzie H, Cuming T, Miskovic D, Wyles S, Langsford L, Valori R, Hanna GB, Coleman MG, Francis N. Design, delivery and validation of a training the trainer curriculum of in the English National Laparoscopic Colorectal Training Programme in England. Ann Surg. 2013;261(1):149–56.

    Article  Google Scholar 

  19. Barnes RW. Surgical handcraft: teaching and learning surgical skills. Am J Surg. 1987;157:422–7.

    Article  Google Scholar 

  20. Peyton J. The learning cycle. In: Peyton J, editor. Teaching and learning in medical practice. 1st ed. Guildford: Manticore Europe Limited; 1998. p. 1–12.

    Google Scholar 

  21. Ende J. Feedback in clinical medical education. JAMA. 1983;250:777–81.

    Article  CAS  PubMed  Google Scholar 

  22. Swinnen SP. Information feedback for motor skill learning: a review. In: Zelaznik N, editor. Advances in motor learning and control. Champaign: Human Kinetics press; 1996. p. 37–66.

    Google Scholar 

  23. Coderre S, Anderson J, Rostom A, Mclaughlin K. Training the endoscopy trainer: from general principles to specific concepts. Can J Gastroenterol. 2010;24(12):700–4.

    PubMed Central  PubMed  Google Scholar 

  24. Miskovic D, Wyles SM, Carter F, Coleman MG, Hanna GB. Development, validation and implementation of a monitoring tool for training in laparoscopic colorectal surgery in the English National Training Program. Surg Endosc. 2011;25(4):1136–42.

    Article  PubMed  Google Scholar 

  25. Mackenzie H, Miskovic D, Ni M, Parvaiz A, Acheson AG, Jenkins JT, Griffith J, Coleman MG, Hanna GB. Clinical and educational proficiency gain of supervised laparoscopic colorectal surgical trainees. Surg Endosc. 2013;27(8):2704–11.

    Article  PubMed  Google Scholar 

  26. Miskovic D, Ni M, Wyles SM, Kennedy RH, Francis NK, Parvaiz A, Cunningham C, Rockall TA, Gudgeon AM, Coleman MG, Hanna GB. National Training Programme in Laparoscopic Colorectal Surgery in England. Is competency assessment at the specialist level achievable? A study for the national training programme in laparoscopic colorectal surgery in England. Ann Surg. 2013;257(3):476–82.

    Article  PubMed  Google Scholar 

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Correspondence to Nader Francis MB ChB, PLAB, FRCS, PhD .

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Coleman, M., Francis, N. (2015). Training the Trainer in Laparoscopic Surgery. In: Francis, N., Fingerhut, A., Bergamaschi, R., Motson, R. (eds) Training in Minimal Access Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6494-4_12

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  • DOI: https://doi.org/10.1007/978-1-4471-6494-4_12

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6493-7

  • Online ISBN: 978-1-4471-6494-4

  • eBook Packages: MedicineMedicine (R0)

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