Remote Training in Laparoscopy
Study Details
Study Description
Brief Summary
The study is a prospective, randomized comparative study using a mixed methods design. The primary objective is to compare the effect of self-regulated simulation training (SRST) to instructor-regulated simulation training (IRST) in basic laparoscopic skills. The study population is first-year trainees in the specialties General Surgery, Urology and Obstetrics and Gynaecology within the postgraduate training region of northern Denmark. 46 first-year trainees will be randomized into two groups, one receiving SRST and one receiving IRST in basic laparoscopic skills.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Self-regulated simulation training
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Other: Home-based self-regulated simulation training (SRST)
Participants allocated to the SRST arm train basic laparoscopic skills at home. Participants train by themselves using a portable box training model (BT). Training is conducted and structured through an online application-based training platform. Training is instructed by online instructional videos and texts. The BT is connected to a laptop and the participants can submit videos of their training exercises for assessment through the online training platform.
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| Active Comparator: Instructor-regulated simulation training
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Other: Centralized instructor-regulated simulation training (IRST)
Participants allocated to the IRST arm train basic laparoscopic skills at the simulation centre. Participants train on a portable box training model (BT). Training is structured through an online application-based training platform and facilitated and instructed by surgical specialists. The BT is connected to a laptop and the participants can submit videos of their training exercises for assessment through the online training platform.
|
Outcome Measures
Primary Outcome Measures
- Mean time for laparoscopic skills test (LASTT). [0-7 months]
Laparoscopic skills testing models (pre-test, post-test and retention-test). Scoring based on mean timing of 3 consecutively performed exercises (0-180 secs). Low time-scores are better than high time scores.
Secondary Outcome Measures
- Test-score SUTT [1-7 months]
Laparoscopic knot tying testing model (post-test and retention test). Blinded outcome assessor. Score based on timing and quality of sutures and stitches (score range -2 to 18). High score is better than low score.
- Training time [6-8 weeks]
Accumulated raw training time (mins)
- Training distribution [6-8 weeks]
Number of training sessions
- Pass-rates [6-8 weeks]
Pass/failure of proficiency-based training program (binary)
Other Outcome Measures
- Interview [0-3 months]
Qualitative data: Semi-structured interviews
Eligibility Criteria
Criteria
Inclusion Criteria:
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Participant is a medical doctor
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Participant is a first-year trainee in abdominal surgery, urology, or gynaecology and obstetrics.
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Participant is willing and able to give informed consent for participation in the study.
Exclusion Criteria:
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Performed > 50 lap procedures prior to enrollment
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participated in training programs provided by the former course provider in the postgraduate training region of northern Denmark
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Centre for Health Sciences Education, Aarhus University | Aarhus | Danmark | Denmark | 8200 |
Sponsors and Collaborators
- University of Aarhus
- Central Denmark Region
- Northern Denmark Region
- KARL STORZ Endoscopy Denmark
Investigators
- Principal Investigator: Sigurd B Sloth, MD, PhD fellow, Centre for Health Sciences Education, Aarhus University, Denmark
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- sbs_au235143