A simple scoring system to train surgeons in basic laparoscopic skills

• Verfasst von: Shepherd, Gregory [VerfasserIn]
• Verfasst von: Kubiak, Rainer [VerfasserIn]
• Titel: A simple scoring system to train surgeons in basic laparoscopic skills
• Verf.angabe: Gregory Shepherd, Dirk von Delft, Johannes Truck, Rainer Kubiak, Khaled Ashour, Hugh Grant
• Jahr: 2016
• Jahr des Originals: 2015
• Umfang: 8 S.
• Fussnoten: Gesehen am 15.03.2019 ; Published online: 19 November 2015
• Titel Quelle: Enthalten in: Pediatric surgery international
• Ort Quelle: Berlin : Springer, 1986
• Jahr Quelle: 2016
• Band/Heft Quelle: 32(2016), 3, Seite 245-252
• ISSN Quelle: 1437-9813
• DOI: doi:10.1007/s00383-015-3841-6
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Assessment tool
• Sach-SW: Laparoscopy
• Sach-SW: Simulation
• Sach-SW: Training
• K10plus-PPN: 1590357299

Abstract

Aim: To develop and validate a scoring system for a training assessment tool using a box trainer which can objectively demonstrate progression in laparoscopic skills. Method: 170 assessments were performed over a 5-year period by doctors working in a busy paediatric surgical department. Each participant was scored based on experience and then undertook six laparoscopic tasks in a box trainer in a dry skills lab. The quicker and more accurate the performance, the lower the score. Validity and reliability tests were applied. Results: Pearson correlation coefficient demonstrated that more experienced surgeons performed better than novices with an r of -0.63 (p < 0.001). The mean assessment scores improved (reduced) with increasing experience score [4140 (0-20), 2696 (21-40), 1969 (>40) p < 0.001]. Improvement in score was seen at all experience levels with greatest improvement seen in the less experienced (2315, 1820, 1571 p < 0.001). Cronbach’s alpha was 0.70 and the intraclass correlation coefficient for test-retest reliability was 0.81. Conclusion: Construct validity with adequate reliability has been demonstrated for this simple training tool and scoring system. All experience levels demonstrated improvement in their laparoscopic skills by simulation training in a laparoscopic box trainer.