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Stepwise training program: A novel practice schedule for laparoscopic suturing

delete2023-12-01
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H
Hsin‐An Chen
S
Shih‐Wei Huang
S
Shih‐Chiang Shen
K
Kuei‐Yen Tsai
H
Hsin-Hong Kuo
H
Howard C. Jen
C
Chin‐Hung Wei *
DOI:10.1016/j.heliyon.2023.e22563delete
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Purpose: We establish stepwise training program in which laparoscopic suturing is broken down to discrete steps. The purpose is to evaluate the learning outcomes of stepwise training program.Materials and methods: Volunteer participants were enrolled from medical students and surgical trainees. Students took two courses of 2-h stepwise training, and a post-course (1st & 2nd) test was taken after each course; trainees took one course of stepwise training with a pre-course (1st) and a post-course (2nd) test. Attending surgeons took the test as control. Learning outcomes were assessed with laparoscopic suturing competency assessment tool (LS-CAT) and suturing time.Results: There were 10 students, 8 trainees and 6 surgeon controls. Suturing time and LS-CAT scores significantly improved between the 1st and 2nd test (p < 0.01). In the both tests, suturing time and LS-CAT scores of students and trainees were similar. In the 1st test, surgeons had significantly better performance in suturing time and LS-CAT score than students and trainees; in the 2nd test, the LS-CAT scores of students and trainees were similar to the surgeon controls.Conclusions: Stepwise program effectively enhances laparoscopic suturing skill for medical students and surgical trainees. Catch-up effect was demonstrated in medical students with stepwise training.
Keyword:
Laparoscopic suturing
Stepwise training
Practice schedule
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