A randomised clinical trial of take-home laparoscopic training
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A randomised clinical trial of take-home laparoscopic training. / Thinggaard, Ebbe; Bjerrum, Flemming; Strandbygaard, Jeanette; Konge, Lars; Gögenur, Ismail.
In: Danish Medical Journal, Vol. 66, No. 1, A5525, 2019.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - A randomised clinical trial of take-home laparoscopic training
AU - Thinggaard, Ebbe
AU - Bjerrum, Flemming
AU - Strandbygaard, Jeanette
AU - Konge, Lars
AU - Gögenur, Ismail
N1 - Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
PY - 2019
Y1 - 2019
N2 - INTRODUCTION: Simulation-based training in surgery helps trainees master laparoscopic skills, and training at home on mobile box trainers may allow trainees to reach proficiency faster. The aim of this study was to examine the added effects of training at home.METHODS: Participants were trainees from departments of surgery, gynaecology and urology who were recruited while taking part in a laparoscopic training course. The interven-tion consisted of added access to a mobile box trainer allowing participants to train at home.RESULTS: During a one-year study period, 36 participants completed the trial. There was no statistically significant difference in the number of days it took to complete the course (86 days versus 89 days, p = 0.89) or in the final test scores of the two groups (493 versus 460, p = 0.07). A sig-nificant difference in the number of training sessions at-tended was found (5.8 versus 2.3, p < 0.001). Participants were able to reliably rate their own performance; the intraclass correlation coefficient was 0.86, p < 0.001.CONCLUSIONS: Trainees who had access to training at home did not pass a test earlier or achieve a higher score at the end of a course than trainees who had no such access. Improved access to training at home allowed for shorter and more frequent sessions; however, testing and mandatory training requirements apparently determine training patterns. Trainees were able to reliably rate their own performance.FUNDING: Equipment for the study was provided by the Copenhagen Academy for Medical Education and Simulation, Capital Region of Denmark, Copenhagen, Denmark.TRIAL REGISTRATION: The study was exempt from ethical approval according to Danish legislation (H-3-2014-FSP31). The trial protocol was registered with www.clinicaltrials.gov prior to commencing the trial (NCT02243215).
AB - INTRODUCTION: Simulation-based training in surgery helps trainees master laparoscopic skills, and training at home on mobile box trainers may allow trainees to reach proficiency faster. The aim of this study was to examine the added effects of training at home.METHODS: Participants were trainees from departments of surgery, gynaecology and urology who were recruited while taking part in a laparoscopic training course. The interven-tion consisted of added access to a mobile box trainer allowing participants to train at home.RESULTS: During a one-year study period, 36 participants completed the trial. There was no statistically significant difference in the number of days it took to complete the course (86 days versus 89 days, p = 0.89) or in the final test scores of the two groups (493 versus 460, p = 0.07). A sig-nificant difference in the number of training sessions at-tended was found (5.8 versus 2.3, p < 0.001). Participants were able to reliably rate their own performance; the intraclass correlation coefficient was 0.86, p < 0.001.CONCLUSIONS: Trainees who had access to training at home did not pass a test earlier or achieve a higher score at the end of a course than trainees who had no such access. Improved access to training at home allowed for shorter and more frequent sessions; however, testing and mandatory training requirements apparently determine training patterns. Trainees were able to reliably rate their own performance.FUNDING: Equipment for the study was provided by the Copenhagen Academy for Medical Education and Simulation, Capital Region of Denmark, Copenhagen, Denmark.TRIAL REGISTRATION: The study was exempt from ethical approval according to Danish legislation (H-3-2014-FSP31). The trial protocol was registered with www.clinicaltrials.gov prior to commencing the trial (NCT02243215).
KW - Adult
KW - Female
KW - General Surgery/education
KW - Gynecology/education
KW - Humans
KW - Internship and Residency
KW - Laparoscopy/education
KW - Male
KW - Middle Aged
KW - Simulation Training/methods
KW - Time Factors
KW - Urology/education
M3 - Journal article
C2 - 30573006
VL - 66
JO - Danish Medical Journal
JF - Danish Medical Journal
SN - 2245-1919
IS - 1
M1 - A5525
ER -
ID: 236013407