Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks - 18/04/17

Doi : 10.1016/j.amjsurg.2016.07.033

Elif Bilgic ^a, Yusuke Watanabe ^a,^b,^{^{1
Co-primary author.}}, Dmitry Nepomnayshy ^c,^⁎, Aimee Gardner ^d, Shimae Fitzgibbons ^e, Iman Ghaderi ^f, Adnan Alseidi ^g, Dimitrios Stefanidis ^h, John Paige ⁱ, Neal Seymour ^j, Katherine M. McKendy ^a, Richard Birkett ^c, James Whitledge ^k, Erica Kane ^j, Nicholas E. Anton ^h, Melina C. Vassiliou ^a
for the Simulation Committee of the Association for Surgical Education
^a Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Canada
^b Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Japan
^c Department of General Surgery, Lahey Hospital and Medical Center, USA
^d University of Texas Southwestern Medical Center, USA
^e MedStar Georgetown University Hospital, USA
^f University of Arizona, USA
^g Virginia Mason Medical Center, USA
^h Carolinas Health Care System, USA
ⁱ LSU Health New Orleans Health Sciences Center, USA
^j Baystate Medical Center, USA
^k Tufts University School of Medicine, USA

^∗Corresponding author. Department of General Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA.Department of General SurgeryLahey Hospital and Medical Center41 Mall RoadBurlingtonMA01805USA

Abstract

Background

Advanced laparoscopic suturing (LS) tasks were developed based on a needs assessment. Initial validity evidence has been shown. The purpose of this multicenter study was to determine expert proficiency benchmarks for these tasks.

Methods

6 tasks were included: needle handling (NH), offset-camera forehand suturing (OF), offset-camera backhand suturing (OB), confined space suturing (CF), suturing under tension (UT), and continuous suturing (CS). Minimally invasive surgeons experienced in LS completed the tasks twice. Mean time and median accuracy scores were used to establish the benchmarks.

Results

Seventeen MIS surgeons enrolled, from 7 academic centers. Mean (95% CI) time in seconds to complete each task was: NH 169 (149–189), OF 158 (134–181), OB 189 (154–224), CF 181 (156–205), UT 379 (334–423), and CS 416 (354–477). Very few errors in accuracy were made by experts in each of the tasks.

Conclusions

Time- and accuracy-based proficiency benchmarks for 6 advanced LS tasks were established. These benchmarks will be included in an advanced laparoscopic surgery curriculum currently under development.

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Keywords : Proficiency, Competency, Performance, Assessment, Simulation, Suturing, Laparoscopy

Plan

Introduction

Methods

Advanced laparoscopic suturing tasks

Development of proficiency benchmarks

Results

Discussion

Funding

☆	Association for Surgical Education Paper Session (podium presentation), Association for Surgical Education (ASE) 2016 Annual Meeting, April 12–14, 2016, Boston, MA, USA.

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Vol 213 - N° 2

P. 217-221 - février 2017 Retour au numéro

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Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks - 18/04/17

Abstract

Background

Methods

Results

Conclusions

Plan

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