Randomized double-blinded trial investigating the impact of a curriculum focused on error recognition on laparoscopic suturing training - 21/08/11
, Tanner Boyd, B.S. a, Kent Van Sickle, M.D. a, Inkyung Jung, M.D. b, Arup Saha, M.D. a, John Winston, M.D. a, Peter Lopez, M.D. a, Herminio Ojeda, M.D. a, Wayne Schwesinger, M.D. a, Dimitri Anastakis, M.D. c
Corresponding author. Tel.: +1-210-567-5730; fax: +1-210-567-5797.Abstract |
Background |
Error recognition predicts technical skill. A curriculum including error recognition may improve laparoscopic suturing performance.
Methods |
Thirty novices were randomized into 2 groups. Each viewed an instruction videotape and underwent timed objective structured assessments of technical skills. Group A practiced the task, group B viewed an error-instruction video, practiced, followed by re-assessment. Participants counted errors on a videotape. Data were analyzed with the Fisher exact text, the Wilcoxon test, and the Kendall tau test.
Results |
The improvement in task time was greater in group A than in group B (P < .001). The objective structured assessments of technical skills scores improved for both groups, but did not reveal differences between the groups. Group B recognized significantly more errors than group A (P < 0.001).
Conclusions |
The additional error instruction showed a negative impact on performance speed, but improved cognitive error recognition. Whether visual memory overload influenced the outcome requires further examination
Le texte complet de cet article est disponible en PDF.Keywords : Laparoscopy, Laparoscopic suturing, Skills training, Error recognition, Curriculum
Plan
Vol 195 - N° 2
P. 179-182 - février 2008 Retour au numéro
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