Journal of Surgical Research
Volume 141, Issue 1 , Pages 7-15 , July 2007

A Cost-Effective Proficiency-Based Knot-Tying and Suturing Curriculum for Residency Programs

  • Daniel J. Scott, M.D., F.A.C.S.

      Affiliations

    • Corresponding Author InformationTo whom correspondence and reprint requests should be addressed at Southwestern Center for Minimally Invasive Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9156.
  • ,
  • Mouza T. Goova, M.D.
  • ,
  • Seifu T. Tesfay, R.N., M.S.

Received 6 January 2007

References 

  1. Scott DJ. Patient safety, competency, and the future of surgical simulation. Simul Healthcare. 2006;1:164
  2. DaRosa DA, Bell RH, Dunnington GL. Residency program models, implications, and evaluation: Results of a think tank consortium on resident work hours. Surgery. 2003;133:13
  3. Scott DJ, Bergen PC, Euhus DM, et al. Laparoscopic training on bench models: Better and more cost effective than operating room experience. J Am Coll Surg. 2000;191:272
  4. Stefanidis D, Korndorffer JR, et al. Skill retention following proficiency-based laparoscopic simulator training. Surgery. 2005;138:165
  5. Korndorffer JK, Hayes DJ, Dunne JB, et al. Development and transferability of a cost-effective laparoscopic camera navigation simulator. Surg Endosc. 2005;19:161
  6. Aggarwal R, Grantcharov T, Eriksen JR, et al. An evidence-based virtual reality training program for novice laparoscopic surgeons. Ann Surg. 2006;244:310
  7. Seymour NE, Gallagher AG, Roman SA, et al. Virtual reality training improves OR performance: Results of a randomized, double-blinded study. Ann Surg. 2002;236:458
  8. Fried GM, Feldman LS, Vassiliou MC, et al. Proving the value of simulation in laparoscopic surgery. Ann Surg. 2004;240:518
  9. Korndorffer JR, Dunne JB, Sierra R, et al. Simulator training for laparoscopic suturing using performance goals translates to the OR. J Am Coll Surg. 2005;201:23
  10. Stefanidis D, Sierra R, Markley S, Korndorffer JR, et al. Proficiency maintenance: Impact of ongoing simulator training on laparoscopic skill retention. J Am Coll Surg. 2006;202:599
  11. Vassiliou M, Ghitulescu G, Feldman L, et al. The MISTELS program to measure technical skill in laparoscopic surgery: Evidence for reliability. Surg Endosc. 2006;20:744
  12. Fried GM, Derossis AM, Bothwell J, et al. Comparison of laparoscopic performance in vivo with performance measured in a laparoscopic simulator. Surg Endosc. 1999;13:1077
  13. Duffy AJ, Hogle NJ, McCarthy H, et al. Construct validity for the LAPSIM laparoscopic surgical simulator. Surg Endosc. 2005;19:401
  14. Kothari SN, Kaplan BJ, DeMaria EJ, et al. Training in laparoscopic suturing skills using a new computer-based virtual reality simulator (MIST_VR) provides results comparable to those with an established pelvic trainer system. J Laparoendosc Adv Surg Tech. 2002;12:167
  15. Uchal M, Raftopoulos Y, Tjugum J, et al. Validation of a six-task simulation model in minimally invasive surgery. Surg Endosc. 2005;19:109
  16. Aggarwal R, Hance J, Undre S, et al. Training junior operative residents in laparoscopic suturing skills is feasible and efficacious. Surgery. 2006;139:729
  17. Rosser JC, Colsant BJ, Lynch PJ, et al. The use of a “hybrid” trainer in an established laparoscopic skills program. J Soc Laparoendosc Surg. 2006;10:4
  18. Figert PL, Park AE, Witzke DB, et al. Transfer of training in acquiring laparoscopic skills. J Am Coll Surg. 2001;193:533
  19. Pearson AM, Gallagher AG, Rosser JC, et al. Evaluation of structured and quantitative training methods for teaching intracorporeal knot tying. Surg Endosc. 2002;16:130
  20. Allen JW, Rivas H, Cocchione RN, et al. Intracorporeal suturing and knot tying broadens the clinical applicability of laparoscopy. J Soc Laparoendosc Surg. 2003;7:137
  21. Rosen J, Chang L, Brown JD, et al. Minimally invasive surgery task decomposition—etymology of endoscopic suturing. Stud Health Technol Inform. 2003;91:295
  22. Ritter EM, McClusky DA, Gallagher AG, et al. Real-time objective assessment of knot quality with a portable tensiometer is superior to execution time for assessment of laparoscopic knot-tying performance. Surg Innov. 2005;12:233
  23. Moulton CA, Dubrowski A, MacRae H, et al. Teaching surgical skills: What kind of practice makes perfect? (A randomized, controlled trial). Ann Surg. 2006;244:400
  24. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79:S70
  25. Korndorffer JK, Scott DJ, Sierra R, et al. Developing and testing competency levels for laparoscopic skills training. Arch Surg. 2005;140:80
  26. Gallagher A, Ritter E, Champion H, et al. Virtual reality for the operating room: Proficiency-based training as a paradigm shift in surgical skills training. Ann Surg. 2005;241:364
  27. Fraser SA, Klassen DR, Feldman LS, et al. Evaluating laparoscopic skills: Setting the pass/fail score for the MISTELS system. Surg Endosc. 2003;17:964
  28. Peters JH, Fried GM, Swanstrom LL, et al. Development and validation of a comprehensive program of education and assessment of the basic fundamentals of laparoscopic surgery. Surgery. 2004;135:21
  29. Fundamentals of Laparoscopic Surgery (FLS) program. Society of American Gastrointestinal and Endoscopic Surgeons. http://www.flsprogram.org
  30. Sanders CW, Edwards JC, Burdenski TK. A survey of basic technical skills of medical students. Acad Med. 2004;79:873
  31. McMahon DJ, Chen S, Maclellan DG. Formal teaching of basic surgical skills. Aust NZ J Surg. 1995;65:607
  32. Lossing AG, Hatswell EM, Gilas T, et al. A technical skills course for first-year residents in general surgery: A descriptive study. Can J Surg. 1992;35:536
  33. Reznick R, Regehr G, MacRae H, et al. Testing technical skill via an innovative “bench station” examination. Am J Surg. 1997;173:226
  34. Martin JA, Regehr G, Reznick R, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997;84:273
  35. Anastakis DJ, Regehr G, Reznick RK, et al. Assessment of technical skills transfer from the bench training model to the human model. Am J Surg. 1999;177:167
  36. Mackay S, Datta V, Chang A, et al. Multiple objective measures of skill (MOMS): A new approach to the assessment of technical ability in surgical trainees. Ann Surg. 2003;238:291
  37. Bann S, Davis IM, Morrthy K, et al. The reliability of multiple objective measures of surgery and the role of human performance. Am J Surg. 2005;189:747
  38. Dubrowski A, Xeroulis G. Computer-based video instruction for acquisition of technical skills. J Vis Commun Med. 2005;28:150
  39. Beard JD, Jolly BC, Newble DI, et al. Assessing the technical skills of surgical trainees. Br J Surg. 2005;92:778
  40. Brober ED, Hamstra SJ, Wanzel KR, et al. The educational impact of bench model fidelity on the acquisition of technical skill: The use of clinically relevant outcome measures. Ann Surg. 2004;240:374
  41. Rogers DA, Regehr G, Howdieshell TR, et al. The impact of external feedback on computer-assisted learning for surgical technical skill training. Am J Surg. 2000;179:341
  42. Boehler ML, Rogers DA, Schwind CJ, et al. An investigation of medical student reactions to feedback: A randomized controlled trial. Med Education. 2006;40:746
  43. Horn J, Masunaga H. A merging theory of expertise and intelligence. In:  Ericsson KA,  Charness N,  Feltovich PJ,  Hoffman RR editor. The Cambridge Handbook of Expertise and Expert Performance. New York, NY: Cambridge University Press; 2006;p. 587

PII: S0022-4804(07)00123-0

doi: 10.1016/j.jss.2007.02.043

Journal of Surgical Research
Volume 141, Issue 1 , Pages 7-15 , July 2007