What are the Training Gaps for Acquiring Laparoscopic Suturing Skills?

Introduction Advanced laparoscopic suturing is considered a challenging skill to acquire. The aim of this study was to investigate the learning process for advanced laparoscopic suturing in the operating room to understand the obstacles trainees face when trying to master the skill. Methods A qualit...

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Bibliographic Details
Published in:Journal of surgical education 2017-07, Vol.74 (4), p.656-662
Main Authors: Enani, Ghada, MBBS, MEd, Watanabe, Yusuke, MD, PhD, McKendy, Katherine M., MD, MEd, Bilgic, Elif, BSc, Feldman, Liane S., MD, Fried, Gerald M., MD, Vassiliou, Melina C., MD, MEd
Format: Article
Language:English
Subjects:
Adult
advanced laparoscopy
Clinical Competence
Education, Medical, Graduate
Female
General Surgery - education
Humans
Internship and Residency
Interviews as Topic
laparoscopic suturing
Laparoscopy - education
Learning Curve
Male
Medical Knowledge
Practice-Based Learning and Improvement
Qualitative Research
resident
Surgery
surgical education
surgical simulation
Suture Techniques - education
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Summary:Introduction Advanced laparoscopic suturing is considered a challenging skill to acquire. The aim of this study was to investigate the learning process for advanced laparoscopic suturing in the operating room to understand the obstacles trainees face when trying to master the skill. Methods A qualitative methodology using semistructured interviews and field observations was used. Data were analyzed using a Grounded Theory approach. Participants were general surgery residents and surgeons with advanced minimally invasive surgery (MIS) experience. Results Ten MIS surgeons across different institutions and 15 local general surgery residents were interviewed. The semistructured interviews and field observations of 9 advanced MIS operations (27 h) yielded the following 6 themes around the acquisition of laparoscopic suturing skills for residents: complexity, training misalignment, variability of opportunities, inconsistency of techniques, lack of feedback, and differing expectations. Conclusion There are several unmet training needs around laparoscopic suturing skills. Training for advanced laparoscopic skills requires more emphasis on coaching and the development of advanced models. This study heralded the need to incorporate advanced laparoscopic skills into the surgical simulation curriculum.
ISSN:1931-7204
1878-7452
DOI:10.1016/j.jsurg.2016.12.004