Skill development in Laparoscopic surgery using endotrainers for House interns in a Teaching Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Background: Traditional way of teaching is effective only in transferring knowledge, not in skill development. We have to apply new teaching learning methods to develop skills in interns, who are going to be clinicians soon. Since the paradigm shifted to minimal access, training in this area is crucial to interns. As developing skills in patients is not feasible for interns in minimal success surgery, we introduced Box endo trainers in our department for developing Laparoscopic skills for interns. Methods: 15 Interns (House surgeons) posted in surgical department, who had no previous Laparoscopic skills were given training for five days ,one hour each day, in Basic laparoscopic skills using Box endotrainers in surgery department. Assessment done, comparing the skills developed post training with pre training test by independent trained faculties. Results: 90 % of the Interns Who undergone training, found to have better hands eye coordination, transferring skills, while 68% improved the suturing skills compared to pre test evaluation. There was remarkable increase in scores represented as mean for the whole program found to be 46.5% ± 7.230 (Mean ± SD) .The score was better for basic Beads task (59.4% ± 7.548 Mean ± SD) As expected the basic tasks using the global rating scale showed better performance than suturing, which is technically more demanding , improvement was( 32.6% ± 8.4 Mean ± SD). Using Wilcoxon matched-paired test, P-value<0.0001 which is very significant Conclusions: In a teaching hospital, with resource constrains, laparoscopic training using affordable box endotrainers found to be effective in skill development of interns.
Authors and Affiliations
Ramula Muthammal, Mohanraj . , Ramprasath .
Keywords
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- EP ID EP415515
- DOI 10.9790/0853-1711061418.
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