Housestaff performance is improved by participation in a laparoscopic skills curriculum. 2002

Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
Department of Surgery, Northwestern University Medical School, 201 East Huron St., Galter 10-105, Chicago, IL 60611, USA.

BACKGROUND After the implementation of a laparoscopic skills curriculum, we studied two questions: (1) can skills curriculum participation improve performance and (2) can we identify housestaff who may benefit from early instruction in laparoscopic technical skills? METHODS We administered a six-task laparoscopic skills curriculum to postgraduate year (PGY) 2 and PGY3 surgical housestaff. Six laparoscopic tasks were divided into two groups: generalized skills and task specific skills. All participants were evaluated during a pretest and were placed in the novice group (total score less than 600) or in the intermediate skill (IS) group (total score 600 or more). Each participant had two 1-hour practice/instruction sessions and 2 weeks for independent practice. After these sessions, a posttest was administered. RESULTS Novices and intermediate skill participants demonstrated significant improvement in general skills and task specific skills. However, comparison of novice and IS group learners revealed that IS group learners were significantly more proficient in the performance of general skills, but the performance of task specific skills failed to demonstrate a difference between the two groups. On posttest, there was no significant difference in overall score between novices and IS participants. CONCLUSIONS Overall ability and performance of generalized skills by all housestaff are improved with a laparoscopic skills curriculum; however, the performance of novices improved the greatest. Task specific skills did not discriminate novices from more advanced learners. Early testing of housestaff may identify those individuals who could benefit from intervention and instruction prior to performing the laparoscopic skills in the operating room.

UI MeSH Term Description Entries
D007396 Internship and Residency Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities. House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D003479 Curriculum A course of study offered by an educational institution. Curricula,Short-Term Courses,Course, Short-Term,Courses, Short-Term,Short Term Courses,Short-Term Course
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013502 General Surgery A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities. Surgery,Surgery, General

Related Publications

Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
December 1998, Archives of pediatrics & adolescent medicine,
Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
January 2009, Archives of surgery (Chicago, Ill. : 1960),
Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
February 2021, Surgical endoscopy,
Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
September 2014, Ugeskrift for laeger,
Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
July 2021, Journal of dental education,
Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
November 2020, Annals of surgery,
Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
January 2021, Journal of surgical education,
Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
September 2016, Journal of hospital medicine,
Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
January 2008, Journal of surgical education,
Thomas W Powers, and Kenric M Murayama, and Mark Toyama, and Sarah Murphy, and Ervin W Denham, and Anna M Derossis, and Raymond J Joehl
June 2012, Surgery,
Copied contents to your clipboard!