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Dyadic practice for the acquisition of laparoscopic skills (DALS)-A randomized controlled trial.
Ritchie, Angus M A; Chaudhry, Noor; Robinson, Samuel J A; Pacilli, Maurizio; Nataraja, Ramesh M.
Afiliación
  • Ritchie AMA; Departments of Paediatrics & Surgery, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
  • Chaudhry N; Department of Paediatric Surgery & Monash Children's Simulation, Monash Children's Hospital, Melbourne, Victoria, Australia.
  • Robinson SJA; Departments of Paediatrics & Surgery, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
  • Pacilli M; Departments of Paediatrics & Surgery, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
  • Nataraja RM; Department of Paediatric Surgery & Monash Children's Simulation, Monash Children's Hospital, Melbourne, Victoria, Australia.
World J Surg ; 48(2): 278-287, 2024 02.
Article en En | MEDLINE | ID: mdl-38686749
ABSTRACT

BACKGROUND:

Laparoscopic simulation is integral to surgical education but requires significant resources. We aimed to compare the effectiveness of dyadic practice (DP), involving two individuals working together, to individual practice (IP) for novices acquiring laparoscopic skills and assess their learning experience.

METHODS:

We conducted a Randomized Controlled Trial comparing DP and IP for novice medical students who completed a laparoscopic simulation workshop. Participants were assessed individually pre-course (test 1), post-course (test 2), and 8-week retention (test 3) using a validated quantitative method. A post-course questionnaire and interview, analyzed with thematic analysis, assessed the learning experience.

RESULTS:

In total, 31 DP and 35 IP participants completed the study. There was no difference in mean scores between DP and IP groups in all three tests test 1 (p = 0.55), test 2 (p = 0.26), test 3 (p = 0.35). In trend analysis, the DP group improved post-course (test 1 vs. 2 p = 0.02) and maintained this level at the retention test (2 vs. 3 p = 0.80, 1 vs. 3 p = 0.02). Whilst the IP group also improved post-course (test 1 vs. 2 p < 0.001), this improvement was not retained (2 vs. 3 p = 0.003, 1 vs. 3 p = 0.32). Thematic analysis revealed that DP participants valued peer support, peer feedback and observation time, but also acknowledged the limitations of reduced practical time and issues with teamwork.

CONCLUSION:

DP is non-inferior to IP for novices learning laparoscopic skills, is well received and may lead to superior long-term skill retention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Competencia Clínica / Laparoscopía / Entrenamiento Simulado Límite: Adult / Female / Humans / Male Idioma: En Revista: World J Surg Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Competencia Clínica / Laparoscopía / Entrenamiento Simulado Límite: Adult / Female / Humans / Male Idioma: En Revista: World J Surg Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos