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 23 May 2018

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News

Continuing education needed to improve laparoscopic suturing

An intensive half-day continuing medical education course is feasible and effective in improving performance, and allows the majority of participants to achieve proficiency, reports January's American Journal of Surgery.

News image

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Dr Dimitrios Stefanidis and colleagues from New Orleans determined the feasibility of a validated suturing curriculum as a free-standing continuing medical education course.

The team assessed 18 participants, of which 9 were practicing surgeons, and 9 were surgery residents.

The participants attended a 4-hour laparoscopic suturing continuing medical education course.

The participants viewed an initial instructional videotape.

The researchers then measured all the participants' baseline performance on a fundamentals of laparoscopic surgery-type videotrainer suture model.

Participants then practiced on the model with active instruction from 6 proctors until a previously reported proficiency level was achieved or until the course ended.

The team scored performance objectively based on time and errors.

The research team also collected precourse and postcourse questionnaires.

The researchers trained participants for 3 hours and performed 37 repetitions.

72% achieved the proficiency level by the end of the course
American Journal of Surgery

Although no participant was proficient at baseline, 72% achieved the proficiency level by the end of the course.

The team noted that participants showed 44% improvement in objective scores and 34% improvement according to subjective self-rating.

Dr Stefanidis' team commented, “4 hours may be insufficient for some trainees.”

“An intensive half-day continuing medical education course is feasible and effective in significantly improving performance, allowing the majority of participants to achieve proficiency.”

Am J Surg 2006: 191(1): 23-7
16 January 2006

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