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A simple scoring system to train surgeons in basic laparoscopic skills

Aim: To develop and validate a scoring system for a training assessment tool using a box trainer which can objectively demonstrate progression in laparoscopic skills. Method: 170 assessments were performed over a 5-year period by doctors working in a busy paediatric surgical department. Each partici...

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Bibliographische Detailangaben
Hauptverfasser: Shepherd, Gregory (VerfasserIn) , Kubiak, Rainer (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2016
In: Pediatric surgery international
Year: 2015, Jahrgang: 32, Heft: 3, Pages: 245-252
ISSN:1437-9813
DOI:10.1007/s00383-015-3841-6
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1007/s00383-015-3841-6
Verlag, Volltext: https://doi.org/10.1007/s00383-015-3841-6
Volltext
Verfasserangaben:Gregory Shepherd, Dirk von Delft, Johannes Truck, Rainer Kubiak, Khaled Ashour, Hugh Grant

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520 |a Aim: To develop and validate a scoring system for a training assessment tool using a box trainer which can objectively demonstrate progression in laparoscopic skills. Method: 170 assessments were performed over a 5-year period by doctors working in a busy paediatric surgical department. Each participant was scored based on experience and then undertook six laparoscopic tasks in a box trainer in a dry skills lab. The quicker and more accurate the performance, the lower the score. Validity and reliability tests were applied. Results: Pearson correlation coefficient demonstrated that more experienced surgeons performed better than novices with an r of -0.63 (p < 0.001). The mean assessment scores improved (reduced) with increasing experience score [4140 (0-20), 2696 (21-40), 1969 (>40) p < 0.001]. Improvement in score was seen at all experience levels with greatest improvement seen in the less experienced (2315, 1820, 1571 p < 0.001). Cronbach’s alpha was 0.70 and the intraclass correlation coefficient for test-retest reliability was 0.81. Conclusion: Construct validity with adequate reliability has been demonstrated for this simple training tool and scoring system. All experience levels demonstrated improvement in their laparoscopic skills by simulation training in a laparoscopic box trainer. 
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