Laparoscopic Surgical Education

AUTHORS

Mohammad Vaziri 1 , *

AUTHORS INFORMATION

1 Minimally Invasive Surgery Research Center, General Surgery Department of Hazrat Rasool Hospital, Tehran University of Medical Sciences, Tehran, IR Iran

How to Cite: Vaziri M. Laparoscopic Surgical Education, J Minim Invasive Surg Sci. 2013 ; 2(3):1-2.

ARTICLE INFORMATION

Journal of Minimally Invasive Surgical Sciences: 2 (3); 1-2
Published Online: August 30, 2013
Article Type: Editorial
Received: April 22, 2013
Accepted: May 19, 2013

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Copyright © 2013, Minimally Invasive Surgery Research Center and Mediterranean & Middle Eastern Endoscopic Surgery Association. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

Nowadays, surgeons are attempting to perform the procedures of minimally invasive surgeries Conceptually the laparoscopic approach is intended to minimize the post-operative pain and speed up recovery times along with maintaining an enhanced visual field for surgeons. Due to improved outcomes in the last two decades, laparoscopic surgery has been adopted by various surgical sub-specialties. However, restricted vision, difficulty in handling of the instruments (new hand-eye coordination skills are needed), lack of tactile perception and limited working area are factors added to the technical complexity of this surgical approach. For these reasons, additional laparoscopic surgery training is recommended (1). The classic apprenticeship model for surgical training takes place under the strict coordination of a senior surgeon. The skills needed for minimally invasive surgery aren't easily obtained using classical apprenticeship model due to the ethical, medico-legal and economic considerations (2). The question of how to teach new surgical techniques to practicing surgeons was not answered completely(3). The training which uses animal models as well as the new virtual reality simulators and augmented reality offers the possibility of getting knowledge-based behavior. The crash course for medical education with the aim of training new surgical techniques should be established. At present, crash courses offer a means of introducing technical innovation especially in developing countries such as Iran. Some training and educational facts should be considered by those who are responsible for developing and accrediting the courses (4). The issues like the assessment, length of the program, homogeneity of the participants and type of educational sessions need to be considered. Participants who are trained in the same practice setting for more than one day interactive programs seem to be more competent. In order to decrease the complication rate, regarding the concept of learning curve is essential. An optimal course should improve the surgeon’s performance with the aim of increasing experiences and reducing errors which ultimately lead to decreasing the rate of conversion and less operative time. Some recommendations to the individual surgeon participating in workshops or crash courses and tutors responsible for the instruction will be useful to build up dexterity and proficiency in laparoscopic surgery (5):

• The course should provide objectives and a description of the assessment methodology

• The faculty should be qualified.

• The participants should possess the appropriate fundamental knowledge, skills, and clinical experience.

• The facility should be adequate.

The curriculum should include educational materials which reduce the time of the course and enhance the learning experience. Videotapes of the procedure should be sent to participants before starting the course. This would make them rehearse the procedure mentally before the actual practice period (6).

Footnotes

References

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  • 2. Dent TL. Training, credentialling, and granting of clinical privileges for laparoscopic general surgery. Am J Surg. 1991; 161(3) : 399 -403 [PubMed]
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  • 5. Guidelines for granting of privileges for laparoscopic and/or thoracoscopic general surgery. Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Surg Endosc. 1998; 12(4) : 379 -80 [PubMed]
  • 6. Escarce JJ, Shea JA, Schwartz JS. How practicing surgeons trained for laparoscopic cholecystectomy. Med Care. 1997; 35(3) : 291 -6 [PubMed]
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