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Am J Surg. 2017 Feb;213(2):217-221. doi: 10.1016/j.amjsurg.2016.07.033. Epub 2016 Oct 8.

Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks.

Author information

1
Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Canada.
2
Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Canada; Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Japan.
3
Department of General Surgery, Lahey Hospital and Medical Center, USA.
4
University of Texas Southwestern Medical Center, USA.
5
MedStar Georgetown University Hospital, USA.
6
University of Arizona, USA.
7
Virginia Mason Medical Center, USA.
8
Carolinas Health Care System, USA.
9
LSU Health New Orleans Health Sciences Center, USA.
10
Baystate Medical Center, USA.
11
Tufts University School of Medicine, USA.

Abstract

BACKGROUND:

Advanced laparoscopic suturing (LS) tasks were developed based on a needs assessment. Initial validity evidence has been shown. The purpose of this multicenter study was to determine expert proficiency benchmarks for these tasks.

METHODS:

6 tasks were included: needle handling (NH), offset-camera forehand suturing (OF), offset-camera backhand suturing (OB), confined space suturing (CF), suturing under tension (UT), and continuous suturing (CS). Minimally invasive surgeons experienced in LS completed the tasks twice. Mean time and median accuracy scores were used to establish the benchmarks.

RESULTS:

Seventeen MIS surgeons enrolled, from 7 academic centers. Mean (95% CI) time in seconds to complete each task was: NH 169 (149-189), OF 158 (134-181), OB 189 (154-224), CF 181 (156-205), UT 379 (334-423), and CS 416 (354-477). Very few errors in accuracy were made by experts in each of the tasks.

CONCLUSIONS:

Time- and accuracy-based proficiency benchmarks for 6 advanced LS tasks were established. These benchmarks will be included in an advanced laparoscopic surgery curriculum currently under development.

KEYWORDS:

Assessment; Competency; Laparoscopy; Performance; Proficiency; Simulation; Suturing

PMID:
27776755
DOI:
10.1016/j.amjsurg.2016.07.033
[Indexed for MEDLINE]

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