Universität zu Köln

Lindlohr, Cornelia, Lefering, R., Saad, S., Heiss, M. M. and Pape-Koehler, C. (2017). Training or non-surgical factors-what determines a good surgical performance? A randomised controlled trial. Langenbecks Arch. Surg., 402 (4). S. 645 - 654. NEW YORK: SPRINGER. ISSN 1435-2451

Full text not available from this repository.

Abstract

Background Acquiring laparoscopic skills is a necessity for every young surgeon. Whether it is a talent or a non-surgical skill that determines the surgical performance of an endoscopic operation has been discussed for years. In other disciplines aptitude testing has become the norm. Airlines, for example, have implemented assessments to test the natural aptitude of future pilots to predict their performance later on. In the medical field, especially surgery, there are no similar comparable tests implemented or even available. This study investigates the influence of potential factors that may predict the successful performance of a complex laparoscopic operation, such as the surgeon's age, gender or learning method. Methods This study focussed 70 surgical trainees. It was designed as a secondary analysis of data derived from a 2 x 2 factorial randomised controlled trial of practical training and/or multimedia training (four groups) in an experimental exercise. Both before and then after the training sessions, the participating trainees performed a laparoscopic cholecystectomy in a pelvitrainer. Surgical performance was then evaluated using a modified objective structured assessment of technical skills (OSATS). Participants were classified as 'Skilled' (high score in the pre-test), 'Good Learner' (increase from pre-to post-test) or 'Others' based on the OSATS results. Based on the results of the recorded performance, the training methods as well as non-surgical skills were eventually evaluated in a univariate and in a multivariate analysis. Results In the pre-training performance 11 candidates were categorised as 'Skilled' (15.7%), 35 participants as 'Good Learners' (50.0%) and 24 participants were classified as 'Others'. The univariate analysis showed that the age, a residency in visceral surgery, and participation in a multimedia training were significantly associated with this grouping. Multivariate analyses revealed that residency in visceral surgery was the most predictive factor for the 'Skilled' participants (p = 0.059), and multimedia training was most predictive for the 'Good Learner' (p = 0.006). Participants in the group of 'Others' who were neither 'Skilled' nor improved in the training phase were younger (p = 0.011) and did not receive multimedia (p < 0.001) or practical (p = 0.025) training. Conclusion The type of learning method has been shown to be the most effective factor to improve laparoscopic skills, with multimedia training proving to be more effective than practical training.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lindlohr, Cornelia UNSPECIFIED UNSPECIFIED UNSPECIFIED Lefering, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Saad, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Heiss, M. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pape-Koehler, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-229469
DOI:	10.1007/s00423-017-1567-8
Journal or Publication Title:	Langenbecks Arch. Surg.
Volume:	402
Number:	4
Page Range:	S. 645 - 654
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-2451
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OPERATING-ROOM PERFORMANCE; LAPAROSCOPIC SKILLS; VIDEO GAMES; TECHNICAL SKILL; SURGERY; PREDICT; GENDER; IMPACT; EXPERIENCE; RESIDENTS Multiple languages Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22946