Skill development in Laparoscopic surgery using endotrainers for House interns in a Teaching Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Background: Traditional way of teaching is effective only in transferring knowledge, not in skill development. We have to apply new teaching learning methods to develop skills in interns, who are going to be clinicians soon. Since the paradigm shifted to minimal access, training in this area is crucial to interns. As developing skills in patients is not feasible for interns in minimal success surgery, we introduced Box endo trainers in our department for developing Laparoscopic skills for interns. Methods: 15 Interns (House surgeons) posted in surgical department, who had no previous Laparoscopic skills were given training for five days ,one hour each day, in Basic laparoscopic skills using Box endotrainers in surgery department. Assessment done, comparing the skills developed post training with pre training test by independent trained faculties. Results: 90 % of the Interns Who undergone training, found to have better hands eye coordination, transferring skills, while 68% improved the suturing skills compared to pre test evaluation. There was remarkable increase in scores represented as mean for the whole program found to be 46.5% ± 7.230 (Mean ± SD) .The score was better for basic Beads task (59.4% ± 7.548 Mean ± SD) As expected the basic tasks using the global rating scale showed better performance than suturing, which is technically more demanding , improvement was( 32.6% ± 8.4 Mean ± SD). Using Wilcoxon matched-paired test, P-value<0.0001 which is very significant Conclusions: In a teaching hospital, with resource constrains, laparoscopic training using affordable box endotrainers found to be effective in skill development of interns.
Authors and Affiliations
Ramula Muthammal, Mohanraj . , Ramprasath .
Keywords
Related Articles
- EP ID EP415515
- DOI 10.9790/0853-1711061418.
- Views 102
- Downloads 0
Imaging Evaluation of Pulmonary Infections in A Tertiary Care Centre of North Western India
inpatient clinical care. The most useful imaging modalities available for the evaluation of the patient with suspected pulmonary infection are chest radiography and computed tomography (CT).The aim of present study is to...
Cone Beam Computed Tomography in Orthodontics –Review
Computed tomography (CT) offered the medical and dental community great opportunity to enhance the diagnosis and treatment planning through non-invasive three-dimensional imaging technologies. Initially high radiation ex...
Comparison of two distraction rate of periosteal distraction osteogenesis: An experimental study in the rabbits
The aim of the present study was to evaluate the influence of two distraction rate of periosteal distraction on bone. A custom-made dynamic periosteal distraction device consisted of titanium perforated plate fixed to th...
A study of Accuracy of Alvarado scoring system in Acute Appendicitis
Acute appendicitis is a common surgical emergencywith a lifetime risk of 1 in 7. Early recognition of the condition and prompt operation have been the most important factors in reducing morbidity and possible mortality,...
Morphometric Study of Kidney in Normal Human Subjects by Using Ultrasonography
Kidneys are also called as renes or nephros from which we have the derivative renal or nephron are retroperitoneal by position. Study of normal anatomy with the aid of ultrasonography is reliable & cost effective. Method...