880 FUNDAMENTALS OF LAPAROSCOPIC SURGERY TRAINING IN UROLOGY RESIDENTS: PERFORMANCE, RETENTION, AND COMPARISON TO UNTRAINED RESIDENTS

Abstract

You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment (1)1 Apr 2013880 FUNDAMENTALS OF LAPAROSCOPIC SURGERY TRAINING IN UROLOGY RESIDENTS: PERFORMANCE, RETENTION, AND COMPARISON TO UNTRAINED RESIDENTS Daniel Roeter, Mark Mattos, David Edelman, David Bouwman, Chelsey Forry, and Jeffrey Triest Daniel RoeterDaniel Roeter Detroit, MI More articles by this author , Mark MattosMark Mattos Detroit, MI More articles by this author , David EdelmanDavid Edelman Detroit, MI More articles by this author , David BouwmanDavid Bouwman Detroit, MI More articles by this author , Chelsey ForryChelsey Forry Detroit, MI More articles by this author , and Jeffrey TriestJeffrey Triest Detroit, MI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.451AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES There is limited data describing the use of Fundamentals of Laparoscopic Surgery (FLS) training curriculum by urology residents. We hypothesized that urology residents who received FLS training during their PGY1 year would improve their laparoscopic skills and retain those skills throughout their residency. Additionally, we hypothesized that the retest performance of residents with FLS training would exceed that of PGY5 urology chief residents who did not have the benefit of FLS instruction. METHODS Eight PGY1 urology residents from 2008-2011 participated in a 5 month surgical skills training course at the beginning of their intern year. Residents spent 2 hours/week for a total of 40 hours of laparoscopic training using a regimented curriculum. Resident performance was determined using Task Completion Time (TCT) before training (Pre TCT), after 5 months (Post TCT), and during interval follow up (Retest TCT) for peg transfer (PT), circle cut (CC), extracorporeal knot tying (EC), and intracorporeal knot tying (IC) skills. Relative retention rates were calculated for each of the 4 FLS skill tasks. Two PGY5 urology chief residents who did not receive FLS training were tested on the four tasks prior to their graduation for comparison. Paired studentÆs t-test was used for analysis. RESULTS Aggregate comparison of Pre TCT and Post TCT showed improvement in all tasks with a p<0.01. Aggregate comparison of Post TCT and Retest TCT were not statistically significant which demonstrated retention of skills. Retest TCT scores were improved over Post TCT scores across all tasks and all retest intervals. Relative retention rates were 111%, 124%, 106%, and 110% for PT, CC, EC, and IC. Post TCT times for trained residents were lower in all 4 FLS skills compared to PGY5 urology chief residents who received no FLS training. CONCLUSIONS Urology residents receiving FLS training in their PGY1 year demonstrated significant improvement in their laparoscopic skills. Retesting data suggested retention of these skills into the subsequent years of their residency training. Furthermore, early FLS skills training provided for a laparoscopic skills set superior to urology chief residents who received no FLS training. While our sample size is small due to the nature of most urology residencies, the benefits are clear. We advocate incorporating FLS training for all urology residency programs in conjunction with developing robotic training modules to improve overall laparoscopic surgical skills acquisition and retention. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e363 Peer Review Report Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Daniel Roeter Detroit, MI More articles by this author Mark Mattos Detroit, MI More articles by this author David Edelman Detroit, MI More articles by this author David Bouwman Detroit, MI More articles