Awareness of surgeons and surgical trainees of online web-based techniques for teaching laparoscopic surgery in north Queensland

Alfred Egedovo; Yik-Hong Ho; Sarah Larkins; Chrispen Mushuya; Muhammad Ashraf; Masimba Nyandowe; Theophilus I. Emeto; Venkat N. Vangaveti

doi:10.18203/2349-2902.isj20172760

Authors

Alfred Egedovo Department of Surgery, Townsville Hospital, JCU Clinical School, College of Medicine and Dentistry, James Cook University, James Cook Drive, Douglas, Townsville, QLD 4811, Australia Department of Public Health, Public Health and Tropical medicine, College of Public Health, Medical and Veterinary Studies, James Cook University, Townsville, QLD 4811, Australia
Yik-Hong Ho Department of Surgery, Townsville Hospital, JCU Clinical School, College of Medicine and Dentistry, James Cook University, James Cook Drive, Douglas, Townsville, QLD 4811, Australia Department of Surgery, The Townsville Hospital, Townsville, QLD 4814, Australia
Sarah Larkins Department of Surgery, Townsville Hospital, JCU Clinical School, College of Medicine and Dentistry, James Cook University, James Cook Drive, Douglas, Townsville, QLD 4811, Australia
Chrispen Mushuya Department of Surgery, The Townsville Hospital, Townsville, QLD 4814, Australia
Muhammad Ashraf Department of Surgery, Mackay Base Hospital, Mackay, QLD 4740, Australia
Masimba Nyandowe Department of Surgery, The Townsville Hospital, Townsville, QLD 4814, Australia
Theophilus I. Emeto Department of Public Health, Public Health and Tropical medicine, College of Public Health, Medical and Veterinary Studies, James Cook University, Townsville, QLD 4811, Australia
Venkat N. Vangaveti Department of Public Health, Public Health and Tropical medicine, College of Public Health, Medical and Veterinary Studies, James Cook University, Townsville, QLD 4811, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20172760

Keywords:

Laparoscopic skills training, Surgical education, Surgical simulation, Surgical training, WBLTV, WBTV

Abstract

Background: For generations, surgical training has followed the example of an apprenticeship model. However, many doctors see this training as insufficient and potentially unsafe for the patient. Web-based simulation training for teaching laparoscopic surgery is not only becoming increasingly popular but is cheaper in comparison to the traditional apprenticeship method. Objective is to assess the educational value of web-based training videos

Methods: Data was obtained through questionnaires sent to consultant surgeons and surgical trainees at three sites in North Queensland. Study invited participants to complete a 24-item questionnaire on knowledge and attitudes. The questionnaires were distributed using online survey monkey software to send emails to the three Government Hospitals.

Results: There was a response rate of 11.40%, Consultant surgeons (13/17; 72.20%) and surgical trainees (4/17; 22.20%). Majority of participant`s sources of learning laparoscopic surgery was from supervisors in operating theatre (64.30%) and online Web-based training video (WBTV; 7.10%), although satisfaction with current web-based training video resources was found to vary widely for a variety of reasons. WBTV were used mainly when required for clinical rotation.

Conclusions: There was a response rate of 11.40%, Consultant surgeons (13/17; 72.20%) and surgical trainees (4/17; 22.20%). Majority of participant`s sources of learning laparoscopic surgery was from supervisors in operating theatre (64.30%) and online Web-based training video (WBTV; 7.10%), although satisfaction with current web-based training video resources was found to vary widely for a variety of reasons. WBTV were used mainly when required for clinical rotation.

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Author Biography

Alfred Egedovo, Department of Surgery, Townsville Hospital, JCU Clinical School, College of Medicine and Dentistry, James Cook University, James Cook Drive, Douglas, Townsville, QLD 4811, Australia Department of Public Health, Public Health and Tropical medicine, College of Public Health, Medical and Veterinary Studies, James Cook University, Townsville, QLD 4811, Australia

Research Graduate

Postgraduate Training Public Health and Tropical Medicine

References

Stefaniak TJ, Laski D, Patrzyk M, Bigda J, Sledzinski Z. Training in classic and laparoscopic surgery-neds and remedies. Polski Przeglad Chirurgiczny. Polish J Surg. 2013;85(7):412-8.

Bharathan R, Aggarwal R, Darzi A. Operating room of the future. Best practice and research: Clin Obstet Gynaecol. 2013;27(3):311-22.

Roslyn JJ, Binns GS, Hughes EFX, Saunders-Kirkwood K, Zinner MJ, Cates JA. Open cholecystectomy: a contemporary analysis of 42,474 patients. Annals Surg. 1993;218(2):129-37.

Hunter JG, Sackier JM, Berci G. Training in laparoscopic cholecystectomy - quantifying the learning curve. Surg Endos. 1994;8(1):28-31.

Ali MR, Mowery Y, Kaplan B, DeMaria EJ. Training the novice in laparoscopy: more challenge is better. Surg Endos Other Interventional Techniques. 2002;16(12):1732-6.

Basdogan C, Sedef M, Harders M, Wesarg S. VR-based simulators for training in minimally invasive surgery. IEEE Comput Graph Appl. 2007;27(2):54-66.

Brinke Bt, Klitsie PJ, Timman R, Busschbach JJV, Lange JF, Kleinrensink GJ. Anatomy education and classroom versus laparoscopic dissection-based training: a randomized study at one medical school. Academic Med. 2014;89(5):806-10.

Singh P, Darzi A. Surgical training. Br J Surg. 2013;100(s6):19-21.

Scott J, Rankin M, Halsted WS. Ann Surg. 2006;243(3):418-25.

Scott DJ, Cendan JC, Pugh CM, Minter RM, Dunnington GL, Kozar RA. The changing face of surgical education: simulation as the new paradigm. J Surg Res. 2008;147(2):189-93.

Rodriguez-Paz J, Kennedy M, Salas E, Wu AW, Sexton JB, Hunt EA, et al. Beyond “see one, do one, teach one”: toward a different training paradigm. Quality Safety Health Care. 2009;18(1):63-8.

Andreatta PB, Hillard M, Krain LP. The impact of stress factors in simulation-based laparoscopic training. Surg. 2010;147(5):631-9.

Pape-Koehler C, Immenroth M, Sauerland S, Lefering R, Lindlohr C, Toaspern J, et al. Multimedia-based training on Internet platforms improves surgical performance: a randomized controlled trial. Surgical Endos. 2013;27(5):1737-47.

Reznick R, Regehr G, MacRae H, Martin J, McCulloch W. Testing technical skill via an innovative "bench station" examination. Am J Surg. 1997;173(3):226-30.

Hamamci EO, Besim H, Bostanoglu S, Sonisik M, Korkmaz A. Use of laparoscopic splenectomy in developing countries: analysis of cost and strategies for reducing cost. J Laparoendoscopic Advanced Surgical Techniques. 2002;12(4):253-8.

Tekkis PP, Fazio VW, Lavery IC, Remzi FH, Senagore AJ, Wu JS, et al. Evaluation of the learning curve in ileal pouch-anal anastomosis surgery. Ann Surg. 2005;241(2):262-8.

Herrell SD, Smith JA. Robotic-assisted laparoscopic prostatectomy: What is the learning curve? Urol. 2005;66(5):105-7.

Fraser L, Gunasekaran S, Mistry D, Ward VM. Current use of and attitudes to e-learning in otolaryngology: questionnaire survey of UK otolaryngology trainees. J Laryngol Otol. 2011;125(4):338-42.

Shetty S, Zevin B, Grantcharov TP, Roberts KE, Duffy AJ. Perceptions, training experiences, and preferences of surgical residents toward laparoscopic simulation training: a resident survey. J Surgical Educ. 2014;71(5):727-33.

Drolet BC, Sangisetty S, Tracy TF, Cioffi WG. Surgical residents' perceptions of 2011 Accreditation Council for Graduate Medical Education duty hour regulations. JAMA Surg. 2013;148(5):427-33.

Jagannathan J, Vates GE, Pouratian N, Sheehan JP, Patrie J, Grady MS, et al. Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. J Neurosurg. 2009;110(5):820-7.

Iglehart JK. Revisiting Duty-Hour Limits-IOM Recommendations for Patient Safety and Resident Education. New England J Med. 2008;359(25):2633-5.

Stefanidis D, Heniford B. THe formula for a successful laparoscopic skills curriculum. Archives Surg. 2009;144(1):77-82.

Didier Mutter MV, Dallemagne B, Perretta S, Leroy J, Marescaux J. WeBSurg. An Innovative Educational Web Site in Minimally Invasive Surgery--Principles and Results. Surg Innov. 2011;18:8.

Schreuder HW, Oei SG, Maas M, Borleffs JC, Schijven MP. Implementation of simulation for training minimally invasive surgery. J Med Edu. 2011;30(5):206-20.

Gardner J, Holmes B. E-Learning: Concepts and Practice. SAGE Publications Ltd; 1st ed; 2006.

Rege RV. Commentary on: “Cost: The missing outcome in simulation-based education research: A systematic review” by Zendejas et al. Surg. 2013;153(2):177-8.

Parkinson A, Jorm L, Douglas KA, Gee A, Sargent GM, Lujic S, et al. Recruiting general practitioners for surveys: reflections on the difficulties and some lessons learned. Australian J Primary Health. 2015;21(2):254-8.

Burns KE, Duffett M, Kho ME, Meade MO, Adhikari NK, Sinuff T, et al. Academy group. A guide for the design and conduct of self-administered surveys of clinicians. CMAJ. 2008;179(3):245-52.

Ramsay CR, Grant AM, Wallace SA, Garthwaite PH, Monk AF, Russell IT. Assessment of the learning curve in health technologies: a systematic review. Int J Technol Assess Health Care. 2000;16:1095-8.