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- Title
Evaluation of a novel home-based laparoscopic and core surgical skills programme (Monash Online Surgical Training).
- Authors
Leng, Samantha; Chaudhry, Noor; Pacilli, Maurizio; Nataraja, Ramesh Mark
- Abstract
Introduction: Limitations to surgical education access were exacerbated during the COVID-19 Pandemic. In response, we created a national home-based comprehensive surgical skills course: Monash Online Surgical Training (MOST). Our aim was to evaluate the educational impact of this approach. Methods: A remote, 6-week course was designed with learning objectives aligned to the national surgical training. Participants received a personal laparoscopic bench trainer, instrument tracking software, live webinars, access to an online theoretical learning platform, and individualised feedback by system-generated or expert surgeons' assessments. Mixed method analysis of instrument tracking metrics, pre- and post-course questionnaires (11 core surgical domains) and participant comments was utilised. Data were analysed using the Mann–Whitney U test, and a p-value of < 0.05 was considered statistically significant. Results: A total of 54 participants with varied levels of experience (1 to > 6 years post-graduate level) completed MOST. All 11 learning-outcome domains demonstrated statistically significant improvement including core laparoscopic skills (1.4/5 vs 2.8/5, p < 0.0001) and handling laparoscopic instruments (1.5/5 vs 2.8/5, p < 0.0001). A total of 3460 tasks were completed reflecting 158.2 h (9492 min) of practice, 394 were submitted for formal feedback. Participants rated the course (mean 8.5/10, SD 1.6), live webinars (mean 8.9/10, SD 1.6) and instrument tracking software (mean 8.6, SD 1.7) highly. Qualitative analysis revealed a paradigm shift including the benefits of a safe learning environment and self-paced, self-directed learning. Conclusion: The MOST course demonstrates the successful implementation of a fully remote laparoscopic simulation course which participants found to be an effective tool to acquire core surgical skills.
- Subjects
AUSTRALIA; EDUCATION of physicians; COMPUTER simulation; GRADUATE education; SCALE analysis (Psychology); LAPAROSCOPY; HUMAN services programs; LAPAROSCOPIC surgery; EDUCATIONAL outcomes; COURSE evaluation (Education); EVALUATION of human services programs; QUESTIONNAIRES; DESCRIPTIVE statistics; MANN Whitney U Test; PHYSICIANS' attitudes; PRE-tests &; post-tests; AUTODIDACTICISM; PROFESSIONS; THEMATIC analysis; ONLINE education; RESEARCH methodology; CLINICAL competence; DATA analysis software; COVID-19 pandemic; WEBINARS; VIDEO recording
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2024, Vol 38, Issue 4, p1813
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-023-10669-8