Evaluation of a Laparoscopic Multi-approach Training for Obstetrics and Gynecology Residents

Abstract Objective To analyze the applicability and efficiency of amulti-approach laparoscopic training in improving basic laparoscopic skills of obstetrics and gynecology (OBGYN) residents. Methods Cross-sectional, observational and descriptive study, developed at the Experimentation and Surgery Training Center (CETEC, in the Portuguese acronym) of the Hospital Israelita Albert Einstein with OBGYN residents. Theoretical and practical tests were applied to 24 OBGYN residents to assess their laparoscopic skills before and after their participation in an 8-week course. The course involved theoretical lectures and practical laparoscopic surgery exercises developed using rubber models, black boxes, virtual simulators and animal models (pigs). Results There was an overall improvement in the ability of the residents, with an increase in the number of correct answers in the theoretical evaluation and decrease in the time needed to perform practical tests (needle holder assembly and laparoscopic node). The course was evaluated by the students as highly relevant for both improving their surgical skills and motivating them to continue practicing. Conclusion Laparoscopic training using multiple approaches resulted in significant improvement of surgical skills with a high satisfaction level of the participants. Further studies are still needed to measure the long-term retention of these acquired skills.

摘要 目的：分析多途径腹腔镜培训在提升妇产科（Obstetrics and Gynecology, OBGYN）住院医师基础腹腔镜操作技能方面的适用性与效率。方法：本研究为横断面观察描述性研究，于以色列阿尔伯特·爱因斯坦医院的实验与外科培训中心（葡萄牙语缩写CETEC）开展，研究对象为OBGYN住院医师。研究人员对24名OBGYN住院医师开展理论与实操考核，以评估其参与为期8周的培训课程前后的腹腔镜操作技能。该课程涵盖理论授课，以及利用橡胶模型、黑箱训练模型、虚拟仿真模拟器与动物模型（猪）开展的腹腔镜外科实操训练。结果：住院医师的整体操作能力均得到显著提升，表现为理论考核的正确答题数量增加，实操测试（持针器组装与腹腔镜打结）所需时长缩短。学员们对该课程的评价极高，认为其对提升外科操作技能与激励后续练习均具有重要价值。结论：采用多途径开展的腹腔镜培训可显著提升外科操作技能，且学员满意度较高。未来仍需开展进一步研究，以评估此类习得技能的长期留存效果。