Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program

ABSTRACT Objective To evaluate laparoscopic skills of third-year Gynecology and Obstetrics residents after training at a training and surgical experimentation center. Methods Use of a prospective questionnaire analyzing demographic data, medical residency, skills, competences, and training in a box trainer and in pigs. Results After the training, there was significant improvement in laparoscopic skills according to the residents (before 1.3/after 2.7; p=0.000) and preceptors (before 2.1/after 4.8; p=0.000). There was also significant improvement in the feeling of competence in surgeries with level 1 and 2 of difficulty. All residents approved the training. Conclusion The training was distributed into 12 hours in the box trainer and 20 hours in animals, and led to better laparoscopic skills and a feeling of more surgical competence in laparoscopic surgery levels 1 and 2.摘要：本研究旨在评估妇产科第三年住院医师在外科实验培训中心接受培训后的腹腔镜操作技能（laparoscopic skills）。研究方法：采用前瞻性问卷，分析人口统计学资料、住院医师医学培训经历、操作技能、胜任力，以及在腹腔镜模拟训练箱（box trainer）和猪动物模型上的培训情况。研究结果：培训后，住院医师自评的腹腔镜操作技能评分显著提升（培训前1.3分/培训后2.7分；p=0.000），带教教师评分亦显著提升（培训前2.1分/培训后4.8分；p=0.000）。此外，医师对1级和2级难度手术的操作胜任感亦有显著提升。所有住院医师均对本次培训表示认可。结论：本次培训分为12小时的腹腔镜模拟训练箱培训与20小时的动物实操培训，可显著提升住院医师的腹腔镜操作技能，并增强其对1级、2级腹腔镜手术的操作胜任感。