A decision-making learning and assessment tool in laparoscopic cholecystectomy
Aims Making correct decisions is an integral part of surgical competency and excellence. The learning of this expert skill takes years to accumulate during training. To date there has not been an attempt to accelerate this learning process by developing a tool. In our present study we develop a self...
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| Veröffentlicht in: | Surgical endoscopy 2009, Vol.23 (1), p.197-203 |
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| creator | Sarker, Sudip K. Rehman, Saif Ladwa, Meera Chang, Avril Vincent, Charles |
| description | Aims
Making correct decisions is an integral part of surgical competency and excellence. The learning of this expert skill takes years to accumulate during training. To date there has not been an attempt to accelerate this learning process by developing a tool. In our present study we develop a self-appraisal computer software learning and assessment decision-making tool for laparoscopic surgery. It aims to accumulate several years of varied surgical experience, so the trainee can start to learn the complexities of surgical decision making in various types of cases. In this study we aim to validate the tool.
Methods
Three decision-making modules were developed in a computer program for laparoscopic cholecystectomy: knowledge of operation, operative surgical technique and operative task completion. The latter two modules were based on answering questions based on watching recorded live operations from a library of 100 recorded laparoscopic cholecystectomies of various grades. The questions were devised by two experienced surgeons with more than 14 years postgraduate surgical experience. To validate the tool two groups with varying surgical experience were assessed: intermediate and expert surgeons. These groups were determined by the number of laparoscopic cholecystectomies performed as well as of number of years of operative surgical experience.
Results
A total of 20 subjects were assessed, 12 intermediate and 8 experts surgeons. Mean time to perform the programme was 21 min (range 18–45 min). Using the Mann–Whitney test,
p
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| doi_str_mv | 10.1007/s00464-008-9774-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66780256</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>66780256</sourcerecordid><originalsourceid>FETCH-LOGICAL-c399t-9bd03229852bd8186e039173ffec85508d3af9620e98f9461dbaa22312787b1d3</originalsourceid><addsrcrecordid>eNp1kEtr3DAQgEVpaTZJf0AuxRSSm9qZkWxLxxDSB4T20pyFLMupU1vaSN7D_vvK7JJAoKcZmG9eH2MXCJ8RoP2SAWQjOYDium0lb96wDUpBnAjVW7YBLYBTq-UJO835EQqusX7PTlAJAlKwYT-vq967MY8x8Nn-HcNDNXmbwprY0Fc2Z5_z7MNSLTFO1RiqyW5titnF7egq9ydO3u3z4t0S5_05ezfYKfsPx3jG7r_e_r75zu9-fftxc33HndB64brrQRBpVVPXK1SNB6GxFcPgnaprUL2wg24IvFaDlg32nbVEAqlVbYe9OGNXh7nbFJ92Pi9mHrPz02SDj7tsmqZVQHVTwE-vwMe4S6HcZgi1rCXiCuEBcuWvnPxgtmmcbdobBLOaNgfTppg2q2mz9nw8Dt51s-9fOo5qC3B5BGx2dhqSDcXzM0eIIAFE4ejA5VIKDz69XPj_7f8AhuKU6A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219454116</pqid></control><display><type>article</type><title>A decision-making learning and assessment tool in laparoscopic cholecystectomy</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Sarker, Sudip K. ; Rehman, Saif ; Ladwa, Meera ; Chang, Avril ; Vincent, Charles</creator><creatorcontrib>Sarker, Sudip K. ; Rehman, Saif ; Ladwa, Meera ; Chang, Avril ; Vincent, Charles</creatorcontrib><description>Aims
Making correct decisions is an integral part of surgical competency and excellence. The learning of this expert skill takes years to accumulate during training. To date there has not been an attempt to accelerate this learning process by developing a tool. In our present study we develop a self-appraisal computer software learning and assessment decision-making tool for laparoscopic surgery. It aims to accumulate several years of varied surgical experience, so the trainee can start to learn the complexities of surgical decision making in various types of cases. In this study we aim to validate the tool.
Methods
Three decision-making modules were developed in a computer program for laparoscopic cholecystectomy: knowledge of operation, operative surgical technique and operative task completion. The latter two modules were based on answering questions based on watching recorded live operations from a library of 100 recorded laparoscopic cholecystectomies of various grades. The questions were devised by two experienced surgeons with more than 14 years postgraduate surgical experience. To validate the tool two groups with varying surgical experience were assessed: intermediate and expert surgeons. These groups were determined by the number of laparoscopic cholecystectomies performed as well as of number of years of operative surgical experience.
Results
A total of 20 subjects were assessed, 12 intermediate and 8 experts surgeons. Mean time to perform the programme was 21 min (range 18–45 min). Using the Mann–Whitney test,
p
< 0.05, construct validity was demonstrated in the surgical technique and completion of task modules as well as the total combined scores.
Conclusions
Our computer-based decision-making learning tool for laparoscopic cholecystectomy seems to have face, content, concurrent and construct validities. Surgical decision making is a multifaceted process; by assessing how and why decisions are made effectively, focussed surgical training may be achieved. We aim in the future to determine if the self-appraisal decision-making tool improves or accelerates surgical training.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-008-9774-6</identifier><identifier>PMID: 18320280</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Biological and medical sciences ; Cholecystectomy, Laparoscopic - education ; Clinical Competence ; Computer-Assisted Instruction ; Concept Formation ; Curriculum ; Decision Making ; Digestive system. Abdomen ; Endoscopy ; Female ; Gastroenterology ; General aspects ; Gynecology ; Hepatology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Proctology ; Prospective Studies ; Reproducibility of Results ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>Surgical endoscopy, 2009, Vol.23 (1), p.197-203</ispartof><rights>Springer Science+Business Media, LLC 2008</rights><rights>2009 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-9bd03229852bd8186e039173ffec85508d3af9620e98f9461dbaa22312787b1d3</citedby><cites>FETCH-LOGICAL-c399t-9bd03229852bd8186e039173ffec85508d3af9620e98f9461dbaa22312787b1d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-008-9774-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-008-9774-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,4025,27928,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21104003$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18320280$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sarker, Sudip K.</creatorcontrib><creatorcontrib>Rehman, Saif</creatorcontrib><creatorcontrib>Ladwa, Meera</creatorcontrib><creatorcontrib>Chang, Avril</creatorcontrib><creatorcontrib>Vincent, Charles</creatorcontrib><title>A decision-making learning and assessment tool in laparoscopic cholecystectomy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Aims
Making correct decisions is an integral part of surgical competency and excellence. The learning of this expert skill takes years to accumulate during training. To date there has not been an attempt to accelerate this learning process by developing a tool. In our present study we develop a self-appraisal computer software learning and assessment decision-making tool for laparoscopic surgery. It aims to accumulate several years of varied surgical experience, so the trainee can start to learn the complexities of surgical decision making in various types of cases. In this study we aim to validate the tool.
Methods
Three decision-making modules were developed in a computer program for laparoscopic cholecystectomy: knowledge of operation, operative surgical technique and operative task completion. The latter two modules were based on answering questions based on watching recorded live operations from a library of 100 recorded laparoscopic cholecystectomies of various grades. The questions were devised by two experienced surgeons with more than 14 years postgraduate surgical experience. To validate the tool two groups with varying surgical experience were assessed: intermediate and expert surgeons. These groups were determined by the number of laparoscopic cholecystectomies performed as well as of number of years of operative surgical experience.
Results
A total of 20 subjects were assessed, 12 intermediate and 8 experts surgeons. Mean time to perform the programme was 21 min (range 18–45 min). Using the Mann–Whitney test,
p
< 0.05, construct validity was demonstrated in the surgical technique and completion of task modules as well as the total combined scores.
Conclusions
Our computer-based decision-making learning tool for laparoscopic cholecystectomy seems to have face, content, concurrent and construct validities. Surgical decision making is a multifaceted process; by assessing how and why decisions are made effectively, focussed surgical training may be achieved. We aim in the future to determine if the self-appraisal decision-making tool improves or accelerates surgical training.</description><subject>Abdominal Surgery</subject><subject>Biological and medical sciences</subject><subject>Cholecystectomy, Laparoscopic - education</subject><subject>Clinical Competence</subject><subject>Computer-Assisted Instruction</subject><subject>Concept Formation</subject><subject>Curriculum</subject><subject>Decision Making</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>General aspects</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Proctology</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kEtr3DAQgEVpaTZJf0AuxRSSm9qZkWxLxxDSB4T20pyFLMupU1vaSN7D_vvK7JJAoKcZmG9eH2MXCJ8RoP2SAWQjOYDium0lb96wDUpBnAjVW7YBLYBTq-UJO835EQqusX7PTlAJAlKwYT-vq967MY8x8Nn-HcNDNXmbwprY0Fc2Z5_z7MNSLTFO1RiqyW5titnF7egq9ydO3u3z4t0S5_05ezfYKfsPx3jG7r_e_r75zu9-fftxc33HndB64brrQRBpVVPXK1SNB6GxFcPgnaprUL2wg24IvFaDlg32nbVEAqlVbYe9OGNXh7nbFJ92Pi9mHrPz02SDj7tsmqZVQHVTwE-vwMe4S6HcZgi1rCXiCuEBcuWvnPxgtmmcbdobBLOaNgfTppg2q2mz9nw8Dt51s-9fOo5qC3B5BGx2dhqSDcXzM0eIIAFE4ejA5VIKDz69XPj_7f8AhuKU6A</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Sarker, Sudip K.</creator><creator>Rehman, Saif</creator><creator>Ladwa, Meera</creator><creator>Chang, Avril</creator><creator>Vincent, Charles</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2009</creationdate><title>A decision-making learning and assessment tool in laparoscopic cholecystectomy</title><author>Sarker, Sudip K. ; Rehman, Saif ; Ladwa, Meera ; Chang, Avril ; Vincent, Charles</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-9bd03229852bd8186e039173ffec85508d3af9620e98f9461dbaa22312787b1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdominal Surgery</topic><topic>Biological and medical sciences</topic><topic>Cholecystectomy, Laparoscopic - education</topic><topic>Clinical Competence</topic><topic>Computer-Assisted Instruction</topic><topic>Concept Formation</topic><topic>Curriculum</topic><topic>Decision Making</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>General aspects</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Proctology</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sarker, Sudip K.</creatorcontrib><creatorcontrib>Rehman, Saif</creatorcontrib><creatorcontrib>Ladwa, Meera</creatorcontrib><creatorcontrib>Chang, Avril</creatorcontrib><creatorcontrib>Vincent, Charles</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sarker, Sudip K.</au><au>Rehman, Saif</au><au>Ladwa, Meera</au><au>Chang, Avril</au><au>Vincent, Charles</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A decision-making learning and assessment tool in laparoscopic cholecystectomy</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2009</date><risdate>2009</risdate><volume>23</volume><issue>1</issue><spage>197</spage><epage>203</epage><pages>197-203</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Aims
Making correct decisions is an integral part of surgical competency and excellence. The learning of this expert skill takes years to accumulate during training. To date there has not been an attempt to accelerate this learning process by developing a tool. In our present study we develop a self-appraisal computer software learning and assessment decision-making tool for laparoscopic surgery. It aims to accumulate several years of varied surgical experience, so the trainee can start to learn the complexities of surgical decision making in various types of cases. In this study we aim to validate the tool.
Methods
Three decision-making modules were developed in a computer program for laparoscopic cholecystectomy: knowledge of operation, operative surgical technique and operative task completion. The latter two modules were based on answering questions based on watching recorded live operations from a library of 100 recorded laparoscopic cholecystectomies of various grades. The questions were devised by two experienced surgeons with more than 14 years postgraduate surgical experience. To validate the tool two groups with varying surgical experience were assessed: intermediate and expert surgeons. These groups were determined by the number of laparoscopic cholecystectomies performed as well as of number of years of operative surgical experience.
Results
A total of 20 subjects were assessed, 12 intermediate and 8 experts surgeons. Mean time to perform the programme was 21 min (range 18–45 min). Using the Mann–Whitney test,
p
< 0.05, construct validity was demonstrated in the surgical technique and completion of task modules as well as the total combined scores.
Conclusions
Our computer-based decision-making learning tool for laparoscopic cholecystectomy seems to have face, content, concurrent and construct validities. Surgical decision making is a multifaceted process; by assessing how and why decisions are made effectively, focussed surgical training may be achieved. We aim in the future to determine if the self-appraisal decision-making tool improves or accelerates surgical training.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18320280</pmid><doi>10.1007/s00464-008-9774-6</doi><tpages>7</tpages></addata></record> |
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| subjects | Abdominal Surgery Biological and medical sciences Cholecystectomy, Laparoscopic - education Clinical Competence Computer-Assisted Instruction Concept Formation Curriculum Decision Making Digestive system. Abdomen Endoscopy Female Gastroenterology General aspects Gynecology Hepatology Humans Investigative techniques, diagnostic techniques (general aspects) Liver, biliary tract, pancreas, portal circulation, spleen Male Medical sciences Medicine Medicine & Public Health Proctology Prospective Studies Reproducibility of Results Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | A decision-making learning and assessment tool in laparoscopic cholecystectomy |
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