The effect of continuous at-home training of minimally invasive surgical skills on skill retention
Background Skill deterioration of minimally invasive surgical (MIS) skills may be prevented by continuous training. The aim of this study is to evaluate whether unsupervised continuous at-home training of MIS skills results in better skill retention compared to no training. Methods Medical doctors f...
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| Veröffentlicht in: | Surgical endoscopy 2022-11, Vol.36 (11), p.8307-8315 |
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| creator | Joosten, Maja Hillemans, Vera van Capelleveen, Marije Bökkerink, Guus M. J. Verhoeven, Daan de Blaauw, Ivo Verhoeven, Bas H. Botden, Sanne M. B. I. |
| description | Background
Skill deterioration of minimally invasive surgical (MIS) skills may be prevented by continuous training. The aim of this study is to evaluate whether unsupervised continuous at-home training of MIS skills results in better skill retention compared to no training.
Methods
Medical doctors followed a two-week interval training for two MIS tasks (precise peg transfer and interrupted suture with knot tying), ending with a baseline test. They were randomly assigned to the no-practice group or continuous-practice group. The latter practiced unsupervised at home every two weeks during the study period. Skill retention was measured after three and six months on both tasks by the total time needed, distance traveled by instruments and LS-CAT score (8 best possible score and > 40 worst score).
Results
A total of 38 participants were included. No significant differences in performance were found at pre-test or baseline. At six months the no-practice group needed more time for the suturing task (309 s vs. 196 s at baseline,
p
= 0.010) and the LS-CAT score was significantly worse (30 vs. 20 at baseline,
p
|
| doi_str_mv | 10.1007/s00464-022-09277-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9125971</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2668222788</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-be0f26bfc7f9742108e1faf2638251951e6e9ae23ec1ebc343a4aaca73a94bb3</originalsourceid><addsrcrecordid>eNp9kcuOFSEQhonROMfRF3BhSNy4QaGgm2ZjYibekkncnD2hsfocRhpG6D7JvL2MPY6XhSsq1Fd_XX5Cngv-WnCu31TOVa8YB2DcgNbMPCA7oSQwADE8JDtuJGegjTojT2q94o03ontMzmTXc6UG2JFxf0SK04R-oXmiPqclpDWvlbqFHfOMdCkupJAOt-m5RbOL8YaGdHI1nJDWtRyCd5HWbyHGSnPaIlpwwSaW01PyaHKx4rO795zsP7zfX3xil18-fr54d8m80mphI_IJ-nHyejJageADism1LzlAJ0wnsEfjECR6gaOXSjrlnHdaOqPGUZ6Tt5vs9TrO-NW35sVFe13axOXGZhfs35kUjvaQT9YI6IwWTeDVnUDJ31esi51D9RijS9gOYqHvBwDQw9DQl_-gV3ktqW1nQYOBQepONgo2ypdca8HpfhjB7a2DdnPQNgftTwetaUUv_lzjvuSXZQ2QG1BbKh2w_O79H9kfDAepUw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2729283753</pqid></control><display><type>article</type><title>The effect of continuous at-home training of minimally invasive surgical skills on skill retention</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Joosten, Maja ; Hillemans, Vera ; van Capelleveen, Marije ; Bökkerink, Guus M. J. ; Verhoeven, Daan ; de Blaauw, Ivo ; Verhoeven, Bas H. ; Botden, Sanne M. B. I.</creator><creatorcontrib>Joosten, Maja ; Hillemans, Vera ; van Capelleveen, Marije ; Bökkerink, Guus M. J. ; Verhoeven, Daan ; de Blaauw, Ivo ; Verhoeven, Bas H. ; Botden, Sanne M. B. I.</creatorcontrib><description>Background
Skill deterioration of minimally invasive surgical (MIS) skills may be prevented by continuous training. The aim of this study is to evaluate whether unsupervised continuous at-home training of MIS skills results in better skill retention compared to no training.
Methods
Medical doctors followed a two-week interval training for two MIS tasks (precise peg transfer and interrupted suture with knot tying), ending with a baseline test. They were randomly assigned to the no-practice group or continuous-practice group. The latter practiced unsupervised at home every two weeks during the study period. Skill retention was measured after three and six months on both tasks by the total time needed, distance traveled by instruments and LS-CAT score (8 best possible score and > 40 worst score).
Results
A total of 38 participants were included. No significant differences in performance were found at pre-test or baseline. At six months the no-practice group needed more time for the suturing task (309 s vs. 196 s at baseline,
p
= 0.010) and the LS-CAT score was significantly worse (30 vs. 20 at baseline,
p
< 0.0001). The continuous-practice group performed the suturing task significantly better than the no-practice group at both three and six months (17 vs. 25,
p
< 0.001 and 17 vs. 30,
p
< 0.001) and faster as well (
p
= 0.034 and
p
= 0.001).
Conclusion
This study shows a skill decay after only a few months of non-use and shows better skill retention after continuous unsupervised at-home practice of MIS skills. This indicates an added value of regular at-home practice of surgical skills.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-022-09277-9</identifier><identifier>PMID: 35604482</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Clinical Competence ; Curriculum ; Endoscopy ; Ethics ; Gastroenterology ; Gynecology ; Hepatology ; Internship and Residency ; Laparoscopy - methods ; Medicine ; Medicine & Public Health ; Minimally invasive surgery ; Minimally Invasive Surgical Procedures - education ; Pediatrics ; Proctology ; Simulation ; Skills ; Surgery ; Suture Techniques - education ; Sutures ; Training</subject><ispartof>Surgical endoscopy, 2022-11, Vol.36 (11), p.8307-8315</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-be0f26bfc7f9742108e1faf2638251951e6e9ae23ec1ebc343a4aaca73a94bb3</citedby><cites>FETCH-LOGICAL-c474t-be0f26bfc7f9742108e1faf2638251951e6e9ae23ec1ebc343a4aaca73a94bb3</cites><orcidid>0000-0002-1674-1546</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-022-09277-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-022-09277-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35604482$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joosten, Maja</creatorcontrib><creatorcontrib>Hillemans, Vera</creatorcontrib><creatorcontrib>van Capelleveen, Marije</creatorcontrib><creatorcontrib>Bökkerink, Guus M. J.</creatorcontrib><creatorcontrib>Verhoeven, Daan</creatorcontrib><creatorcontrib>de Blaauw, Ivo</creatorcontrib><creatorcontrib>Verhoeven, Bas H.</creatorcontrib><creatorcontrib>Botden, Sanne M. B. I.</creatorcontrib><title>The effect of continuous at-home training of minimally invasive surgical skills on skill retention</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Skill deterioration of minimally invasive surgical (MIS) skills may be prevented by continuous training. The aim of this study is to evaluate whether unsupervised continuous at-home training of MIS skills results in better skill retention compared to no training.
Methods
Medical doctors followed a two-week interval training for two MIS tasks (precise peg transfer and interrupted suture with knot tying), ending with a baseline test. They were randomly assigned to the no-practice group or continuous-practice group. The latter practiced unsupervised at home every two weeks during the study period. Skill retention was measured after three and six months on both tasks by the total time needed, distance traveled by instruments and LS-CAT score (8 best possible score and > 40 worst score).
Results
A total of 38 participants were included. No significant differences in performance were found at pre-test or baseline. At six months the no-practice group needed more time for the suturing task (309 s vs. 196 s at baseline,
p
= 0.010) and the LS-CAT score was significantly worse (30 vs. 20 at baseline,
p
< 0.0001). The continuous-practice group performed the suturing task significantly better than the no-practice group at both three and six months (17 vs. 25,
p
< 0.001 and 17 vs. 30,
p
< 0.001) and faster as well (
p
= 0.034 and
p
= 0.001).
Conclusion
This study shows a skill decay after only a few months of non-use and shows better skill retention after continuous unsupervised at-home practice of MIS skills. This indicates an added value of regular at-home practice of surgical skills.</description><subject>Abdominal Surgery</subject><subject>Clinical Competence</subject><subject>Curriculum</subject><subject>Endoscopy</subject><subject>Ethics</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Internship and Residency</subject><subject>Laparoscopy - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally invasive surgery</subject><subject>Minimally Invasive Surgical Procedures - education</subject><subject>Pediatrics</subject><subject>Proctology</subject><subject>Simulation</subject><subject>Skills</subject><subject>Surgery</subject><subject>Suture Techniques - education</subject><subject>Sutures</subject><subject>Training</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kcuOFSEQhonROMfRF3BhSNy4QaGgm2ZjYibekkncnD2hsfocRhpG6D7JvL2MPY6XhSsq1Fd_XX5Cngv-WnCu31TOVa8YB2DcgNbMPCA7oSQwADE8JDtuJGegjTojT2q94o03ontMzmTXc6UG2JFxf0SK04R-oXmiPqclpDWvlbqFHfOMdCkupJAOt-m5RbOL8YaGdHI1nJDWtRyCd5HWbyHGSnPaIlpwwSaW01PyaHKx4rO795zsP7zfX3xil18-fr54d8m80mphI_IJ-nHyejJageADism1LzlAJ0wnsEfjECR6gaOXSjrlnHdaOqPGUZ6Tt5vs9TrO-NW35sVFe13axOXGZhfs35kUjvaQT9YI6IwWTeDVnUDJ31esi51D9RijS9gOYqHvBwDQw9DQl_-gV3ktqW1nQYOBQepONgo2ypdca8HpfhjB7a2DdnPQNgftTwetaUUv_lzjvuSXZQ2QG1BbKh2w_O79H9kfDAepUw</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Joosten, Maja</creator><creator>Hillemans, Vera</creator><creator>van Capelleveen, Marije</creator><creator>Bökkerink, Guus M. J.</creator><creator>Verhoeven, Daan</creator><creator>de Blaauw, Ivo</creator><creator>Verhoeven, Bas H.</creator><creator>Botden, Sanne M. B. I.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</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>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1674-1546</orcidid></search><sort><creationdate>20221101</creationdate><title>The effect of continuous at-home training of minimally invasive surgical skills on skill retention</title><author>Joosten, Maja ; Hillemans, Vera ; van Capelleveen, Marije ; Bökkerink, Guus M. J. ; Verhoeven, Daan ; de Blaauw, Ivo ; Verhoeven, Bas H. ; Botden, Sanne M. B. I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-be0f26bfc7f9742108e1faf2638251951e6e9ae23ec1ebc343a4aaca73a94bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdominal Surgery</topic><topic>Clinical Competence</topic><topic>Curriculum</topic><topic>Endoscopy</topic><topic>Ethics</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Internship and Residency</topic><topic>Laparoscopy - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally invasive surgery</topic><topic>Minimally Invasive Surgical Procedures - education</topic><topic>Pediatrics</topic><topic>Proctology</topic><topic>Simulation</topic><topic>Skills</topic><topic>Surgery</topic><topic>Suture Techniques - education</topic><topic>Sutures</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Joosten, Maja</creatorcontrib><creatorcontrib>Hillemans, Vera</creatorcontrib><creatorcontrib>van Capelleveen, Marije</creatorcontrib><creatorcontrib>Bökkerink, Guus M. J.</creatorcontrib><creatorcontrib>Verhoeven, Daan</creatorcontrib><creatorcontrib>de Blaauw, Ivo</creatorcontrib><creatorcontrib>Verhoeven, Bas H.</creatorcontrib><creatorcontrib>Botden, Sanne M. B. I.</creatorcontrib><collection>Springer Nature OA Free Journals</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 Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Joosten, Maja</au><au>Hillemans, Vera</au><au>van Capelleveen, Marije</au><au>Bökkerink, Guus M. J.</au><au>Verhoeven, Daan</au><au>de Blaauw, Ivo</au><au>Verhoeven, Bas H.</au><au>Botden, Sanne M. B. I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of continuous at-home training of minimally invasive surgical skills on skill retention</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2022-11-01</date><risdate>2022</risdate><volume>36</volume><issue>11</issue><spage>8307</spage><epage>8315</epage><pages>8307-8315</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Skill deterioration of minimally invasive surgical (MIS) skills may be prevented by continuous training. The aim of this study is to evaluate whether unsupervised continuous at-home training of MIS skills results in better skill retention compared to no training.
Methods
Medical doctors followed a two-week interval training for two MIS tasks (precise peg transfer and interrupted suture with knot tying), ending with a baseline test. They were randomly assigned to the no-practice group or continuous-practice group. The latter practiced unsupervised at home every two weeks during the study period. Skill retention was measured after three and six months on both tasks by the total time needed, distance traveled by instruments and LS-CAT score (8 best possible score and > 40 worst score).
Results
A total of 38 participants were included. No significant differences in performance were found at pre-test or baseline. At six months the no-practice group needed more time for the suturing task (309 s vs. 196 s at baseline,
p
= 0.010) and the LS-CAT score was significantly worse (30 vs. 20 at baseline,
p
< 0.0001). The continuous-practice group performed the suturing task significantly better than the no-practice group at both three and six months (17 vs. 25,
p
< 0.001 and 17 vs. 30,
p
< 0.001) and faster as well (
p
= 0.034 and
p
= 0.001).
Conclusion
This study shows a skill decay after only a few months of non-use and shows better skill retention after continuous unsupervised at-home practice of MIS skills. This indicates an added value of regular at-home practice of surgical skills.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35604482</pmid><doi>10.1007/s00464-022-09277-9</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1674-1546</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Surgical endoscopy, 2022-11, Vol.36 (11), p.8307-8315 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Clinical Competence Curriculum Endoscopy Ethics Gastroenterology Gynecology Hepatology Internship and Residency Laparoscopy - methods Medicine Medicine & Public Health Minimally invasive surgery Minimally Invasive Surgical Procedures - education Pediatrics Proctology Simulation Skills Surgery Suture Techniques - education Sutures Training |
| title | The effect of continuous at-home training of minimally invasive surgical skills on skill retention |
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