Simulation in surgical education: a review of a multi- tiered gynaecological laparoscopy workshop

Background: While minimally access approach has become the gold standard for many gynaecological procedures, laparoscopic surgery has a steep learning curve and many trainees face challenges acquiring the necessary skills. The aim of our study was to evaluate the effectiveness of a multi-tiered laparoscopy simulation workshop for gynaecology residents.

 

Approach: An observational study was conducted at SingHealth Duke-National University of Singapore (NUS) Institute of Medical Simulation Centre (SIMS) between November 2016 and November 2017. Gynaecology residents were recruited to attend two separate one-day workshops held in November 2016 and November 2017 respectively, involving didactic lectures, dry-lab simulation and animal training. Participants rated various learning domains of the training workshops using a five-point scale Likert in pre- and post-workshop surveys.

 

Findings: The study enrolled 16 residents in total. On a Likert scale from 1 to 5 (1 being poor and 5 being excellent), participants rated significant improvement in domains of general laparoscopy skills acquisition (1.7 + 0.6 to 4.9 + 0.4; p<0.001), dry lab simulation (1.9 + 0.5 to 4.8 + 0.4; p<0.001), confidence in laparoscopy suturing skills (1.1 + 0.3 to 4.8 + 0.4; p<0.001) and laparoscopy knowledge (2.1 + 0.5 to 4.7 + 0.5; p<0.001).

 

Conclusion: A combination of didactic lectures, dry-lab simulation and animal training under expert supervision and guidance dramatically improved surgical skills and confidence in gynaecology residents. Such a multi-tiered format allows for effective learning and acquisition of laparoscopic skills.