Display options
Share it on

Surg Endosc. 2018 May;32(5):2480-2487. doi: 10.1007/s00464-017-5950-x. Epub 2017 Nov 09.

Educational system based on the TAPP checklist improves the performance of novices: a multicenter randomized trial.

Surgical endoscopy

Saseem Poudel, Yo Kurashima, Kimitaka Tanaka, Hiroshi Kawase, Yoichi M Ito, Fumitaka Nakamura, Toshiaki Shichinohe, Satoshi Hirano

Affiliations

  1. Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Kita 15 Nishi 7, Kita-ku, Sapporo, Japan.
  2. Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Kita 15 Nishi 7, Kita-ku, Sapporo, Japan. [email protected].
  3. Clinical Simulation Center, Hokkaido University, Sapporo, Japan. [email protected].
  4. Department of Biostatistics, Hokkaido University, Sapporo, Japan.
  5. Department of Surgery, Teine Keijinkai Hospital, Sapporo, Japan.

PMID: 29124407 DOI: 10.1007/s00464-017-5950-x

Abstract

BACKGROUND: Despite recent developments in surgical education, obstacles including inadequate budget, limited human resources, and a scarcity of time have limited its widespread adoption. To provide systematic training for laparoscopic inguinal hernia repair, we had previously developed and validated a checklist to evaluate the recorded performance of transabdominal preperitoneal (TAPP) repair. We had also developed an educational system that included didactic materials based on the TAPP checklist and incorporated remote evaluation and feedback system. The aim of this study was to evaluate the educational impact of the TAPP education system on novice surgeons.

METHODS: Residents and surgeons from participating hospitals, who had performed 0 or 1 TAPP procedure, were randomly assigned to the intervention group (IG), who trained using this new educational tool, and the control group (CG), who trained using the conventional system. Their surgical videos were rated by blinded raters. All participants performed their first case prior to randomization. The primary outcome was improvement of TAPP checklist score from the first to the third case.

RESULTS: Eighteen participants from 9 institutes were recruited for this study. Seven participants in the IG and 5 participants in the CG were included in the final analysis. The participants in the IG demonstrated significant improvement in their TAPP performance (p = 0.044) from their first case to their third case, whereas their counterparts in the CG failed to make any significant progress during the same period (p = 0.581).

CONCLUSION: The new TAPP educational system was effective in improving the TAPP performance of novice surgeons.

Keywords: Assessment and feedback; Laparoscopic inguinal hernia repair; Remote education; Surgical education; Transabdominal preperitoneal (TAPP) repair

References

  1. Psychol Sci. 2014 Aug;25(8):1608-18 - PubMed
  2. Hernia. 2007 Apr;11(2):113-6 - PubMed
  3. Surg Endosc. 2011 Sep;25(9):2773-843 - PubMed
  4. World J Surg. 2008 Oct;32(10):2145-9 - PubMed
  5. Surg Endosc. 2014 Mar;28(3):783-8 - PubMed
  6. Ann Surg. 2011 Sep;254(3):502-9; discussion 509-11 - PubMed
  7. Surg Endosc. 2017 Dec;31(12 ):5429-5435 - PubMed
  8. Surg Endosc. 2008 Aug;22(8):1887-93 - PubMed
  9. Can J Surg. 2012 Feb;55(1):33-6 - PubMed
  10. J Thorac Cardiovasc Surg. 2013 Jun;145(6):1453-8; discussion 1458-9 - PubMed
  11. World J Surg. 2008 Oct;32(10):2162-6 - PubMed
  12. Surg Endosc. 2013 Aug;27(8):2886-93 - PubMed
  13. Curr Probl Surg. 2009 Apr;46(4):271-370 - PubMed
  14. World J Surg. 2008 Oct;32(10):2172-7 - PubMed
  15. Laryngoscope. 2015 Oct;125 Suppl 8:S1-14 - PubMed
  16. World J Surg. 2008 Oct;32(10):2167-71 - PubMed
  17. World J Surg. 2008 Oct;32(10):2150-5 - PubMed
  18. Am J Surg. 2016 Feb;211(2):405-10 - PubMed
  19. Am J Surg. 2016 Sep;212(3):468-74 - PubMed
  20. World J Surg. 2008 Oct;32(10):2138-44 - PubMed
  21. J Surg Educ. 2013 May-Jun;70(3):309-17 - PubMed
  22. Surg Endosc. 2015 Nov;29(11):3154-62 - PubMed
  23. Reg Anesth Pain Med. 2016 Mar-Apr;41(2):151-7 - PubMed

MeSH terms

Publication Types