Evaluation of the laparoscopic component of GESEA Programme in two different groups: Obstetrics and Gynaecology Residents versus Participants in the Annual GESEA Diploma Course in Clermont Ferrand, France.
GESEA Certification
Laparoscopic training courses
Minimally Invasive Surgery
Practical skills
Surgical education
Journal
Facts, views & vision in ObGyn
ISSN: 2032-0418
Titre abrégé: Facts Views Vis Obgyn
Pays: Belgium
ID NLM: 101578773
Informations de publication
Date de publication:
05 Aug 2020
05 Aug 2020
Historique:
entrez:
25
8
2020
pubmed:
25
8
2020
medline:
25
8
2020
Statut:
epublish
Résumé
Structured laparoscopic training courses are important in surgical education. Different programmes have been proposed, but there is currently no evidence available comparing the performance of specialists versus residents in Obstetrics and Gynaecology at these courses. To evaluate the impact of the laparoscopic component of Gynaecological Endoscopic Surgical Education and Assessment (GESEA) Training and Certification courses in two different populations. Prospective cohort study. Two groups were analysed - participants of the Residents' Courses and participants of the Annual Francophone GESEA Diploma Course. Both groups were evaluated using the GESEA Level 1 laparoscopic standardised exercises and carried out in the International Center of Endoscopic Surgery (CICE), Clermont Ferrand, France in 2019. 57 French residents and 69 participants of the Annual GESEA Diploma were evaluated. The average age of participants in the Residents' Course was lower than those in the Annual Diploma Course (28.4±1.6 versus 35.2±8.0 years, p<0.001). Residents had higher previous experience in laparoscopic surgery (42% vs 36%, p< 0.001), in animal model surgery and in laparoscopic training box (67% vs 36% and 93% vs 67% respectively, p<0.001). Notable improvement was noted in both groups in the camera navigation exercise; first attempt 105±19 vs 117±9 seconds and final attempt 81±15 and 103±20 seconds respectively (p<0.001). Both groups improved significantly in most of the tests evaluated. French residents had better results in all evaluations, except in one aspect of the suture exercise (maintaining optimal results in performing the knot). After excluding the residents who attended the Annual Diploma Course, all the differences between both groups were statistically more significant.
Sections du résumé
BACKGROUND
BACKGROUND
Structured laparoscopic training courses are important in surgical education. Different programmes have been proposed, but there is currently no evidence available comparing the performance of specialists versus residents in Obstetrics and Gynaecology at these courses.
OBJECTIVE
OBJECTIVE
To evaluate the impact of the laparoscopic component of Gynaecological Endoscopic Surgical Education and Assessment (GESEA) Training and Certification courses in two different populations.
MATERIALS AND METHODS
METHODS
Prospective cohort study. Two groups were analysed - participants of the Residents' Courses and participants of the Annual Francophone GESEA Diploma Course. Both groups were evaluated using the GESEA Level 1 laparoscopic standardised exercises and carried out in the International Center of Endoscopic Surgery (CICE), Clermont Ferrand, France in 2019.
RESULTS
RESULTS
57 French residents and 69 participants of the Annual GESEA Diploma were evaluated. The average age of participants in the Residents' Course was lower than those in the Annual Diploma Course (28.4±1.6 versus 35.2±8.0 years, p<0.001). Residents had higher previous experience in laparoscopic surgery (42% vs 36%, p< 0.001), in animal model surgery and in laparoscopic training box (67% vs 36% and 93% vs 67% respectively, p<0.001). Notable improvement was noted in both groups in the camera navigation exercise; first attempt 105±19 vs 117±9 seconds and final attempt 81±15 and 103±20 seconds respectively (p<0.001).
CONCLUSIONS
CONCLUSIONS
Both groups improved significantly in most of the tests evaluated. French residents had better results in all evaluations, except in one aspect of the suture exercise (maintaining optimal results in performing the knot). After excluding the residents who attended the Annual Diploma Course, all the differences between both groups were statistically more significant.
Types de publication
Journal Article
Langues
eng
Pagination
75-81Informations de copyright
Copyright © 2020 Facts, Views & Vision.
Déclaration de conflit d'intérêts
Declaration of interest: None
Références
Dis Colon Rectum. 2009 Dec;52(12):1956-61
pubmed: 19934915
JSLS. 2007 Apr-Jun;11(2):190-4
pubmed: 17761078
Eur Urol. 2004 Mar;45(3):346-51; author reply 351
pubmed: 15036681
Curr Urol Rep. 2006 Mar;7(2):100-6
pubmed: 16526993
J Surg Educ. 2012 Mar-Apr;69(2):173-9
pubmed: 22365862
Surg Endosc. 2017 Jan;31(1):135-141
pubmed: 27139703
Am J Surg. 1998 Jun;175(6):482-7
pubmed: 9645777
J Minim Invasive Gynecol. 2007 Nov-Dec;14(6):719-23
pubmed: 17980332
Am J Surg. 1999 Apr;177(4):331-6
pubmed: 10326854
Obstet Gynecol. 1997 Nov;90(5):854-9
pubmed: 9351779
Dis Colon Rectum. 1995 Jun;38(6):600-3
pubmed: 7774470
Gynecol Surg. 2016;13:133-137
pubmed: 27478427
Facts Views Vis Obgyn. 2016 Jun 27;8(2):111-118
pubmed: 27909568
J Am Coll Surg. 2005 Jul;201(1):23-9
pubmed: 15978440