How many cases do instructor class pediatric surgeons need to experience to be an independent operator in performing advanced endoscopic surgery? A nationwide survey to establish an ideal curriculum for pediatric endoscopic surgery in Japan.
Advanced endoscopic surgery
Autonomy
Nationwide survey
Pediatric surgery
Surgical training
Journal
Pediatric surgery international
ISSN: 1437-9813
Titre abrégé: Pediatr Surg Int
Pays: Germany
ID NLM: 8609169
Informations de publication
Date de publication:
09 Sep 2023
09 Sep 2023
Historique:
accepted:
25
08
2023
medline:
11
9
2023
pubmed:
9
9
2023
entrez:
8
9
2023
Statut:
epublish
Résumé
To ensure the safe spread of pediatric endoscopic surgery, it is essential to build a training curriculum, and a survey of the current situation in Japan is necessary. The present study assessed an efficient training curriculum by clarifying instructor class pediatric surgeons' experiences, including autonomy when performing advanced endoscopic surgeries. An online nationwide questionnaire survey was conducted among pediatric surgeons who had Endoscopic Surgical Skill Qualification (ESSQ) and board-certified instructors who had skills comparable to ESSQ. We assessed participants' training experience, opinions concerning the ideal training curriculum, and the correlation between surgical experience and the level of autonomy. The Zwisch scale was used to assess autonomy. Fifty-two participants responded to the survey (response rate: 86.7%). Only 57.7% of the respondents felt that they had received sufficient endoscopic surgery training. Most respondents considered an educational curriculum for endoscopic surgery including off-the-job training essential during the training period. Autonomy had been acquired after experiencing two to three cases for most advanced endoscopic surgeries. This first nationwide survey in Japan showed that instructor class pediatric surgeons acquired autonomy after experiencing two to three for most advanced endoscopic surgeries. Our findings suggest that training, especially off-the-job training, has been insufficient.
Identifiants
pubmed: 37684432
doi: 10.1007/s00383-023-05550-7
pii: 10.1007/s00383-023-05550-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
271Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Iwanaka T, Uchida H, Kawashima H, Nishi A, Kudou S, Satake R (2004) Complications of laparoscopic surgery in neonates and small infants. J Pediatr Surg 39:1838–1841. https://doi.org/10.1016/j.jpedsurg.2004.08.011
doi: 10.1016/j.jpedsurg.2004.08.011
pubmed: 15616945
Saka R, Tazuke Y, Ueno T et al (2020) Does the “endoscopic surgical skill qualification system” reduce serious intraoperative complications in the field of pediatric surgery? J Laparoendosc Adv Surg Tech A 30:1282–1285. https://doi.org/10.1089/lap.2020.0309
doi: 10.1089/lap.2020.0309
pubmed: 32856991
George BC, Teitelbaum EN, Meyerson SL et al (2014) Reliability, validity, and feasibility of the Zwisch scale for the assessment of intraoperative performance. J Surg Educ 71:90–96. https://doi.org/10.1016/j.jsurg.2014.06.018
doi: 10.1016/j.jsurg.2014.06.018
DaRosa DA, Zwischenberger JB, Meyerson SL et al (2013) A theory-based model for teaching and assessing residents in the operating room. J Surg Educ 70:24–30. https://doi.org/10.1016/j.jsurg.2012.07.007
doi: 10.1016/j.jsurg.2012.07.007
pubmed: 23337666
George BC, Teitelbaum EN, Darosa DA et al (2013) Duration of faculty training needed to ensure reliable or performance ratings. J Surg Educ 70:703–708. https://doi.org/10.1016/j.jsurg.2013.06.015
doi: 10.1016/j.jsurg.2013.06.015
pubmed: 24209644
Tainaka T, Shirota C, Hinoki A et al (2022) Laparoscopic definitive surgery for congenital biliary dilatation with aggressive hilar bile ductoplasty and complete resection of the intrapancreatic bile duct in pediatric patients is safe and effective, comparable to open surgery. Surg Endosc 36:7352–7359. https://doi.org/10.1007/s00464-022-09132-x
doi: 10.1007/s00464-022-09132-x
pubmed: 35226163
Murase N, Hinoki A, Shirota C et al (2019) Multicenter, retrospective, comparative study of laparoscopic and open Kasai portoenterostomy in children with biliary atresia from Japanese high-volume centers. J Hepatobiliary Pancreat Sci 26:43–50. https://doi.org/10.1002/jhbp.594
doi: 10.1002/jhbp.594
pubmed: 30488647
Koga H, Miyake Y, Yazaki Y et al (2022) Long-term outcomes of male imperforate anus with recto-urethral fistula: laparoscopy-assisted anorectoplasty versus posterior sagittal anorectoplasty. Pediatr Surg Int 38:761–768. https://doi.org/10.1007/s00383-022-05106-1
doi: 10.1007/s00383-022-05106-1
pubmed: 35257221
Miyano G, Masuko T, Ohashi K et al (2021) Recovery of bowel function after transperitoneal or retroperitoneal laparoscopic pyeloplasty. A multi-center study. Pediatr Surg Int 37:1791–1795. https://doi.org/10.1007/s00383-021-04990-3
doi: 10.1007/s00383-021-04990-3
pubmed: 34498175
Abdullah F, Salazar JH, Gause CD et al (2016) Understanding the operative experience of the practicing pediatric surgeon: implications for training and maintaining competency. JAMA Surg 151:735–741. https://doi.org/10.1001/jamasurg.2016.0261
doi: 10.1001/jamasurg.2016.0261
pubmed: 27027471
Etchill EW, Giuliano KA, Boss EF, Rhee DS, Kunisaki SM (2021) Association of operative approach with outcomes in neonates with esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 56:2172–2179. https://doi.org/10.1016/j.jpedsurg.2021.04.006
doi: 10.1016/j.jpedsurg.2021.04.006
pubmed: 33994203
Weller JH, Peter SDS, Fallat ME et al (2021) Thoracoscopic versus open lobectomy in infants with congenital lung malformations: a multi-institutional propensity score analysis. J Pediatr Surg 56:2148–2156. https://doi.org/10.1016/j.jpedsurg.2021.04.013
doi: 10.1016/j.jpedsurg.2021.04.013
pubmed: 34030879
Palter VN, de Montbrun SL (2020) Implementing new surgical technology: a national perspective on case volume requirement for proficiency in transanal total mesorectal excision. Can J Surg 63:21–26. https://doi.org/10.1503/cjs.001119
doi: 10.1503/cjs.001119
Stein S, Stulberg J, Champagne B (2012) Learning laparoscopic colectomy during colorectal residency: what does it take and how are we doing? Surg Endosc 26:488–492. https://doi.org/10.1007/s00464-011-1906-8
doi: 10.1007/s00464-011-1906-8
pubmed: 21938581
Kurashima Y, Hirano S, Yamaguchi S (2021) Can general surgeons perform laparoscopic surgery independently within 10 years of training? A nationwide survey on laparoscopic surgery training in Japan. Surg Today 51:1328–1334. https://doi.org/10.1007/s00595-020-02218-w
doi: 10.1007/s00595-020-02218-w
pubmed: 33403478
Kerr B, O’Leary JP (1999) The training of the surgeon: Dr Halsted’s greatest legacy. Am Surg 65:1101–1102
doi: 10.1177/000313489906501121
pubmed: 10551765
Kurashima Y, Watanabe Y, Ebihara Y, Murakami S, Shichinohe T, Hirano S (2016) Where do we start? The first survey of surgical residency education in Japan. Am J Surg 211:405–410. https://doi.org/10.1016/j.amjsurg.2015.09.004
doi: 10.1016/j.amjsurg.2015.09.004
pubmed: 26576684
Poudel S, Hirano S, Kurashima Y et al (2019) A snapshot of surgical resident training in Japan: results of a national-level needs assessment survey. Surg Today 49:870–876. https://doi.org/10.1007/s00595-019-01819-4
doi: 10.1007/s00595-019-01819-4
pubmed: 31102022
Yokoyama S, Mizunuma K, Kurashima Y et al (2019) Evaluation methods and impact of simulation-based training in pediatric surgery: a systematic review. Pediatr Surg Int 35:1085–1094. https://doi.org/10.1007/s00383-019-04539-5
doi: 10.1007/s00383-019-04539-5
pubmed: 31396735