Get access

The value of laparoscopic skills courses

Authors

  • George CONDOUS,

    1. Centre for Advanced Reproductive Endosurgery (CARE), Royal North Shore Hospital, St Leonards, Sydney, New South Wales, Australia
    2. Early Pregnancy, Acute Gynaecology and Advanced Endosurgery Unit, Nepean Centre for Perinatal Care, Nepean Clinical School, University of Sydney, Nepean Hospital, Penrith, Sydney, New South Wales, Australia
    3. Omni Gynaecological Care, Women's Ultrasound and Early Pregnancy Centre, Pacific Highway, St Leonards, Sydney, New South Wales, Australia
    Search for more papers by this author
  • Dalya ALHAMDAN,

    1. Early Pregnancy, Acute Gynaecology and Advanced Endosurgery Unit, Nepean Centre for Perinatal Care, Nepean Clinical School, University of Sydney, Nepean Hospital, Penrith, Sydney, New South Wales, Australia
    2. Omni Gynaecological Care, Women's Ultrasound and Early Pregnancy Centre, Pacific Highway, St Leonards, Sydney, New South Wales, Australia
    Search for more papers by this author
  • Tommaso BIGNARDI,

    1. Early Pregnancy, Acute Gynaecology and Advanced Endosurgery Unit, Nepean Centre for Perinatal Care, Nepean Clinical School, University of Sydney, Nepean Hospital, Penrith, Sydney, New South Wales, Australia
    2. Omni Gynaecological Care, Women's Ultrasound and Early Pregnancy Centre, Pacific Highway, St Leonards, Sydney, New South Wales, Australia
    Search for more papers by this author
  • Ben VAN CALSTER,

    1. Department of Electrical Engineering, Catholic University Leuven, Leuven, Belgium
    Search for more papers by this author
  • Sabine VAN HUFFEL,

    1. Department of Electrical Engineering, Catholic University Leuven, Leuven, Belgium
    Search for more papers by this author
  • Dirk TIMMERMAN,

    1. Department of Obstetrics and Gynaecology, University Hospitals, KU, Leuven, Belgium
    Search for more papers by this author
  • Alan LAM

    1. Centre for Advanced Reproductive Endosurgery (CARE), Royal North Shore Hospital, St Leonards, Sydney, New South Wales, Australia
    Search for more papers by this author

: Associate Professor George Condous, Centre for Advanced Reproductive Endosurgery (CARE), Royal North Shore Hospital, Ground Floor, 207 Pacific Highway, St Leonards, Sydney, NSW 2065, Australia. Email: gcondous@hotmail.com

Abstract

Objectives: To evaluate the effectiveness of ‘hands-on’ laparoscopic skills course.

Methods: A prospective observational study conducted between May 2005 and June 2006. All gynaecologists who attended ‘hands-on’ laparoscopic skills course held over a five-day period were assessed initially and at the end of the intensive course. Subjective assessment involved each attendee self-scoring their own knowledge in laparoscopy in different fields; this was done using visual analog scoring (VAS). Objective assessment was done through multiple choice questions (MCQs) and motor skill tasks. The difference between the performances of each of the candidates at pre- and post-course periods was evaluated using the Wilcoxon signed rank test. P-values < 0.05 represented statistical significance.

Setting: Centre for Advanced Reproductive Endosurgery (CARE), Royal North Shore Hospital, University of Sydney, Sydney, Australia.

Results:  Twenty-four consecutive gynaecologists have been enrolled in the study – 14 were specialists and ten were obstetrics and gynaecology trainees. Mean age was 44.4 years (range 35–58 years). Pre- and post-course subjective assessment measuring VAS improved significantly for all variables. Objective measurements of pre- and post-course mean MCQ results also improved significantly from 71% to 84.5%, respectively (P-value < 0.0001). There was dramatic improvement in the performing of motor skills in the dry laboratory.

Conclusions: Laparoscopic skills workshops can improve both knowledge base and motor skills. Such courses result in a short-term measurable improvement. Future studies should focus on assessing the impact of such ‘hands-on’ courses to see if these skills are transferred to the operating room.

Get access to the full text of this article

Ancillary