Evidence map›Paper›PMID 28236015›Full record

ArticleSurgical endoscopy2017

Impact of continuous training through distributed practice for acquisition of minimally invasive surgical skills.

Bruce Negrello Nakata, Worens Cavalini, Eduardo A Bonin, Paolo R Salvalaggio, Marcelo P Loureiro

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Bruce Negrello NakataSchool of Medicine, Universidade Positivo, Rua Prof. Pedro Viriato Parigot de Souza, 5300, Post-Graduation Building, Curitiba, 81280-330, Brazil. brucenakata@hotmail.com.
Worens CavaliniSchool of Medicine, Universidade Positivo, Rua Prof. Pedro Viriato Parigot de Souza, 5300, Post-Graduation Building, Curitiba, 81280-330, Brazil.
Eduardo A BoninJacques Perissat Institute, Curitiba, Brazil.
Paolo R SalvalaggioPost-Graduation Program in Biotechnology, Universidade Positivo, Curitiba, Brazil.
Marcelo P LoureiroPost-Graduation Program in Biotechnology, Universidade Positivo, Curitiba, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive surgery (MIS) requires the mastery of manual skills and a specific training is required. Apart from residencies and fellowships in MIS, other learning opportunities utilize massive training, mainly with use of simulators in short courses. A long-term postgraduate course represents an opportunity to learn through training using distributed practice.

objectiveThe objective of this study is to assess the use of distributed practice for acquisition of basic minimally invasive skills in surgeons who participated in a long-term MIS postgraduate course.

methodsA prospective, longitudinal and quantitative study was conducted among surgeons who attended a 1-year postgraduate course of MIS in Brazil, from 2012 to 2014. They were tested through five different exercises in box trainers (peg-transfer, passing, cutting, intracorporeal knot, and suture) in the first (t0), fourth (t1) and last, eighth, (t2) meetings of this course. The time and penalties of each exercise were collected for each participant. Participant skills were assessed based on time and accuracy on a previously tested score.

resultsFifty-seven surgeons (participants) from three consecutive groups participated in this study. There was a significant improvement in scores in all exercises. The average increase in scores between t0 and t2 was 88% for peg-transfer, 174% for passing, 149% for cutting, 130% for intracorporeal knot, and 120% for suture (p < 0.001 for all exercises).

conclusionLearning through distributed practice is effective and should be integrated into a MIS postgraduate course curriculum for acquisition of core skills.

Indexed as

AdultAgedBrazilClinical CompetenceCurriculumEducation, Medical, ContinuingFemaleHumansLongitudinal StudiesMaleMiddle AgedMinimally Invasive Surgical ProceduresProspective StudiesSurgeonsSuturesDistributed practiceFLSMinimally invasive surgerySimulationSkills acquisitionTraining

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.