Evidence map›Paper›PMID 28643054›Full record

ArticleSurgical endoscopy2018

A structured, extended training program to facilitate adoption of new techniques for practicing surgeons.

Jacob A Greenberg, Sally Jolles, Sarah Sullivan, Sudha Pavuluri Quamme, Luke M Funk, Anne O Lidor, Caprice Greenberg, Carla M Pugh

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2018. 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
2.7field-weighted citation impact, top 10% of its field
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, 24 citations in OpenAlex.

  1. Article
  2. Impact of the introduction of formal D2 lymphadenectomy for gastric cancer in a Western setting.Canadian journal of surgery. Journal canadien de chirurgie · 2021
    Article
  3. Article
  4. Article
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

8 authors at 2 institutions in 1 country.

Jacob A GreenbergUniversity of Wisconsin, Department of Surgery, 600 Highland Avenue, J4/703 Clinical Science Center, Madison, WI, 53792, USA. greenbergj@surgery.wisc.edu.
Sally JollesUniversity of Wisconsin, Department of Surgery, 600 Highland Avenue, J4/703 Clinical Science Center, Madison, WI, 53792, USA.
Sarah SullivanUniversity of Wisconsin, Department of Surgery, 600 Highland Avenue, J4/703 Clinical Science Center, Madison, WI, 53792, USA.
Sudha Pavuluri QuammeUniversity of Wisconsin, Department of Surgery, 600 Highland Avenue, J4/703 Clinical Science Center, Madison, WI, 53792, USA.
Luke M FunkUniversity of Wisconsin, Department of Surgery, 600 Highland Avenue, J4/703 Clinical Science Center, Madison, WI, 53792, USA.
Anne O LidorUniversity of Wisconsin, Department of Surgery, 600 Highland Avenue, J4/703 Clinical Science Center, Madison, WI, 53792, USA.
Caprice GreenbergUniversity of Wisconsin, Department of Surgery, 600 Highland Avenue, J4/703 Clinical Science Center, Madison, WI, 53792, USA.
Carla M PughUniversity of Wisconsin, Department of Surgery, 600 Highland Avenue, J4/703 Clinical Science Center, Madison, WI, 53792, USA.
University of Wisconsin–Madison · USHighland Community College - Illinois · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic inguinal hernia repair has been shown to have significant benefits when compared to open inguinal hernia repair, yet remains underutilized in the United States. The traditional model of short, hands-on, cognitive courses to enhance the adoption of new techniques fails to lead to significant levels of practice implementation for most surgeons. We hypothesized that a comprehensive program would facilitate the adoption of laparoscopic inguinal hernia repair (TEP) for practicing surgeons.

methodsA team of experts in simulation, coaching, and hernia care created a comprehensive training program to facilitate the adoption of TEP. Three surgeons who routinely performed open inguinal hernia repair with greater than 50 cases annually were recruited to participate in the program. Coaches were selected based on their procedural expertise and underwent formal training in surgical coaching. Participants were required to evaluate all aspects of the educational program and were surveyed out to one year following completion of the program to assess for sustained adoption of TEP.

resultsAll three participants successfully completed the first three steps of the seven-step program. Two participants completed the full course, while the third dropped out of the program due to time constraints and low case volume. Participant surgeons rated Orientation (4.7/5), GlovesOn training (5/5), and Preceptored Cases (5/5) as highly important training activities that contributed to advancing their knowledge and technical performance of the TEP procedure. At one year, both participants were performing TEPs for "most of their cases" and were confident in their ability to perform the procedure. The total cost of the program including all travel, personal coaching, and simulation was $8638.60 per participant. DISCUSSION: Our comprehensive educational program led to full and sustained adoption of TEP for those who completed the course. Time constraints, travel costs, and case volume are major considerations for successful completion; however, the program is feasible, acceptable, and affordable.

Indexed as

CurriculumEducation, Medical, ContinuingHernia, InguinalHerniorrhaphyHumansLaparoscopyQuality ImprovementUnited StatesClinical outcomesClinical performance assessmentContinuous professional developmentLaparoscopic inguinal hernia repairSimulationSurgical coaching

Identifiers

PMID28643054
OpenAlexW2682524870

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.