Evidence map›Paper›PMID 35520958›Full record

ArticleBMJ simulation & technology enhanced learning2021

Development and clinical implementation of a structured, simulation-based training programme in laparoscopic appendectomy: description, validation and evaluation.

Benedicte Skjold-Odegaard, Hege Langli Ersdal, Jörg Assmus, Bjorn Steinar Olden Nedrebo, Ole Sjo, Kjetil Soreide

Abstract read
In one paragraph

Article in BMJ simulation & technology enhanced learning, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Training and assessment for colorectal surgery and appendicectomy- a systematic review.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Pooled it
  2. Article
  3. Observational
  4. Observational
  5. Article
  6. Comment on: "A Role for Live-Animal Models in Undergraduate Surgical Education During the Cadaver Shortage".Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023
    Article
  7. A formula for survival in surgery.Patient safety in surgery · 2023
    Article
  8. Observational
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

6 authors.

Benedicte Skjold-OdegaardGastrointestinal Surgery, Haugesund Hospital, Haugesund, Norway.ORCID 0000-0002-3307-0262
Hege Langli ErsdalFaculty of Health Sciences, University of Stavanger, Stavanger, Norway.
Jörg AssmusCenter for Clinical research, Haukeland University Hospital, Bergen, Norway.
Bjorn Steinar Olden NedreboDepartment of Gastrointestinal Surgery, Haukeland University Hospital, Bergen, Norway.
Ole SjoDepartment of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway.
Kjetil SoreideDepartment of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Laparoscopic appendectomy is a common procedure in general surgery but is likely underused in structured and real-life teaching. This study describes the development, validation and evaluation of implementing a structured training programme for laparoscopic appendectomy. Study design: A structured curriculum and simulation-based programme for trainees and trainers was developed. All general surgery trainees and trainers were involved in laparoscopic appendectomies. All trainees and trainers underwent the structured preprocedure training programme before real-life surgery evaluation. A standardised form evaluated eight technical steps (skills) of the procedure as well as an overall assessment, and nine elements of communication (feedback), and was used for bilateral evaluation by each trainee and trainer. A consecutive, observational cohort over a 12-month period was used to gauge real-life implementation. Results: During 277 eligible real-life appendectomies, structured evaluation was performed in 173 (62%) laparoscopic appendectomies, for which 165 forms were completed by 19 trainees. Construct validity was found satisfactory. Inter-rater reliability demonstrated good correlation between trainee and trainer. The trainees' and trainers' stepwise and overall assessments of technical skills had an overall good reliability (intraclass correlation coefficient of 0.88). The vast majority (92.2%) of the trainees either agreed or strongly agreed that the training met their expectations. Conclusion: Structured training for general surgery residents can be implemented for laparoscopic appendectomy. Skills assessment by trainees and trainers indicated reliable self-assessment. Overall, the trainees were satisfied with the training, including the feedback from the trainers.

Indexed as

laparoscopyprocedural skills trainingsurgical educationsurgical simulation

Identifiers

PMID35520958
PMCPMC8936767

What OpenQuestion holds

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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.