ArticleSurgical endoscopy2023
Use of virtual platform for delivery of simulation-based laparoscopic training curriculum in LMICs.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Building Surgical Capacity in Resource-Limited Settings Through Innovative Laparoscopy Training: A Systematic Review of Educational Interventions.World journal of surgery · 2026Pooled it
- Effectiveness of Low-cost, Technology-enhanced Simulation Training for Healthcare Training in Low-and Middle-income Countries (LMICs): A Systematic Literature Review.Journal of general internal medicine · 2025Pooled it
- Telementoring for surgical training in low-resource settings: a systematic review of current systems and the emerging role of 5G, AI, and XR.Journal of robotic surgery · 2025Pooled it
- Global challenges and perspectives in acute and emergency general surgery in low and middle-income countries: a scoping review.BMJ global health · 2026Article
- Top 5 Surgical Education Innovations for Low-Resource Settings Over the Last 50 years.World journal of surgery · 2026Review
- Optimizing the management of laparoscopic equipment in low-resource settings: a SAGES White Paper.Surgical endoscopy · 2026Article
- Preferences and Perceptions of Training Models in Global Surgery With a Focus on Orthopedics: A Scoping Review.Current reviews in musculoskeletal medicine · 2026Review
- Integrating Mind Mapping with Virtual Simulation: A Cognitive Scaffolding for Clinical Reasoning in Residency.International journal of women's health · 2026Article
- Knowledge Acquisition, Self-Assessed Competence, and Simulator-Based Performance in a Structured Laparoscopic VR Curriculum for Obstetrics and Gynecology Residents: A Single-Center Observational Study.Advances in medical education and practice · 2026Article
- Development and evaluation of an international teleproctoring program for bronchoscopic procedures.iScience · 2025Article
- Advancing laparoscopic skills training in Namibia: Implementation of the Global Laparoscopic Advancement Program (GLAP) of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES).Surgical endoscopy · 2025Article
- Implementation of a Virtual Cardiology Curriculum to Address the Deficit of Cardiovascular Education in Haiti.JACC. Advances · 2024Article
- KeyLoop retractor for global gasless laparoscopy: evaluation of safety and feasibility in a porcine model.Surgical endoscopy · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic surgery is rapidly expanding in low-and middle-income countries (LMICs), yet many surgeons in LMICs have limited formal training in laparoscopy. In 2017, the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) implemented Global Laparoscopic Advancement Program (GLAP), an in-person simulation-based laparoscopic training curriculum for surgeons in LMICs. In light of COVID-19, SAGES adapted GLAP to a virtual format with telesimulation. This study explores the feasibility and efficacy of virtual laparoscopic simulation training in resource-limited settings.
methodsParticipants from San Jose, Costa Rica, Leon, México, and Guadalajara, México enrolled in the virtual GLAP curriculum, meeting biweekly for 2-h didactic classes and 2-h hands-on live simulation practice. Surgical residents' laparoscopic skills were evaluated using the five Fundamentals of Laparoscopic Surgery (FLS) tasks during the initial and final weeks of the program. Participants also completed pre-and post-program surveys assessing their perception of simulation-based training.
resultsThe study cohort consisted of 16 surgical attendings and 20 general surgery residents. A minimum 70% response rate was recorded across all surveys in the study. By the end of GLAP, residents completed all five tasks of the FLS exam within less time relative to their performance at the beginning of the training program (p < 0.05). Respondents (100%) reported that the program was a good use of their time and that education via telesimulation was easily reproduced. Participants indicated that the practice sessions, guidance, and feedback offered by mentors were their favorite elements of the training.
conclusionA virtual simulation-based curriculum can be an effective strategy for laparoscopic skills training. Participants demonstrated an improvement in laparoscopic skills, and they appreciated the mentorship and opportunity to practice laparoscopic skills. Future programs can expand on using a virtual platform as a low-cost, effective strategy for providing laparoscopic skills training to surgeons in LMICs.
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35852623What OpenQuestion holds
Registered trials
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.