Evidence map›Paper›PMID 37949619›Full record

Observational studyBMJ open2023

Comparing proficiency of obstetrics and gynaecology trainees with general surgery trainees using simulated laparoscopic tasks in Health Education England, North-West: a prospective observational study.

Zaibun N Khan, Donna Shrestha, Abdulwarith Shugaba, Joel E Lambert, Justin Clark, Elizabeth Haslett, Karolina Afors, Theodoros M Bampouras, Christopher J Gaffney, Daren A Subar

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05116332 (Comparing the Variation in Laparoscopic Skills Acquisition in Obstetrics & Gynaecology and General Surgical Trainees.), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05116332 completednot on this map

Comparing the Variation in Laparoscopic Skills Acquisition in Obstetrics & Gynaecology and General Surgical Trainees. (LAGGS Study)

TypeobservationalSponsorLancaster UniversityRan2021 to 2023Enrolled45ConditionsSurgery, Fatigue, Mental, Fatigue, Training Group, Sensitivity
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Zaibun N KhanDepartment of Gynaecology, Royal Lancaster Infirmary, Lancaster, UK.ORCID 0000-0002-9558-8964
Donna ShresthaLancaster Medical School, Lancaster University, Lancaster, UK.ORCID 0000-0001-8711-3515
Abdulwarith ShugabaLancaster Medical School, Lancaster University, Lancaster, UK.
Joel E LambertLancaster Medical School, Lancaster University, Lancaster, UK.ORCID 0000-0001-5663-6284
Justin ClarkDepartment of Gynaecology, Birmingham Women's NHS Foundation Trust, Birmingham, UK.ORCID 0000-0002-5943-1062
Elizabeth HaslettNorth West School of Obstetrics & Gynaecology, Blackpool Victoria Hospital, Blackpool, UK.ORCID 0000-0003-1165-0415
Karolina AforsObstetrics & Gynaecology, Whittington Health NHS Trust, London, UK.
Theodoros M BampourasSchool of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.ORCID 0000-0002-8991-4655
Christopher J GaffneyLancaster Medical School, Lancaster University, Lancaster, UK c.gaffney@lancaster.ac.uk.ORCID 0000-0001-7990-2792
Daren A SubarDepartment of General Surgery, East Lancashire Hospitals NHS Trust, Blackburn, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraining programmes for obstetrics and gynaecology (O&G) and general surgery (GS) vary significantly, but both require proficiency in laparoscopic skills. We sought to determine performance in each specialty.

designProspective, observational study.

settingHealth Education England North-West, UK.

participants47 surgical trainees (24 O&G and 23 GS) were subdivided into four groups: 11 junior O&G, 13 senior O&G, 11 junior GS and 12 senior GS trainees.

objectivesTrainees were tested on four simulated laparoscopic tasks: laparoscopic camera navigation (LCN), hand-eye coordination (HEC), bimanual coordination (BMC) and suturing with intracorporeal knot tying (suturing).

resultsO&G trainees completed LCN (p<0.001), HEC (p<0.001) and BMC (p<0.001) significantly slower than GS trainees. Furthermore, O&G found fewer number of targets in LCN (p=0.001) and dropped a greater number of pins than the GS trainees in BMC (p=0.04). In all three tasks, there were significant differences between O&G and GS trainees but no difference between the junior and senior groups within each specialty. Performance in suturing also varied by specialty; senior O&G trainees scored significantly lower than senior GS trainees (O&G 11.4±4.4 vs GS 16.8±2.1, p=0.03). Whilst suturing scores improved with seniority among O&G trainees, there was no difference between the junior and senior GS trainees (senior O&G 11.4±4.4 vs junior O&G 3.6±2.1, p=0.004). DISCUSSION: GS trainees performed better than O&G trainees in core laparoscopic skills, and the structure of O&G training may require modification. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Registry (NCT05116332).

Indexed as

General SurgeryGynecologyLaparoscopyClinical CompetenceEnglandHealth EducationHumansProspective StudiesSuture Techniquesgynaecologymedical education & trainingobstetrics

Identifiers

PMID37949619
PMCPMC10649792

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.