Afors, Karolina

Bampouras, Theodoros M

Clark, Justin

Gaffney, Christopher J

Haslett, Elizabeth

Khan, Zaibun N

Lambert, Joel E

Shrestha, Donna

Shugaba, Abdulwarith

Subar, Daren A

English

Background: Training programmes for obstetrics and gynaecology (O&amp;G) and general surgery (GS) vary significantly, but both require proficiency in laparoscopic skills. We sought to determine performance in each specialty.Design: Prospective, observational study.Setting: Health Education England North-West, UK.Participants: 47 surgical trainees (24 O&amp;G and 23 GS) were subdivided into four groups: 11 junior O&amp;G, 13 senior O&amp;G, 11 junior GS and 12 senior GS trainees.Objectives: Trainees 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).Results: O&amp;G trainees completed LCN (p &lt; 0.001), HEC (p &lt; 0.001) and BMC (p &lt; 0.001) significantly slower than GS trainees. Furthermore, O&amp;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&amp;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&amp;G trainees scored significantly lower than senior GS trainees (O&amp;G 11.4±4.4 vs GS 16.8±2.1, p=0.03). Whilst suturing scores improved with seniority among O&amp;G trainees, there was no difference between the junior and senior GS trainees (senior O&amp;G 11.4±4.4 vs junior O&amp;G 3.6±2.1, p = 0.004).Discussion: GS trainees performed better than O&amp;G trainees in core laparoscopic skills, and the structure of O&amp;G training may require modification.Trial registration number: ClinicalTrials.gov Registry (NCT05116332).</div

University of Birmingham Research Portal

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

https://pure-oai.bham.ac.uk/ws/files/212895536/bmjopen-2023-075113.pdf

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

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