<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Dubuisson J</dc:creator>
  <dc:creator>Vilmin F</dc:creator>
  <dc:creator>Boulvain M</dc:creator>
  <dc:creator>Combescure C</dc:creator>
  <dc:creator>Petignat P</dc:creator>
  <dc:creator>Brossard P</dc:creator>
  <dc:date>2016</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">OBJECTIVE
The impact of surgical simulation devices on the training of gynecology residents has not been well defined. The aim of this study was to investigate whether the use of a laparoscopic pelvic trainer improved the surgical performance of residents.


STUDY DESIGN
This randomized controlled trial enrolled gynecology residents who were randomized into group A or group B in a 1:1 fashion. All participants performed three pelvitrainer assessments (T1, T2, T3) consisting of suturing a 4-cm incision in a porcine bladder. The baseline assessment (T1) was performed before training. Group A underwent training before the second assessment (T2) and group B underwent training between the second and third assessments (T3).


RESULTS
A total of 26 residents were enrolled (group A, n=14; group B, n=12). At the first assessment (T1), there was no significant difference in the time taken to perform the procedure between the two groups (group A, 30min vs group B, 30min; p=.35), indicating homogeneity of the two groups. At T2, there was a difference between the two groups in the time taken to perform the leak-free closer (group A, 19min vs group B, 30min; p=.08). The time taken to complete the procedure was shorter after training for each group: 30min (T1) vs 19min (T2); p=.02 for group A and 30min (T2) vs 17min (T3); p=.009 for group B. Residents in group A did not receive any training during the 4-week period between T2 and T3, but their acquired skills persisted during this time.


CONCLUSION
The training on a laparoscopic pelvic trainer improves the surgical skills of residents, with performance persisting over time. It may be beneficial to use a laparoscopic pelvic trainer during residency programs.</dc:description>
  <dc:format>application/pdf</dc:format>
  <dc:identifier>https://sonar.ch/global/documents/232587</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ejogrb.2016.09.026</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/pmid/27721170</dc:relation>
  <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
  <dc:source>European journal of obstetrics, gynecology, and reproductive biology. - 2016</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Box trainer</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Gynecology</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Laparoscopy</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Simulation</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">Training</dc:subject>
  <dc:subject xmlns:ns6="xml" ns6:lang="en">Clinical Competence</dc:subject>
  <dc:subject xmlns:ns7="xml" ns7:lang="en">Computer Simulation</dc:subject>
  <dc:subject xmlns:ns8="xml" ns8:lang="en">Female</dc:subject>
  <dc:subject xmlns:ns9="xml" ns9:lang="en">Gynecologic Surgical Procedures</dc:subject>
  <dc:subject xmlns:ns10="xml" ns10:lang="en">Humans</dc:subject>
  <dc:subject xmlns:ns11="xml" ns11:lang="en">Internship and Residency</dc:subject>
  <dc:subject xmlns:ns12="xml" ns12:lang="en">Laparoscopy</dc:subject>
  <dc:subject xmlns:ns13="xml" ns13:lang="en">Models, Anatomic</dc:subject>
  <dc:subject xmlns:ns14="xml" ns14:lang="en">Pelvis</dc:subject>
  <dc:title xmlns:ns15="xml" ns15:lang="en">Do laparoscopic pelvic trainer exercises improve residents' surgical skills? A randomized controlled trial.</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>