Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks

for the Simulation Committee of the Association for Surgical Education

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background Advanced laparoscopic suturing (LS) tasks were developed based on a needs assessment. Initial validity evidence has been shown. The purpose of this multicenter study was to determine expert proficiency benchmarks for these tasks. Methods 6 tasks were included: needle handling (NH), offset-camera forehand suturing (OF), offset-camera backhand suturing (OB), confined space suturing (CF), suturing under tension (UT), and continuous suturing (CS). Minimally invasive surgeons experienced in LS completed the tasks twice. Mean time and median accuracy scores were used to establish the benchmarks. Results Seventeen MIS surgeons enrolled, from 7 academic centers. Mean (95% CI) time in seconds to complete each task was: NH 169 (149–189), OF 158 (134–181), OB 189 (154–224), CF 181 (156–205), UT 379 (334–423), and CS 416 (354–477). Very few errors in accuracy were made by experts in each of the tasks. Conclusions Time- and accuracy-based proficiency benchmarks for 6 advanced LS tasks were established. These benchmarks will be included in an advanced laparoscopic surgery curriculum currently under development.

Original languageEnglish (US)
Pages (from-to)217-221
Number of pages5
JournalAmerican Journal of Surgery
Volume213
Issue number2
DOIs
StatePublished - Feb 1 2017

Fingerprint

Benchmarking
Needles
Confined Spaces
Needs Assessment
Curriculum
Laparoscopy
Multicenter Studies
Surgeons

Keywords

  • Assessment
  • Competency
  • Laparoscopy
  • Performance
  • Proficiency
  • Simulation
  • Suturing

ASJC Scopus subject areas

  • Surgery

Cite this

for the Simulation Committee of the Association for Surgical Education (2017). Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks. American Journal of Surgery, 213(2), 217-221. https://doi.org/10.1016/j.amjsurg.2016.07.033

Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks. / for the Simulation Committee of the Association for Surgical Education.

In: American Journal of Surgery, Vol. 213, No. 2, 01.02.2017, p. 217-221.

Research output: Contribution to journalArticle

for the Simulation Committee of the Association for Surgical Education 2017, 'Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks', American Journal of Surgery, vol. 213, no. 2, pp. 217-221. https://doi.org/10.1016/j.amjsurg.2016.07.033
for the Simulation Committee of the Association for Surgical Education. Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks. American Journal of Surgery. 2017 Feb 1;213(2):217-221. https://doi.org/10.1016/j.amjsurg.2016.07.033
for the Simulation Committee of the Association for Surgical Education. / Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks. In: American Journal of Surgery. 2017 ; Vol. 213, No. 2. pp. 217-221.
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abstract = "Background Advanced laparoscopic suturing (LS) tasks were developed based on a needs assessment. Initial validity evidence has been shown. The purpose of this multicenter study was to determine expert proficiency benchmarks for these tasks. Methods 6 tasks were included: needle handling (NH), offset-camera forehand suturing (OF), offset-camera backhand suturing (OB), confined space suturing (CF), suturing under tension (UT), and continuous suturing (CS). Minimally invasive surgeons experienced in LS completed the tasks twice. Mean time and median accuracy scores were used to establish the benchmarks. Results Seventeen MIS surgeons enrolled, from 7 academic centers. Mean (95{\%} CI) time in seconds to complete each task was: NH 169 (149–189), OF 158 (134–181), OB 189 (154–224), CF 181 (156–205), UT 379 (334–423), and CS 416 (354–477). Very few errors in accuracy were made by experts in each of the tasks. Conclusions Time- and accuracy-based proficiency benchmarks for 6 advanced LS tasks were established. These benchmarks will be included in an advanced laparoscopic surgery curriculum currently under development.",
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author = "{for the Simulation Committee of the Association for Surgical Education} and Elif Bilgic and Yusuke Watanabe and Dmitry Nepomnayshy and Aimee Gardner and Shimae Fitzgibbons and Iman Ghaderi and Adnan Alseidi and Dimitrios Stefanidis and John Paige and Neal Seymour and McKendy, {Katherine M.} and Richard Birkett and James Whitledge and Erica Kane and Anton, {Nicholas E.} and Vassiliou, {Melina C.}",
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N2 - Background Advanced laparoscopic suturing (LS) tasks were developed based on a needs assessment. Initial validity evidence has been shown. The purpose of this multicenter study was to determine expert proficiency benchmarks for these tasks. Methods 6 tasks were included: needle handling (NH), offset-camera forehand suturing (OF), offset-camera backhand suturing (OB), confined space suturing (CF), suturing under tension (UT), and continuous suturing (CS). Minimally invasive surgeons experienced in LS completed the tasks twice. Mean time and median accuracy scores were used to establish the benchmarks. Results Seventeen MIS surgeons enrolled, from 7 academic centers. Mean (95% CI) time in seconds to complete each task was: NH 169 (149–189), OF 158 (134–181), OB 189 (154–224), CF 181 (156–205), UT 379 (334–423), and CS 416 (354–477). Very few errors in accuracy were made by experts in each of the tasks. Conclusions Time- and accuracy-based proficiency benchmarks for 6 advanced LS tasks were established. These benchmarks will be included in an advanced laparoscopic surgery curriculum currently under development.

AB - Background Advanced laparoscopic suturing (LS) tasks were developed based on a needs assessment. Initial validity evidence has been shown. The purpose of this multicenter study was to determine expert proficiency benchmarks for these tasks. Methods 6 tasks were included: needle handling (NH), offset-camera forehand suturing (OF), offset-camera backhand suturing (OB), confined space suturing (CF), suturing under tension (UT), and continuous suturing (CS). Minimally invasive surgeons experienced in LS completed the tasks twice. Mean time and median accuracy scores were used to establish the benchmarks. Results Seventeen MIS surgeons enrolled, from 7 academic centers. Mean (95% CI) time in seconds to complete each task was: NH 169 (149–189), OF 158 (134–181), OB 189 (154–224), CF 181 (156–205), UT 379 (334–423), and CS 416 (354–477). Very few errors in accuracy were made by experts in each of the tasks. Conclusions Time- and accuracy-based proficiency benchmarks for 6 advanced LS tasks were established. These benchmarks will be included in an advanced laparoscopic surgery curriculum currently under development.

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