Two-year skill retention and certification exam performance after fundamentals of laparoscopic skills training and proficiency maintenance

Lauren B. Mashaud, Antonio O. Castellvi, Lisa A. Hollett, Deborah C. Hogg, Seifu T. Tesfay, Daniel J. Scott

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

Background: The purpose of this study was to determine 2-year performance retention and certification exam pass rate after completion of a proficiency-based fundamental laparoscopic skills (FLS) curriculum and subsequent interval training. Methods: Surgery residents (postgraduate year [PGY]1-5, n = 91) were enrolled in an Institutional Review Board approved protocol. All participants initially underwent proficiency-based training on all 5 FLS tasks. Subsequently, available residents were enrolled every 6 months in an ongoing training curriculum that included retention tests on tasks 4 and 5, with mandatory retraining to proficiency if the proficiency levels were not achieved. The final retention test included the actual FLS certification examination for PGY4-5 trainees. Results: A 96% participation rate was achieved for all curricular components during the 2-year study period (PGY3-5, n = 33). Skill retention at retention 1-4 was 83%, 94%, 98%, and 91% for task 4 and 85%, 95%, 96%, and 100% for task 5, respectively. All PGY4-5 (n = 20) residents passed the FLS certification examination, achieving 413 ± 28 total score on the skills portion (passing score ≥270) and demonstrating 92% retention for all 5 tasks. Conclusion: Proficiency-based training with subsequent ongoing practice results in a very high level of skill retention after 2 years and uniformly allows trainees to pass the FLS certification examination.

Original languageEnglish (US)
Pages (from-to)194-201
Number of pages8
JournalSurgery
Volume148
Issue number2
DOIs
StatePublished - Jun 25 2010

ASJC Scopus subject areas

  • Surgery

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