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Original Research Paper

Simulation in surgical education: a review of a multi- tiered gynaecological laparoscopy workshop

Authors:

O. J. Y. Kirsten ,

Singapore General Hospital, Singapore, LK
About O. J. Y.
Department of Obstetrics and Gynaecology
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T. W. K. Andy,

Singapore General Hospital, SG
About T. W. K.
Department of Obstetrics and Gynaecology
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D. F. C. Wei,

SingHealth Duke-NUS Institute of Medical Simulation (SIMS), SingHealth Academy, SG
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L. S. K. Jason

Singapore General Hospital, SG
About L. S. K.
Department of Obstetrics and Gynaecology
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Abstract

Background: While minimally access approach has become the gold standard for many gynaecological procedures, laparoscopic surgery has a steep learning curve and many trainees face challenges acquiring the necessary skills. The aim of our study was to evaluate the effectiveness of a multi-tiered laparoscopy simulation workshop for gynaecology residents.

 

Approach: An observational study was conducted at SingHealth Duke-National University of Singapore (NUS) Institute of Medical Simulation Centre (SIMS) between November 2016 and November 2017. Gynaecology residents were recruited to attend two separate one-day workshops held in November 2016 and November 2017 respectively, involving didactic lectures, dry-lab simulation and animal training. Participants rated various learning domains of the training workshops using a five-point scale Likert in pre- and post-workshop surveys.

 

Findings: The study enrolled 16 residents in total. On a Likert scale from 1 to 5 (1 being poor and 5 being excellent), participants rated significant improvement in domains of general laparoscopy skills acquisition (1.7 + 0.6 to 4.9 + 0.4; p<0.001), dry lab simulation (1.9 + 0.5 to 4.8 + 0.4; p<0.001), confidence in laparoscopy suturing skills (1.1 + 0.3 to 4.8 + 0.4; p<0.001) and laparoscopy knowledge (2.1 + 0.5 to 4.7 + 0.5; p<0.001).

 

Conclusion: A combination of didactic lectures, dry-lab simulation and animal training under expert supervision and guidance dramatically improved surgical skills and confidence in gynaecology residents. Such a multi-tiered format allows for effective learning and acquisition of laparoscopic skills.
How to Cite: Kirsten, O.J.Y., Andy, T.W.K., Wei, D.F.C. and Jason, L.S.K., 2021. Simulation in surgical education: a review of a multi- tiered gynaecological laparoscopy workshop. South-East Asian Journal of Medical Education, 15(1), pp.34–40. DOI: http://doi.org/10.4038/seajme.v15i1.364
Published on 11 Oct 2021.
Peer Reviewed

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