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

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• 作者：Lauren B. Mashaud ; Antonio O. Castellvi ; Lisa A. Hollett ; Deborah C. Hogg ; Seifu T. Tesfay ; Daniel J. Scott
• 刊名：Surgery
• 出版年：2010
• 出版时间：August 2010
• 年：2010
• 卷：148
• 期：2
• 页码：194-201
• 全文大小：392 K

文摘

class=""h4"">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.

class=""h4"">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.

class=""h4"">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.

class=""h4"">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.