Off-site Training in Laparoscopy

NCT ID: NCT02243215

Last Updated: 2015-10-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2015-07-31

Brief Summary

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The study is a randomized study exploring the difference between off-site vs. on-site training in laparoscopic skills. The study will be performed using fifty surgical trainees from the departments of urology, surgery and gynecology. The participants will be recruited, enrolled and randomized during the introductory course in basic laparoscopic techniques held six times annually at Center of Clinical Education(CEKU).

Participants will be able to train laparoscopic skills on a Box Trainer(BT) and on a Virtual Reality Simulator(VRS). They will practice until they reach a predefined level of proficiency on seven basic modules, the procedure module; "salpingectomy" on the LapSimâ„¢ and reach the passing level of 358pts on the Training and Assessment of Basic Laparoscopic Techniques(TABLT) technical test.

The intervention group will have a portable trainer available to allow training at their convenience, be it at home or at work. The control group will only practice on-site at CEKU and at their local hospital.

Participants will be asked to keep a training log with details of time spend on training and number of training sessions. The training log will contain information on any type practice involving laparoscopy be it on a BT or a VRS at the local hospital, at home on the tablet trainer or training at CEKU. Also time spend in the operation room, assisting or performing laparoscopic surgery will be registered.

To pass the TABLT all participants will book a test session at CEKU for their final test at the end of their training. At the test sessions TABLT test scores will be established on site by the Chief Investigator and afterwards using video recordings of the test. A blinded rater will give scores based on the video recordings and this will be the decisive rating to determine whether the participant has passed the test.

To pass the VRS training an employee at CEKU will monitor a VRS practice session in which proficiency level is reached.

The enrollment of participants is expected to finish June 2015 a data analysis will be performed in July 2015.

Detailed Description

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Conditions

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Off-site Training in Laparoscopy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Offsite training

Access to a portable trainer for laparoscopic skills

Group Type EXPERIMENTAL

Access to a portable trainer for laparoscopic skills

Intervention Type OTHER

Participants will have a portable trainer available to allow training at their convenience, and will be able practice on-site at Center of Clinical Education and at their local hospital.

Onsite training

Will be able practice on-site at Center of Clinical Education and at their local hospital.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Access to a portable trainer for laparoscopic skills

Participants will have a portable trainer available to allow training at their convenience, and will be able practice on-site at Center of Clinical Education and at their local hospital.

Intervention Type OTHER

Other Intervention Names

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Laptap(R)

Eligibility Criteria

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Inclusion Criteria

* Participant is willing and able to give informed consent for participation in the study.

Exclusion Criteria

* hey have performed more than 50 laparoscopic procedures.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Region Capital Denmark

OTHER

Sponsor Role collaborator

Zealand University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ebbe Thinggaard

Medical Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ebbe Thinggaard, MD

Role: PRINCIPAL_INVESTIGATOR

Zealand University Hospital

Locations

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Center for Clinical Education

Copenhagen, Capital Region, Denmark

Site Status

Countries

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Denmark

References

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Korndorffer JR Jr, Bellows CF, Tekian A, Harris IB, Downing SM. Effective home laparoscopic simulation training: a preliminary evaluation of an improved training paradigm. Am J Surg. 2012 Jan;203(1):1-7. doi: 10.1016/j.amjsurg.2011.07.001.

Reference Type BACKGROUND
PMID: 22172481 (View on PubMed)

Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004 Oct;79(10 Suppl):S70-81. doi: 10.1097/00001888-200410001-00022. No abstract available.

Reference Type BACKGROUND
PMID: 15383395 (View on PubMed)

Gallagher AG, Jordan-Black JA, O'Sullivan GC. Prospective, randomized assessment of the acquisition, maintenance, and loss of laparoscopic skills. Ann Surg. 2012 Aug;256(2):387-93. doi: 10.1097/SLA.0b013e318251f3d2.

Reference Type BACKGROUND
PMID: 22580935 (View on PubMed)

Strandbygaard J, Bjerrum F, Maagaard M, Winkel P, Larsen CR, Ringsted C, Gluud C, Grantcharov T, Ottesen B, Sorensen JL. Instructor feedback versus no instructor feedback on performance in a laparoscopic virtual reality simulator: a randomized trial. Ann Surg. 2013 May;257(5):839-44. doi: 10.1097/SLA.0b013e31827eee6e.

Reference Type BACKGROUND
PMID: 23295321 (View on PubMed)

Snyder CW, Vandromme MJ, Tyra SL, Hawn MT. Proficiency-based laparoscopic and endoscopic training with virtual reality simulators: a comparison of proctored and independent approaches. J Surg Educ. 2009 Jul-Aug;66(4):201-7. doi: 10.1016/j.jsurg.2009.07.007.

Reference Type BACKGROUND
PMID: 19896624 (View on PubMed)

Kahol K, Leyba MJ, Deka M, Deka V, Mayes S, Smith M, Ferrara JJ, Panchanathan S. Effect of fatigue on psychomotor and cognitive skills. Am J Surg. 2008 Feb;195(2):195-204. doi: 10.1016/j.amjsurg.2007.10.004.

Reference Type BACKGROUND
PMID: 18194679 (View on PubMed)

Thinggaard E, Bjerrum F, Strandbygaard J, Konge L, Gogenur I. A randomised clinical trial of take-home laparoscopic training. Dan Med J. 2019 Jan;66(1):A5525.

Reference Type DERIVED
PMID: 30573006 (View on PubMed)

Other Identifiers

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REG-68-2014

Identifier Type: OTHER

Identifier Source: secondary_id

TABLT 2 Offsite

Identifier Type: -

Identifier Source: org_study_id

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