FAUCS Surgery: Learning Curve for Resident

NCT ID: NCT04155177

Last Updated: 2021-05-05

Basic Information

• Recruitment Status: WITHDRAWN
• Study Classification: OBSERVATIONAL
• Study Start Date: 2021-03-30
• Study Completion Date: 2022-03-30

Brief Summary

In the last decades, caesarean section (CS) rates are getting higher in all over the world.

This encourages us to improve operative techniques. In January 2018, investigators have introduced in the study unit: The French Ambulatory C section (FAUCS). This innovative approach appeares to provide a shorter recovery time, with a hospital discharge the day after surgery in 90% and then a better experience of childbirth.

The diffusion of this technique requires its integration to the curriculum of residency.

In this study, investigators will determine the mean number of procedures needed for trainees to master FAUCS.

Detailed Description

Caesarean section (CS) is of the most commonly performed operations worldwide. This encourages a permanent search to improve the operative techniques for a better childbirth experience. The MisgavLadach (MLC), caesarean section is the gold standard for caesarean section. Thus so, it is included During the first years of obstetrics curriculum.

In January 2018, investigators have introduced The French Ambulatory C section (FAUCS) in the study unit. It is an innovative approach for CS. combining a left paramedian incision , an extra peritoneal access to the uterus and a purse-string double-layer closure of the uterus. Since that date, two doctors practice it regularly. However, the diffusion of this technique requires its integration into the curriculum of residency. Currently, there is no study on the learning procedure of FAUCS.

In our study, investigators will determine the mean number of procedures needed for trainees to master FAUCS.

Once the resident will master the procedure, investigators will study his skills evolution every 5 surgeries performed alone.

Conditions

Caesarean; Training

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

begining of curriculum

trainees in obstetrics and gynecology who have achieved less than 2 years of their hole curriculum

training for french ambulatory caesarean section

Intervention Type: PROCEDURE

The participant will be first invited to consult a theoretical support and a video treating on FAUCS.

After that, he will be asked to be the first assistant, in a FAUCS procedure with one of the two senior surgeons assigned for the study.

In a second step, the trainee will have to perform all the steps of the FAUCS, assisted by one of the two senior surgeons . During each surgery, Operative time will be measured, while an evaluation on four stages according to the Zwisch model of supervision will performed by the senior surgeons .

Once, the two seniors agree on the highest level assessment for the resident, he will be allowed to operate alone FAUCS procedures and will be evaluated by the measurement of operating times, the neonatal outcomes and the occurrence or not of complications.

finally, total number of FAUCS procedures required for each resident in order to master the technique will be determined.

mid curriculum

trainees in obstetrics and gynecology who have achieved at least 2 years and less than 4 years of their hole curriculum

training for french ambulatory caesarean section

Intervention Type: PROCEDURE

The participant will be first invited to consult a theoretical support and a video treating on FAUCS.

After that, he will be asked to be the first assistant, in a FAUCS procedure with one of the two senior surgeons assigned for the study.

In a second step, the trainee will have to perform all the steps of the FAUCS, assisted by one of the two senior surgeons . During each surgery, Operative time will be measured, while an evaluation on four stages according to the Zwisch model of supervision will performed by the senior surgeons .

Once, the two seniors agree on the highest level assessment for the resident, he will be allowed to operate alone FAUCS procedures and will be evaluated by the measurement of operating times, the neonatal outcomes and the occurrence or not of complications.

finally, total number of FAUCS procedures required for each resident in order to master the technique will be determined.

Advanced

trainees in obstetrics and gynecology who have achieved at least 4 years of their hole curriculm

training for french ambulatory caesarean section

Intervention Type: PROCEDURE

The participant will be first invited to consult a theoretical support and a video treating on FAUCS.

After that, he will be asked to be the first assistant, in a FAUCS procedure with one of the two senior surgeons assigned for the study.

In a second step, the trainee will have to perform all the steps of the FAUCS, assisted by one of the two senior surgeons . During each surgery, Operative time will be measured, while an evaluation on four stages according to the Zwisch model of supervision will performed by the senior surgeons .

Once, the two seniors agree on the highest level assessment for the resident, he will be allowed to operate alone FAUCS procedures and will be evaluated by the measurement of operating times, the neonatal outcomes and the occurrence or not of complications.

finally, total number of FAUCS procedures required for each resident in order to master the technique will be determined.

Interventions

training for french ambulatory caesarean section

The participant will be first invited to consult a theoretical support and a video treating on FAUCS.

After that, he will be asked to be the first assistant, in a FAUCS procedure with one of the two senior surgeons assigned for the study.

In a second step, the trainee will have to perform all the steps of the FAUCS, assisted by one of the two senior surgeons . During each surgery, Operative time will be measured, while an evaluation on four stages according to the Zwisch model of supervision will performed by the senior surgeons .

Once, the two seniors agree on the highest level assessment for the resident, he will be allowed to operate alone FAUCS procedures and will be evaluated by the measurement of operating times, the neonatal outcomes and the occurrence or not of complications.

finally, total number of FAUCS procedures required for each resident in order to master the technique will be determined.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• trainee in obstetrics and gynecology.
• trainee subscribed for a training programm in the suty unit during the study period

Exclusion Criteria

• Trainee in obstetrics and gynecology subscribed in atraining program elswhere from the sutudy unit during the study period
• trainee who refused to participate in the study

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University Tunis El Manar

OTHER

Sponsor Role: lead

Responsible Party

Kaouther Dimassi

Associate professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

kaouther dimassi, MD

Role: PRINCIPAL_INVESTIGATOR

University Tunis El Manar , Faculty of medicine Tunis

Locations

Kaouther Dimassi

Tunis, Marsa, Tunisia

Countries

Tunisia

Other Identifiers

36211361

Identifier Type: -

Identifier Source: org_study_id