Accepted Type
Oral
Code
OD2-3-4
Acceptance Declaration
Accept
Additional Information
Yes, I have/had in the past 2 years, a financial interest, arrangement, or affiliation with one or more organizations that could be perceived as a direct/indirect conflict of interest in the context/content of the subject of this or any other presentation.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Other
Presenter Other
Postdoctoral fellow
Affiliation
Considered for Poster
yes
Title
Defining the skills needed to perform advanced laparoscopic suturing in simulation: a qualitative descriptive study
Length of Presentation
Background/Purpose
Advanced laparoscopic suturing (ALS) remains a challenge to trainees. Formative feedback should be meaningful and measurable to direct training and monitor progress. In this study, we identified themes that would be important to focus on for formative feedback when assessing 2 advanced laparoscopic suturing tasks.
Methods
Experienced MIS surgeons at McGill and University of Toronto(UofT) performed 2 ALS tasks using Endo StitchTM device: suturing under tension(UT) and continuous suturing(CS). After, they were shown an edited video of a novice performing the tasks and were asked to comment on the performance and key technical skills needed to perform each task. Interviews were transcribed, and inductive thematic content analysis was conducted.
Results
11 MIS surgeons(5 UofT, 6 McGill) participated. Previously, seven key principles were identified and used to structure the feedback: depth perception, laparoscopic safety, bimanual dexterity, exposure, tissue handling, instrument manipulation, and planning. For both tasks, emerging themes were: leaving appropriate length of the suture tail, knowing how to use the suturing device, using non-dominant hand as a post, coordinating both hands, taking bites in the right orientation, tying the knot securely, maintaining appropriate tension, and keeping target tissue steady.
Conclusion
This study identified formative feedback themes for 2 device-assisted laparoscopic suturing tasks. These themes will be useful for formative feedback and assessment as part of an advanced laparoscopic suturing curriculum. These themes could be used to develop a formative feedback tool.
Keyword 1
Formative assessment
Keyword 2
Simulation
Keyword 3
Laparoscopic suturing
Level of Training
Post Graduate
Abstract Themes
Assessment
Assessment
Formative
Additional Theme (First choice)
Postgraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Elif Bilgic
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
