Performance in the Fundamentals of Laparoscopic Surgery: Does it reflect global rating scales in the Objective Structured Assessment of Technical Skills in porcine laparoscopic surgery?
作者机构：Yong Loo Lin School of MedicineDepartment of SurgeryNational University of SingaporeSingapore S.H.Ho Urology CentreDepartment of SurgeryThe Chinese University of Hong KongHong KongChina Department of UrologyJuntendo University Graduate School of MedicineTokyoJapan Department of UrologyNational University HospitalSingapore Department of UrologyBeijing United Family HospitalBeijingChina Department of SurgeryUniversity of Malaya Specialist CentreKuala LumpurMalaysia Division of UrologyDepartment of SurgeryTuen Mun HospitalHong Kong Department of UrologyRamathibodi HospitalMahidol UniversitySalayaThailand Department of UrologyBeijing HospitalBeijingChina Department of UrologyChiangmai Ram HospitalChiang MaiThailand International UrologyFertility&Gynaecology CentreSingapore
出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)
年 卷 期：2024年第11卷第3期
页 面：443-449页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：The Fundamentals of Laparoscopic Surgery Assessment of Technical Skills Laparoscopic training Surgical education Surgical training Urological laparoscopic surgery
摘 要：Objective:To correlate the utility of the Fundamentals of Laparoscopic Surgery(FLS)manual skills program with the Objective Structured Assessment of Technical Skills(OSATS)global rating scale in evaluating operative ***:The Asian Urological Surgery Training and Educational Group(AUSTEG)Laparoscopic Upper Tract Surgery Course implemented and validated the FLS program for its usage in laparoscopic surgical ***’basic laparoscopic skills were assessed using three different training models(peg transfer,precision cutting,and intra-corporeal suturing).They also performed live porcine laparoscopic surgery at the same *** surgery skills were assessed by blinded faculty using the OSATS rating ***:From March 2016 to March 2019,a total of 81 certified urologists participated in the course,with a median of 5 years of post-residency *** differences in task time did not reach statistical significance,those with more surgical experience were visibly faster at completing the peg transfer and intra-corporeal suturing FLS ***,they took longer to complete the precision cutting task than participants with less *** OSATS scores correlated weakly with all three FLS tasks(peg transfer time:r=0.331,r^(2)=0.110;precision cutting time:r=0.240,r^(2)=0.058;suturing with intracorporeal knot time:r=0.451,r^(2)=0.203).Conclusion:FLS task parameters did not correlate strongly with OSATS globing rating scale *** FLS task models demonstrated strong validity,it is important to assimilate the inconsistencies when benchmarking technical proficiency against real-life operative competence,as evaluated by FLS and OSATS,respectively.
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