Authors: (including presenting author): :
CT Wang (1), KF Wong (1), SK Leung (1), WM Kwan (2), Benny Cheng (2)
Affiliation: :
(1) Department of Surgery, New Territories West Cluster, Hospital Authority; (2) Division of Quality & Safety, Clinical skill center
Introduction: :
Laparoscopic surgery and endoscopy are indisputably a form of art that surgeons are expected to master. The dexterity of surgeon’s hand was traditionally trained with real clinical cases. However, surgical trainees nowadays have less training opportunities due to higher standard of care. In light of this, Laparoscopic and Endoscopic Training Station, LETS, is established in New Territories West Cluster (NTWC) to provide a hand-on stimulation for medical students and healthcare workers, such that they can safely acquire prerequisite skills before performing on real patients.
Objectives: :
To evaluate the role of simulation in embarking interest of becoming a surgeon
To evaluate the effectiveness of laparoscopic and endoscopic simulation in helping medical students and surgical trainees to acquire basic skills
Methodology: :
This simulation workshop lasts for 60-90 minutes. After a 10-15 minutes briefing, hand on training will be provided, including basic laparoscopic skills, how to rule out bowel pathologies via laparoscopic approach, how to perform laparoscopic appendectomy and oesophago-gastro-duodenoscopy.
At the end of the workshop, participants will be requested to complete a questionnaire for feedback.
1. This training station meets my training needs
2. Length of course is too long
3. Simulation is more powerful than lecture-based training
4. This training station increases my interest in learning operation
5. This training station increases my interest in learning endoscopy
6. Laparoscopic and endoscopic simulation should be included in the curriculum
Result & Outcome: :
This station was started from 12/2019 (temporarily closed from 2/2020 to 7/2020 due to COVID 19), 50 participants joined this program, including 48 medical students and 2 house officers. After reviewing the questionnaire, more than 90% of them agreed (1) this training station meets their training needs, (2) simulation is more powerful than lecture based training, (3) this training station increases their interest in learning operation/ endoscopy, and (4) simulation should be included in the curriculum.
In the contrary, 92% participants disagreed the length of course is too long.
Overall comments received from participants were very positive in which the simulation has enhanced their interest level in surgery. Participants also showed eagerness in having more training sessions in the future, as it was the first encounter of laparoscopic surgery and endoscopy in some of the participants.