Training of students of higher medical educational institutions in endovideosurgery skills
Journal: I.P. Pavlov Russian Medical Biological Herald (Vol.28, No. 4)Publication Date: 2020-12-30
Authors : Lipatov V.A. Severinov D.A. Naimzada M.Z. Dragovoz I.S.;
Page : 497-505
Keywords : minimally invasive surgery; endovideosurgery; laparoscopy; simulation training; training of students; practical skills;
Abstract
Aim. Evaluation of basic skills in endovideosurgery of students of higher medical educational institutions (HMEI) before and after taking an elective course «Basics of Surgical Technique». Materials and Methods. Basic skills in endovideosurgery were investigated in students of the General Medicine Faculty before and after taking an elective course «Basics of Surgical Technique» organized on the base of the simulation hall of the experimental surgery and oncology laboratory of Research Institute of Experimental Medicine at Kursk State Medical University. The training course included the following exercises on box trainers: Peg Transfer, Pattern Cut, Intracorporal (single interrupted) Suture. After achievement of satisfactory results, final assessment was conducted in the form of examination in practical skills and abilities on laboratory animals – biological models (Wetlab). Manipulations conducted by students were assessed using Global Operative Assessment of Laparoscopic Skill (GOALS). Results. The average values of the assessed parameters increased: criteria «manipulations with tissues» from 2.8 to 4.0 points (42.9%), «perception of depth» from 2.4 to 3.6 points (50%), «movement effectiveness» – by 54.5% (from 2.2 to 3.4 points), «bimanual orientation» – by 60% (from 2.0 to 3.2 points). Criterion «independence» increased by 66.7% (from 1.8 to 3.0 points). Conclusion. After the elective course «Basics of Surgical Technique», all average values of the studied parameters increased. The results obtained evidence effectiveness of the methods of training in basics of endovideosurgery within the frames of the elective course, which permits to develop skills in endosurgical technique at the stage of getting higher medical education.
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