What are the Training Gaps for Acquiring Laparoscopic Suturing Skills?

Publication date: Available online 3 April 2017
Source:Journal of Surgical Education
Author(s): Ghada Enani, Yusuke Watanabe, Katherine M. McKendy, Elif Bilgic, Liane S. Feldman, Gerald M. Fried, Melina C. Vassiliou
IntroductionAdvanced laparoscopic suturing is considered a challenging skill to acquire. The aim of this study was to investigate the learning process for advanced laparoscopic suturing in the operating room to understand the obstacles trainees face when trying to master the skill.MethodsA qualitative methodology using semistructured interviews and field observations was used. Data were analyzed using a Grounded Theory approach. Participants were general surgery residents and surgeons with advanced minimally invasive surgery (MIS) experience.ResultsTen MIS surgeons across different institutions and 15 local general surgery residents were interviewed. The semistructured interviews and field observations of 9 advanced MIS operations (27h) yielded the following 6 themes around the acquisition of laparoscopic suturing skills for residents: complexity, training misalignment, variability of opportunities, inconsistency of techniques, lack of feedback, and differing expectations.ConclusionThere are several unmet training needs around laparoscopic suturing skills. Training for advanced laparoscopic skills requires more emphasis on coaching and the development of advanced models. This study heralded the need to incorporate advanced laparoscopic skills into the surgical simulation curriculum.



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