The basic laparoscopic skills long-term survival: new prediction scale

Abstract

Introduction: The most important principle of pedagogy, including medical, is to correctly assess the knowledge and skills acquisition since they must be restored during the study and retained for use in further professional practice. Knowledge and skills in time survival are of particular importance in medicine since its determination allows to reveal the necessary time for repeated training and evaluate in general the medical education system efficiency. Objective: To develop a scale for predicting basic laparoscopy skills long-term survival in the medical education system. Materials and methods: The training results and assessment of 48 Odessa National Medical University medical students have been studied with the use of basic laparoscopy skills module of 3-D laparoscopy simulator trained as part of this module at the 5th year, forming a comparative group - CG (for obtaining initial mathematical prediction indicators), repeated it at the 6th year - forming the main group - MG (this group for the knowledge survival calculations and for reaching the main goal). They have passed all the module tasks, at least 10 trainings per module with the number of repetitions from 1 to 4. Time was recorded for the practical skills, security parameters, visual-motor coordination, the selection and release of devices, pedaling, diathermy, aspiration, irrigation, with a video camera viewing angle of 30° and 0°. The definition of the initial (1st training), intermediate (5th training) and the final (10th training) level of the CG and the MG students practical skills during two years of training, forming 6 groups accordingly, using the self-assessment coefficient (SAC) of the trainee, developed by us on the questionnaires and the practical skills coefficient (PSC) based on the evaluation sheets was determined, summarized and generalized for each group. The Lykert 6-point scale (0-5) of competence levels total assessments were used.