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E-learning

Does E-learning assist bariatric surgical training?

The researchers hypothesise that trainees using the BOSATS checklist during E-learning will have a better learning curve while performing an RYGB with the VR trainer than students in the control group

A study by researchers from University of Heidelberg is examining whether scoring laparoscopic Roux-en-Y gastric bypass (RYGB) videos with performance checklists improves learning effects and transfer to a simulated operation. Started in April 2016, this mono-centric, two-arm, randomised controlled trial is assessing if E-learning and rating bariatric surgical videos with a modified Bariatric Objective Structured Assessment of Technical Skill (BOSATS) checklist will improve the learning curve for medical students in an RYGB virtual reality (VR) performance. The researchers believe “the study may help in future laparoscopic and bariatric training courses.”

The study paper, ‘Does rating the operation videos with a checklist score improve the effect of E-learning for bariatric surgical training? Study protocol for a randomized controlled trial’, was published in the journal Trials.

This study recruited 80 medical students from the University of Heidelberg who were randomised into one of two arms in a 1:1 ratio to the checklist group (group A) and control group without a checklist (group B). After all students are given an introduction of the training centre, VR trainer and laparoscopic instruments, they started E-learning while watching explanations and videos of RYGB.

Only group A will perform ratings with a modified Bariatric Objective Structured Assessment of Technical Skill (BOSATS) scale checklist for all videos watched. Group B watches the same videos without rating. Both groups will then perform an RYGB in the VR trainer as a primary endpoint and small bowel suturing as an additional test in the box trainer for evaluation.

The researchers hypothesise that trainees using the BOSATS checklist during E-learning (Group A), will have a better learning curve while performing an RYGB with the VR trainer than students in the control group, who use E-learning without rating the videos, and facilitate transfer to practice.

The training groups will participate in a standardised and structured multimodality training curriculum involving E-learning, VR trainer and laparoscopic box trainers. Basic skills are trained with the VR trainer and box trainer in a standardised and structured curriculum. For E-learning two different websites are used, www.webop.de and www.websurg.com, and three RYGB videos.

“The assessments of the study trainees will help us to understand the possible factors of influence for successful surgical education. It is important to ascertain which module will have a better outcome to be implemented into further laparoscopic and bariatric surgery training,” the authors note. “Due to the fact that the trainees are laparoscopic novice medical students, the results cannot be transferred directly to more experienced surgeons. However, the results will provide a better perspective for designing optimal bariatric surgery training.”

To access this paper, please click here

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