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. 2012;4(2):95-101.

Are you good enough for your patients? The European certification model in laparoscopic surgery

R Campo  1 , C R Molinas  2 , R L De Wilde  3 , H Brolmann  4 , S Brucker  5 , L Mencaglia  6 , P Odonovan  7 , D Wallwiener  8 , A Wattiez  9
Affiliations

Are you good enough for your patients? The European certification model in laparoscopic surgery

R Campo et al. Facts Views Vis Obgyn. 2012.

Abstract

Quality control, training and education in gynaecological surgery are challenged and urgent measures are emerging. The implementation of a structured and validated program for training and quality control seems the most urgent measurement to be taken. The European Academy of Gynaecological Surgery has made a first attempt to do so. Through a practical and theoretical tests system, the skills of an individual surgeon is measured and the conditions to enter the different level of expertise are clearly defined. This certification system based on the best possible level of scientific evidence provides a first practical tool, universally implementable for a decent quality control and structured training program in Gynaecological laparoscopic surgery.

Keywords: Laparoscopy; certification; education; psychomotor skills; training.

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Figures

Fig. 1
Fig. 1. Training box for laparoscopic surgery with the LASTT wooden model.
Fig. 2
Fig. 2. Construct validity of Bimanual Coordination in the LASTT model. The ability to grasp six pre-defined objects with the dominant hand and re-grasp and transport them with the non-dominant hand to pre-defined targets in the LASTT model was evaluated. Higher scores represent bad performance. The upper graph shows the scores of the participants in function to their exposure to laparoscopic surgery. The lower graph shows the median (interquartile range) scores of the three groups. Group 1 (G1, green): no or little exposure to laparoscopy. Group 2 (G2, yellow): intermediate exposure to laparoscopy. Group 3 (G3, yellow): important exposure to laparoscopy. ***P < 0.001 (G1 vs. G3); °°P < 0.01 (G2 vs. G3). Reproduced with permission from Gynecol Surg 2008; 5(4):281-290.
Fig. 3
Fig. 3. The Suturing and knot tying Training and Testing model (SUTT).
Fig. 4
Fig. 4. “E-Knot “. The easy home trainer
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