title: A deficiency in knowledge of basic principles of laparoscopy among attendees of an advanced laparoscopic surgery course.
abstract: BACKGROUND
  Advanced laparoscopic courses serve as a comprehensive and popular Continuing Medical Education (CME) activity. Knowledge of basic laparoscopy is an assumed prerequisite for attendance at these courses.
  
  
  OBJECTIVE
  To determine the baseline laparoscopic knowledge of attendees at an advanced laparoscopic surgical course.
  
  
  METHODS
  A.17-question examination was designed using data from the basic laparoscopic quizzes on the Society of American Gastrointestinal Surgeons (SAGES) website (http://www.sages.org/education/quiz). The questions covered 4 realms of basic laparoscopy: access, pneumoperitoneum, camera navigation, and surgical instrumentation. The questionnaire was distributed to all attendees at an advanced laparoscopic course at the 2009 Canadian Surgical Forum organized by the Canadian Association of General Surgeons.
  
  
  RESULTS
  Forty-three respondents completed the survey. Fifty-three percent (53%) of responders had been in practice for more than 10 years and 65% had over 5 years experience. Fifty-five percent (55%) [24/43] of respondents listed laparoscopic courses as the sole means of laparoscopic training. Sixty-one percent (61%) [28/43] were performing > 50 laparoscopic cases per year. The median score on the knowledge-based questions was 70.6% [12/17]. In terms of overall score, respondents with more than 5 years experience performed similarly to respondents with less than 5 years experience (73% correct answers). Interestingly, in a subgroup analysis, respondents performed well in camera skills and pneumoperitoneum-themed questions (84% correct answers) but performed poorly on questions pertaining to instrumentation or access (52% correct answers).
  
  
  CONCLUSIONS
  Basic laparoscopic knowledge among the attendees of an advanced laparoscopic course is suboptimal. A review of basic principles of laparoscopy particularly pertaining to instrumentation and access should form part of these CME activities.
authors.affiliation: Center for Advancement of Minimally Invasive Surgery, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Menezes
authors.forename: Daniel W
authors.initials: DW
authors.lastname: Birch
authors.forename: Andrey
authors.initials: A
authors.lastname: Vizhul
authors.forename: Xinzhe
authors.initials: X
authors.lastname: Shi
authors.forename: Vadim
authors.initials: V
authors.lastname: Sherman
authors.forename: Shahzeer
authors.initials: S
authors.lastname: Karmali
mesh_terms: D000416:Alberta; D000704:Analysis of Variance; D002983:Clinical Competence; D003107:Colorectal Surgery / Q000193:education; D003479:Curriculum; D004502:Education, Medical, Continuing / Q000458:organization & administration*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data; D010535:Laparoscopy / Q000193:education* / Q000592:standards*; D008297:Male; D008505:Medical Staff, Hospital / Q000706:statistics & numerical data*; D020380:Needs Assessment; D011795:Surveys and Questionnaires