title: Educational value of an intensive and structured interval practice laparoscopic training course for residents in obstetrics and gynecology: a four-year prospective, multi-institutional recruitment study.
abstract: OBJECTIVE
  To assess the educational value of an ongoing interval practice laparoscopy training program among obstetrics and gynecology residents.
  
  
  METHODS
  Prospective cohort, multi-institutional recruitment study. We conducted structured laparoscopic training sessions for residents, using both inanimate and porcine models. The 6-day course was separated into two 3-day long modules conducted 2 months apart. A prospective evaluation of standardized tasks was performed using validated scales. Resident's performance was compared using the Student t test and Wilcoxon signed-rank test when appropriate.
  
  
  METHODS
  International Center of Endoscopic Surgery (CICE), Clermont-Ferrand, France.
  
  
  METHODS
  191 PGY2 or PGY3 residents from different institutions.
  
  
  RESULTS
  Significant improvement in time and technical scores for both laparoscopic suturing and porcine nephrectomy was noted (p < 0.0001). After 2 months, we found no improvement in suturing time (p = 0.59) or technical scores (p = 0.62), and significant technical deterioration was observed for the right hand (p = 0.02). Porcine nephrectomy improvement remained significant after 2 months (p < 0.0001).
  
  
  CONCLUSIONS
  Despite significant short-term educational value of interval practice in laparoscopic performance, some acquired skills seem to deteriorate faster than anticipated.
authors.affiliation: Service de Gynecologie-Obstetrique et Medecine de la Reproduction, CHU Estaing, Clermont-Ferrand, France. b.revaz@cice.fr
authors.forename: Revaz
authors.initials: R
authors.lastname: Botchorishvili
authors.forename: Benoit
authors.initials: B
authors.lastname: Rabischong
authors.forename: Demetrio
authors.initials: D
authors.lastname: Larraín
authors.forename: Chong Kiat
authors.initials: CK
authors.lastname: Khoo
authors.forename: Georgia
authors.initials: G
authors.lastname: Gaia
authors.forename: Kris
authors.initials: K
authors.lastname: Jardon
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Pouly
authors.forename: Patricia
authors.initials: P
authors.lastname: Jaffeux
authors.forename: Bruno
authors.initials: B
authors.lastname: Aublet-Cuvelier
authors.forename: Michel
authors.initials: M
authors.lastname: Canis
authors.forename: Gerard
authors.initials: G
authors.lastname: Mage
mesh_terms: D000328:Adult; D000818:Animals; D002983:Clinical Competence; D015331:Cohort Studies; D004503:Education, Medical, Graduate / Q000458:organization & administration; D004521:Educational Measurement; D005260:Female; D005602:France; D006176:Gynecology / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D010535:Laparoscopy / Q000193:education*; D008297:Male; D023421:Models, Animal; D017145:Models, Educational; D009774:Obstetrics / Q000193:education*; D015397:Program Evaluation; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D013552:Swine; D013997:Time Factors