title: Standardized laparoscopic simulation positively affects a student's surgical experience.
abstract: OBJECTIVE
  The aim of the study was to determine whether a standardized orientation to basic laparoscopy makes a positive effect on the experience of third-year medical students.
  
  
  METHODS
  Fifty-three third-year medical students at the University of Missouri, Columbia were randomly divided into 2 groups during their clerkship orientation. Both groups received a 40-minute laparoscopic hands-on training simulation guided by instructors. However, only 1 group was given a 20-minute multimedia presentation on introduction to laparoscopy that covered equipment, set up, troubleshooting, and different methods of access into the abdomen. Both groups were given a preclerkship and postclerkship survey where students were asked to rate their experience, comfort, and interest in surgery on a 10-point Likert scale.
  
  
  RESULTS
  Hundred percent of the students receiving the combined hands-on training simulation and the 20-minute presentation felt that the experience helped during their clerkship (p = 0.002) and 92% felt it had a positive effect (p = 0.501). In contrast, only 72% of the group that received the hands-on training simulation alone found it helpful (p = 0.029) and 86% thought it had a positive effect (p = 0.508). There was no statistical difference between either group with regard to their perceived comfort with assistance in the operating room and with laparoscopy. Neither experience had a statistical effect on a students' interest in surgery as a career.
  
  
  CONCLUSIONS
  Our results demonstrate how a standardized orientation to basic laparoscopy can make a positive effect on a student's experience; however, it fails to transition into a student's interest in surgery as a profession or in their perceived comfort level in the operating room. Our study suggests that a student's surgical interest is highly variable and composed of multiple experiences that occur during their clerkship that ultimately affects their perception of surgery as a field and profession.
authors.affiliation: University of Missouri, Department of Surgery, Columbia, Missouri 65212, USA. galinanese@health.missouri.edu
authors.forename: Edgar Luis
authors.initials: EL
authors.lastname: Galiñanes
authors.forename: Jonathan R
authors.initials: JR
authors.lastname: Shirshenkan
authors.forename: Jennifer
authors.initials: J
authors.lastname: Doty
authors.forename: Mark R
authors.initials: MR
authors.lastname: Wakefield
authors.forename: Archana
authors.initials: A
authors.lastname: Ramaswamy
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000193:education* / Q000592:standards*; D008297:Male; D008923:Missouri; D019212:Multimedia; D011446:Prospective Studies; D055815:Young Adult