title: Use of collapsible box trainer as a module for resident education.
abstract: OBJECTIVE
  We sought to determine whether training with a simple collapsible mobile box trainer leads to improved performance of fundamental laparoscopic skills (FLSs) during a 6-month interval versus validated laparoscopic box trainers and virtual-reality trainers, only accessible at a simulation training center.
  
  
  METHODS
  With institutional review board approval, 20 first- and second-year general surgery residents were randomized to scheduled training sessions in a surgical simulation laboratory or training in the use of a portable, collapsible Train Anywhere Skill Kit (TASKit) (Ethicon Endo-Surgery Cincinnati, OH, USA) trainer. Training was geared toward the FLS set for a skill assessment examination at a 6-month interval.
  
  
  RESULTS
  The residents who trained with the TASKit performed the peg-transfer, pattern-cut exercise, Endoloop, and intracorporeal knot-tying FLS tasks statistically more efficiently during their 6-month assessment versus their initial evaluation as compared with the group randomized to the simulation laboratory training.
  
  
  CONCLUSIONS
  Using a simple collapsible mobile box trainer such as the TASKit can be a cost-effective method of training and preparing residents for FLS tasks considering the current cost associated with virtual and highdefinition surgical trainers. This mode of surgical training allows residents to practice in their own time by removing barriers associated with simulation centers.
authors.affiliation: Department of Surgery, University of Florida, Gainesville, FL, USA.
authors.forename: Angel M
authors.initials: AM
authors.lastname: Caban
authors.forename: Christopher
authors.initials: C
authors.lastname: Guido
authors.forename: Michele
authors.initials: M
authors.lastname: Silver
authors.forename: George
authors.initials: G
authors.lastname: Rossidis
authors.forename: George
authors.initials: G
authors.lastname: Sarosi
authors.forename: Kfir
authors.initials: K
authors.lastname: Ben-David
mesh_terms: D002983:Clinical Competence; D003198:Computer Simulation; D004503:Education, Medical, Graduate / Q000379:methods*; D004521:Educational Measurement; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy / Q000193:education*; D013647:Task Performance and Analysis; D014584:User-Computer Interface
references.citation: Surgery. 2005 Aug;138(2):165-70
references.pmid: 16153423
references.citation: Ann Surg. 2006 Jun;243(6):854-60; discussion 860-3
references.pmid: 16772789
references.citation: Acad Med. 2004 May;79(5):381-3
references.pmid: 15107275
references.citation: JAMA. 1992 Feb 5;267(5):653-4
references.pmid: 1731127
references.citation: Ann Surg. 2005 Feb;241(2):364-72
references.pmid: 15650649
references.citation: Surg Endosc. 2003 May;17(5):677-8
references.pmid: 12669229
references.citation: Am J Surg. 2011 Oct;202(4):500-6
references.pmid: 21943950
references.citation: J Surg Res. 2010 May 1;160(1):67-72
references.pmid: 19261297
references.citation: Am J Surg. 2012 Jan;203(1):1-7
references.pmid: 22172481
references.citation: J Surg Educ. 2011 Jul-Aug;68(4):282-9
references.pmid: 21708364
references.citation: Ann Surg. 2010 Jun;251(6):1181-5
references.pmid: 20485133
references.citation: Am J Surg. 2011 Sep;202(3):265-72
references.pmid: 21658672
references.citation: Am J Surg. 2007 Mar;193(3):326-9; discussion 329-30
references.pmid: 17320528
references.citation: Ann Surg. 2002 Oct;236(4):458-63; discussion 463-4
references.pmid: 12368674