title: Development of laparoscopic skills in medical students naive to surgical training.
abstract: OBJECTIVE
  To assess the acquisition of basic laparoscopic skills of Medical students trained on a surgical simulator.
  
  
  METHODS
  First- and second-year Medical students participated on a laparoscopic training program on simulators. None of the students had previous classes of surgical technique, exposure to surgical practice nor training prior to the enrollment in to the study. Students´ time were collected before and after the 150-minute training. Skill acquisition was measured comparing time and scores of students and senior instructors of laparoscopic surgery.
  
  
  RESULTS
  Sixty-eight students participated of the study, with a mean age of 20.4 years, with a predominance of first-year students (62%). All students improved performance in score and time, after training (p<0,001). Score improvement in the exercises ranged from 294.1 to 823%. Univariate and multivariate analyses identified that second-year Medical students have achieved higher performance after training.
  
  
  CONCLUSIONS
  Medical students who had never been exposed to surgical techniques can acquire basic laparoscopic skills after training in simulators. Second-year undergraduates had better performance than first-year students.
authors: Universidade Positivo, Curitiba, PR, Brazil.
authors: Worens Luiz Pereira
authors: WL
authors: Cavalini
authors: Instituto Jacques Perissat, Curitiba, PR, Brazil.
authors: Christiano Marlo Paggi
authors: CM
authors: Claus
authors: Instituto Jacques Perissat, Curitiba, PR, Brazil.
authors: Daniellson
authors: D
authors: Dimbarre
authors: Instituto Jacques Perissat, Curitiba, PR, Brazil.
authors: Antonio Moris
authors: AM
authors: Cury Filho
authors: Instituto Jacques Perissat, Curitiba, PR, Brazil.
authors: Eduardo Aimoré
authors: EA
authors: Bonin
authors: Instituto Jacques Perissat, Curitiba, PR, Brazil.
authors: Marcelo de Paula
authors: Mde P
authors: Loureiro
authors: Universidade Positivo, Curitiba, PR, Brazil.
authors: Paolo
authors: P
authors: Salvalaggio
mesh_terms: D000293:Adolescent; D000328:Adult; D002983:Clinical Competence; D003198:Computer Simulation; D004501:Education, Medical / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000193:education*; D008137:Longitudinal Studies; D008297:Male; D017145:Models, Educational; D015999:Multivariate Analysis; D011446:Prospective Studies; D013337:Students, Medical / Q000706:statistics & numerical data; D013997:Time Factors; D055815:Young Adult
references: Am J Surg. 1998 Jun;175(6):482-7
references: 9645777
references: J Surg Res. 2010 Sep;163(1):24-8
references: 20605587
references: J Am Coll Surg. 2008 May;206(5):897-904; discussion 904-7
references: 18471719
references: BJOG. 2011 Dec;118(13):1576-84
references: 21981275
references: Surg Endosc. 2005 Jan;19(1):101-4
references: 15531975
references: Am J Surg. 2014 Feb;207(2):263-70
references: 24468026
references: Ann Surg. 2004 Sep;240(3):518-25; discussion 525-8
references: 15319723
references: Ann Surg. 2013 Feb;257(2):224-30
references: 23013806
references: Mcgill J Med. 2007 Jul;10(2):140-3
references: 18523542
references: Surgery. 2012 Jul;152(1):12-20
references: 22341719
references: Am J Surg. 2012 Mar;203(3):397-400; discussion 400
references: 22364906
references: J Surg Res. 2012 Oct;177(2):207-10
references: 22682529
references: Surgery. 2009 Aug;146(2):381-6
references: 19628099
references: J Am Coll Surg. 2005 Jul;201(1):23-9
references: 15978440
references: Am J Surg. 2001 Aug;182(2):137-42
references: 11574084
references: Surg Innov. 2007 Jun;14(2):107-12
references: 17558016
references: Surg Endosc. 2003 Jul;17(7):1082-5
references: 12728373
references: Am J Surg. 2006 Jan;191(1):23-7
references: 16399101
references: J Surg Educ. 2013 Jul-Aug;70(4):508-13
references: 23725939
references: Surgery. 2004 Jan;135(1):28-42
references: 14694298
references: Int Braz J Urol. 2013 Sep-Oct;39(5):712-9
references: 24267114
references: J Am Coll Surg. 2007 Aug;205(2):307-13
references: 17660078
references: World J Surg. 2014 Feb;38(2):296-304
references: 24146198
references: J Am Coll Surg. 2004 Jan;198(1):105-10
references: 14698317
references: Am J Surg. 2010 Jan;199(1):115-20
references: 20103076
references: J Surg Educ. 2008 Sep-Oct;65(5):335-9
references: 18809161
references: J Turk Ger Gynecol Assoc. 2014 Jun 01;15(2):69-73
references: 24976769