title: Implementation of a Cross-specialty Training Program in Basic Laparoscopy.
abstract: OBJECTIVE
  Several surgical specialties use laparoscopy and share many of the same techniques and challenges, such as entry approaches, equipment, and complications. However, most basic training programs focus on a single specialty. The objective of this study was to describe the implementation of a regional cross-specialty training program for basic laparoscopy, to increase the flexibility of educational courses, and to provide a more efficient use of simulation equipment.
  
  
  METHODS
  Using a regional training program in basic laparoscopy for gynecology as a model, we developed a cross-specialty training program for residents in surgery, gynecology, urology, and thoracic surgery. We reviewed data on training for the first year of the program and evaluated the program by using a scoring system for quality criteria for laparoscopic curricula and skills.
  
  
  RESULTS
  We held 6 full-day theoretical courses involving 67 residents between September 1, 2013, and August 31, 2014. In the weeks following each course, residents practiced in a self-directed, distributed, and proficiency-based manner at a simulation center and in local hospital departments. A total of 57 residents completed the self-practice and a subsequent practical animal laboratory-based course. The structure of the training program was evaluated according to identified quality criteria for a skills laboratory, and the program scored 38 of a maximum 62 points.
  
  
  CONCLUSIONS
  Implementation of a regional cross-specialty training program in basic laparoscopy is feasible. There are several logistic benefits of using a cross-specialty approach; however, it is important that local departments include specialty-specific components, together with clinical departmental follow-up.
authors.affiliation: Department of Surgery, Roskilde and Koege Hospital, Koege, Denmark.
authors.forename: Flemming
authors.initials: F
authors.lastname: Bjerrum
authors.affiliation: Department of Obstetrics and Gynecology, The Juliane Marie Centre for Children, Women, and Reproduction, Rigshospitalet.
authors.forename: Jette Led
authors.initials: JL
authors.lastname: Sorensen
authors.affiliation: Department of Surgery, Roskilde and Koege Hospital, Koege, Denmark.
authors.forename: Jette
authors.initials: J
authors.lastname: Thinggaard
authors.affiliation: Department of Obstetrics and Gynecology, The Juliane Marie Centre for Children, Women, and Reproduction, Rigshospitalet.
authors.forename: Jeanett
authors.initials: J
authors.lastname: Strandbygaard
authors.affiliation: Centre for Clinical Education, Capital Region, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Lars
authors.initials: L
authors.lastname: Konge
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D003718:Denmark; D013502:General Surgery / Q000193:education; D006176:Gynecology / Q000193:education; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy / Q000193:education*; D015397:Program Evaluation; D013903:Thoracic Surgery / Q000193:education; D014572:Urology / Q000193:education
keywords: Curriculum; Education; Laparoscopy; Training