Purpose: Describe integration of a resident-led Fundamentals of Laparoscopic Surgery (FLS) training curriculum into an Obstetrics/Gynecology (OBGYN) program
Background: FLS is a standardized assessment of laparoscopic skills and a eligibility requirement of The American Board of Obstetrics and Gynecology (ABOG) Qualifying Exam. It is unclear how self-directed training may correlate with FLS skill acquisition among OBGYN residents.
Methods: An FLS training program was implemented consisting of required pre/post testing and suggested self-guided practice. Pre/post-testing time to completion (TCT) and resident-maintained records of practice attempts for five FLS tasks were collected. Data were summarized using means and frequencies.
Results: Sixteen OBGYN residents were studied. The mean (SD) number of practice attempts were 65 (18) for peg transfer (task 1), 17 (14) for precision cutting (task 2), 4 (3) for ligating loop (task 3), 7 (5) for suture with extracorporeal knot (task 4), and 14 (10) for suture with intracorporeal knot (task 5). Of residents who completed both pre/post-testing, 100% improved TCT for tasks 1 and 2, 58% improved TCT for task 3, 55% improved on task 4, and 73% improved on task 5. The mean (SD) improvements in TCT between pre/post-tests were 120 seconds (60) for task 1, 88 seconds (54) for task 2, 12 seconds (63) for task 3, 11 seconds (178) for task 4, and 104 seconds (213) for task 5.
Discussions: A resident-led curriculum for practice of FLS tasks allows for an individualized time commitment, development of skills, and leads to overall improvement in TCT for each task.
Topics: CREOG & APGO Annual Meeting, 2021, Resident, Faculty, Residency Director, Practice-Based Learning & Improvement, GME, Simulation, Independent Study, Minimally Invasive Surgery,
Meghan Barr, BS, University of Kansas School of Medicine; Shadae Beale, MD; Madhuri Reddy, MD
