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The Residency Buddy System: A Better Way to Encourage Laparoscopy Simulation Training?

Purpose: To determine if a “buddy-system” compared to independent training increases laparoscopic simulation time amongst residents.

Background: Based on prior research, laparoscopic box-trainers improve proficiency on surgical skills, however voluntary simulation time by residents is traditionally low. We propose that a buddy system approach to simulation will increase laparoscopic training time, and further improve skills.

Methods: Thirty-two residents at a single obstetric and gynecology residency program were consented for the study.  Each buddy pair was composed of a junior and senior resident. During the first half of the 20-week study, 12 residents were randomly assigned a buddy while 20 remained solo.  During the second half, solo-trainers were assigned buddies and conversely buddies were made solo. Residents recorded check-in and -out times electronically. (Assignments were provided via email at the beginning and mid-way points; no other contact was made.) At the conclusion of the study period a survey link was distributed.

Results: Six of the 32 residents (18.8%) attended simulation in the 20-weeks, with an average time of 2 hours 14 minutes. In the solo-trainer group, 1 resident checked in 3 times and 2 residents once. In the buddy group, 1 pair checked in together and 1 person checked in alone.  Fifteen residents (46.9%) completed the survey.  Thirteen (86.7%) agreed they accurately reported times; 1 was neutral and 1 never attended. All communicated with their buddy monthly or less frequently, while 10 of them never communicated.

Discussions: Residents’ laparoscopic simulation time was dismal at our program in this study. Dedicated mandatory simulation time may increase participation.

Topics: Minimally Invasive Surgery, Independent Study, CME, Medical Knowledge, Residency Director, Faculty, 2019, CREOG & APGO Annual Meeting,

General Information


Keywords
Intended
Audience
Faculty,Residency Director,
Competencies
Addressed
Medical Knowledge,
Educational
Continuum
CME,
Educational
Focus
Independent Study,
Clinical Focus
Minimally Invasive Surgery,

Author Information

Kayvahn Steck-Bayat, MD, University of Arizona College of Medicine - Phoenix; Olga Borodulin, MD; Jamal Mourad, DO; Nichole Mahnert, MD

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