A structured, extended training program to facilitate adoption of new techniques for practicing surgeons

Jacob A. Greenberg, Sally Jolles, Sarah Sullivan, Sudha Pavuluri Quamme, Luke M. Funk, Anne O. Lidor, Caprice Greenberg, Carla M. Pugh

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Introduction: Laparoscopic inguinal hernia repair has been shown to have significant benefits when compared to open inguinal hernia repair, yet remains underutilized in the United States. The traditional model of short, hands-on, cognitive courses to enhance the adoption of new techniques fails to lead to significant levels of practice implementation for most surgeons. We hypothesized that a comprehensive program would facilitate the adoption of laparoscopic inguinal hernia repair (TEP) for practicing surgeons. Methods: A team of experts in simulation, coaching, and hernia care created a comprehensive training program to facilitate the adoption of TEP. Three surgeons who routinely performed open inguinal hernia repair with greater than 50 cases annually were recruited to participate in the program. Coaches were selected based on their procedural expertise and underwent formal training in surgical coaching. Participants were required to evaluate all aspects of the educational program and were surveyed out to one year following completion of the program to assess for sustained adoption of TEP. Results: All three participants successfully completed the first three steps of the seven-step program. Two participants completed the full course, while the third dropped out of the program due to time constraints and low case volume. Participant surgeons rated Orientation (4.7/5), GlovesOn training (5/5), and Preceptored Cases (5/5) as highly important training activities that contributed to advancing their knowledge and technical performance of the TEP procedure. At one year, both participants were performing TEPs for “most of their cases” and were confident in their ability to perform the procedure. The total cost of the program including all travel, personal coaching, and simulation was $8638.60 per participant. Discussion: Our comprehensive educational program led to full and sustained adoption of TEP for those who completed the course. Time constraints, travel costs, and case volume are major considerations for successful completion; however, the program is feasible, acceptable, and affordable.

Original languageEnglish (US)
Pages (from-to)217-224
Number of pages8
JournalSurgical endoscopy
Volume32
Issue number1
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Keywords

  • Clinical outcomes
  • Clinical performance assessment
  • Continuous professional development
  • Laparoscopic inguinal hernia repair
  • Simulation
  • Surgical coaching

ASJC Scopus subject areas

  • Surgery

Fingerprint

Dive into the research topics of 'A structured, extended training program to facilitate adoption of new techniques for practicing surgeons'. Together they form a unique fingerprint.

Cite this