| A tool-kit for the quantitative assessment of proficiency in laparoscopic colorectal surgery. | |
| | |
MedLine Citation:
|
PMID: 20070329 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Aim Laparoscopic colorectal surgery includes operative procedures of varying complexity, and traditional assessment tools may not be enough to assess competence. This study defines quantitative tools for assessing proficiency in laparoscopic colorectal surgery. Method A single surgeon's 11-year experience was subdivided into five phases with equal numbers of patients. A tool-kit, with specific tools defined as the complexity score, the conversion score, the technical score, the training score and the proficiency score, has been developed and used to evaluate each phase of the experience. Results There were 400 patients, with 80 in each of the five phases. The complexity score increased from 23.75 to 63.75 over the five phases. Similar increases were also demonstrable in the conversion score (from 0.45 to 15.45), the technical score (from 30 to 96.5), the training score (from 5.8 to 34.8) and the overall proficiency score (from 15 to 52.63). Conclusion The results show that it is possible to quantify the workload in laparoscopic colorectal surgery and to assess increasing proficiency using a simple, reproducible and reliable tool-kit. |
| | |
Authors:
|
P R Shah; P N Haray |
Related Documents
:
|
10433139 - Laparoscopic palliation of unresectable pancreatic cancers: preliminary results. 18438119 - Clinical outcomes and resource utilization associated with laparoscopic and open colect... 10417569 - Laparoscopically assisted colorectal surgery in the elderly. 17115319 - Minimally invasive resection for colorectal cancer: perioperative and medium-term resul... 15910729 - Comparing results of residents and attending surgeons to determine whether laparoscopic... 11298039 - A multi-institutional analysis of laparoscopic orchidopexy. 8502099 - Tympanostomy tubes: experience with removal. 21621899 - Ultrasonographic evaluation and anti-mullerian hormone levels after laparoscopic stripp... 9336759 - Abdominal wall endometriosis after amniocentesis. a case report. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: 13 ISSN: 1463-1318 ISO Abbreviation: Colorectal Dis Publication Date: 2011 May |
Date Detail:
|
Created Date: 2011-03-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
|
Languages: eng Pagination: 576-82 Citation Subset: IM |
Copyright Information:
|
© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland. |
Affiliation:
|
Cwm Taf NHS Trust, Prince Charles Hospital, Merthyr Tydfil, UK School of Health, Science and Sports, University of Glamorgan, Pontypridd, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Hand-assisted laparoscopic colectomy: the learning curve is for operative speed, not for quality.
Next Document: Anorectal function after long-term transanal colonic irrigation.