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Educational system based on the TAPP checklist improves the performance of novices: a multicenter randomized trial

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Abstract

Background

Despite recent developments in surgical education, obstacles including inadequate budget, limited human resources, and a scarcity of time have limited its widespread adoption. To provide systematic training for laparoscopic inguinal hernia repair, we had previously developed and validated a checklist to evaluate the recorded performance of transabdominal preperitoneal (TAPP) repair. We had also developed an educational system that included didactic materials based on the TAPP checklist and incorporated remote evaluation and feedback system. The aim of this study was to evaluate the educational impact of the TAPP education system on novice surgeons.

Methods

Residents and surgeons from participating hospitals, who had performed 0 or 1 TAPP procedure, were randomly assigned to the intervention group (IG), who trained using this new educational tool, and the control group (CG), who trained using the conventional system. Their surgical videos were rated by blinded raters. All participants performed their first case prior to randomization. The primary outcome was improvement of TAPP checklist score from the first to the third case.

Results

Eighteen participants from 9 institutes were recruited for this study. Seven participants in the IG and 5 participants in the CG were included in the final analysis. The participants in the IG demonstrated significant improvement in their TAPP performance (p = 0.044) from their first case to their third case, whereas their counterparts in the CG failed to make any significant progress during the same period (p = 0.581).

Conclusion

The new TAPP educational system was effective in improving the TAPP performance of novice surgeons.

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Fig. 1
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Previously published by Poudel et al. [14]

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Acknowledgements

The authors would like to thank all the surgeons from the participating institutes, for helping us with this study.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Kita 15 Nishi 7, Kita-ku, Sapporo, Japan

    Saseem Poudel, Yo Kurashima, Kimitaka Tanaka, Hiroshi Kawase, Toshiaki Shichinohe & Satoshi Hirano

  2. Clinical Simulation Center, Hokkaido University, Sapporo, Japan

    Yo Kurashima

  3. Department of Biostatistics, Hokkaido University, Sapporo, Japan

    Yoichi M. Ito

  4. Department of Surgery, Teine Keijinkai Hospital, Sapporo, Japan

    Fumitaka Nakamura

Authors
  1. Saseem Poudel
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  2. Yo Kurashima
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  3. Kimitaka Tanaka
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  4. Hiroshi Kawase
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  5. Yoichi M. Ito
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  6. Fumitaka Nakamura
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  7. Toshiaki Shichinohe
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  8. Satoshi Hirano
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Corresponding author

Correspondence to Yo Kurashima.

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Disclosures

Yo Kurashima is a consultant at Ethicon and Medicon. Saseem Poudel, Kimitaka Tanaka, Hiroshi Kawase, Yoichi M Ito, Fumitaka Nakamura, Toshiaki Shichinohe, and Satoshi Hirano have no conflicts of interest or financial ties to disclose.

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Poudel, S., Kurashima, Y., Tanaka, K. et al. Educational system based on the TAPP checklist improves the performance of novices: a multicenter randomized trial. Surg Endosc 32, 2480–2487 (2018). https://doi.org/10.1007/s00464-017-5950-x

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  • DOI: https://doi.org/10.1007/s00464-017-5950-x

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