TEACHING MODEL FOR EVALUATION OF THE ABILITY AND COMPETENCE PROGRESS IN ENDOSUTURE IN SURGICAL SKILL LABORATORY

• Autor(a) principal: MOURA-JÚNIOR,Luiz Gonzaga de
• Data de Publicação: 2017
• Outros Autores: RAMOS,Almino, CAMPOS,Josemberg Marins, FERRAZ,Álvaro Antônio, ROCHA,Hermano Ângelo Lima, COSTA,Grijalva Otávio
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202017000400256
• topic: Laparoscopy; Suture techniques; Psycho-motor performance; Minimally invasive surgical procedure; Graduate medical education

ABSTRACT Background : Laparoscopic manual suturing is probably the most difficult skill to be acquired in minimally invasive surgery. However, laparoscopic exercise endo-sutures can be learned with a simulator and are of great practical importance and clinical applicability, absorbing concepts that are immediately transferred to the operating room. Aim : To assess the progression of skills competence in endo-sutures through realistic simulation model of systematized education. Method : Evaluation of the progression of competence of students in three sequential stages of training in realistic simulation, pre-test (V.1), teaching concepts (V.2) and training station for absorption of video concepts in surgery - ergonomics, stereotaxia, ambidexterity, haptic touch, fucral effect, applied in the manufacture of points corresponding to a Nissen fundoplication, in endo-suture for realistic simulation. Results : All students who attended the course absorbed the video concepts in surgery; most participants showed steady and continued improvement and during the stages of training, obtained progression of appropriate skills, defining competence and validation of the teaching model to achieve proficiency. Conclusions : The teaching model was adequate, safe, revealed the profile of the student, the evolutionary powers of the endo-sutures performance and critical analysis of the training to achieve proficiency in bariatric procedures.