Effect of instructor feedback on skills retention after laparoscopic simulator training: follow-up of a randomized trial.

Background: Instructor feedback reduces the number of repetitions and time to reach proficiency during laparoscopic simulator training. The objective of this study was to examine the effect of instructor feedback on long-term skill retention.

Methods: A 6-month follow-up of a randomized trial.

A structured four-step curriculum in basic laparoscopy: development and validation.

Objective: The objective of this study was to develop a four-step curriculum in basic laparoscopy consisting of validated modules integrating a cognitive component, a practical component and a procedural component.

Design: A four-step curriculum was developed. The methodology was different for each step.

Instructor feedback versus no instructor feedback on performance in a laparoscopic virtual reality simulator: a randomized trial.

Objective: To investigate the impact of instructor feedback versus no instructor feedback when training a complex operational task on a laparoscopic virtual reality simulator.

Background: : Simulators are now widely accepted as a training tool, but there is insufficient knowledge about how much feedback is necessary, which is useful for sustainable implementation.

Methods: A randomized trial complying with CONSORT Statement.

Development and validation of a theoretical test in basic laparoscopy.

Background: Testing of knowledge is an important component in a successful skills curriculum. Nonetheless, structured testing of basic procedure-relevant knowledge in the surgical domains is not ordinary practice. A regional need assessment showed insufficient knowledge regarding basic laparoscopy for first-year residents in obstetrics and gynecology.

Vacuum extraction: development and test of a procedure-specific rating scale.

Objectives: To develop and validate an Objective Structured Assessment of Technical Skills (OSATS) scale for vacuum extraction.

Design: Two-part study design: Primarily, development of a procedure-specific checklist for vacuum extraction. Hereafter, validation of the developed OSATS scale for vacuum extraction in a prospective observational study.

Instructor feedback versus no instructor feedback on performance in a laparoscopic virtual reality simulator: a randomized educational trial.

Background: Several studies have found a positive effect on the learning curve as well as the improvement of basic psychomotor skills in the operating room after virtual reality training. Despite this, the majority of surgical and gynecological departments encounter hurdles when implementing this form of training. This is mainly due to lack of knowledge concerning the time and human resources needed to train novice surgeons to an adequate level.

Can both residents and chief physicians assess surgical skills?

Background: It is known that structured assessment of an operation can provide trainees with useful knowledge and potentially shorten their learning curve. However, methods for objective assessment have not been widely adopted into the clinical setting. This might be because of a lack of expertise using an assessment tool.

Clinical skills training in obstetrics - a descriptive survey of current practice in Denmark.

The Danish National Board of Health has recommended that labor wards establish regular obstetric emergency skills training programs. The aim of this study was to describe current practice in Denmark. A questionnaire was sent to all obstetric departments in Denmark in 2008.

Retention of laparoscopic procedural skills acquired on a virtual-reality surgical trainer.

Background: Virtual-reality (VR) simulator training has been shown to improve surgical performance in laparoscopic procedures in the operating room. We have, in a randomised controlled trial, demonstrated transferability to real operations. The validity of the LapSim virtual-reality simulator as an assessment tool has been demonstrated in several reports.

[Neonatal consequences of vacuum-assisted delivery].

About 5000 babies annually, or 1/12 of all births, are the result of vacuum-assisted delivery in Denmark. Towards the end of the 1990'ies, the US FDA published a national warning concerning increasing complications and mortality after vacuum-assisted delivery, and other countries followed. One explanation is that training is no longer given the needed focus.

[Twin gestation in a single horn of a bicornuate uterus].

Bicornuate uterus is associated with early foetal loss and extremely preterm delivery. A patient with dichorionic twins in a single horn of a bicornuate uterus was admitted in week 24 + 6 with preterm labour. Long-term treatment with a combination of tocolytics, atosiban and diclofenac inhibited labour until week 26 + 3 where both babies were born.

[Bacterial pyomyositis in a 12-year-old girl without fever].

Bacterial pyomyositis is generally found in tropical countries. This case report presents pyomyositis in a 12-year-old girl who was admitted without fever to the paediatric department. The only symptom was pain in the left hip.