PGY-specific benchmarks improve resident performance on Fundamentals of Laparoscopic Surgery tasks - 25/04/18

Doi : 10.1016/j.amjsurg.2018.02.004

Heather E. Hoops ^a,^⁎ , Caleb Haley ^b, Laszlo N. Kiraly ^a, Elena An ^b, Karen J. Brasel ^a, Donn Spight ^a,^b
^a Department of Surgery, Oregon Health and Sciences University, Portland, OR, United States
^b VirtuOHSU Simulation and Surgical Training Center, Oregon Health and Sciences University, Portland, OR, United States

^∗Corresponding author. Department of Surgery, Oregon Health & Science University, Mail Code L223, 3181, SW, Sam Jackson Park Rd Portland, OR 97238, United States.Department of SurgeryOregon Health & Science UniversityMail Code L2233181, SWSam Jackson Park RdPortlandOR97238United States

Abstract

Background

Although expert proficiency times for Fundamentals of Laparoscopic Surgery (FLS) tasks exist, these times are not always attainable for junior residents. We hypothesize that post-graduate year (PGY)-specific benchmarks will improve resident performance of FLS tasks.

Methods

In 2014, PGY-specific benchmarks were developed for FLS tasks for PGY1-PGY4 general surgery residents by averaging completion times for each task from 2007 to 2013. Resident performance on each FLS task and overall performance was compared for PGY1-PGY4 residents in the 2007–2013 group and the 2014–2016 group, before and after implementation of PGY-specific benchmarks.

Results

There was a significant improvement in FLS performance in the 2014–2016 group at the PGY1 (p = 0.01), PGY2 (p < 0.01), and PGY3 (p = 0.01) levels, but no difference at the PGY4 level (p = 0.71).

Conclusions

PGY-specific benchmarks may improve efficacy of laparoscopic skills training for junior residents, increasing the efficiency of skill development.

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Highlights

•	Attainable, level-appropriate goals may improve resident performance on FLS tasks.
•	PGY-specific benchmarks may increase simulation training efficiency.
•	These benchmarks can identify resident technical deficits early in training.
•	PGY-specific benchmarks may be useful in assessing resident on ACGME milestones.

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Keywords : Simulation, Laparoscopy, FLS, Goal-directed, Competency