Study of Fast-track Surgery in Hernia Repair and Laparoscopic Cholecystectomy

Not Applicable

Completed

• Conditions: Surgical Training
• Interventions: Other: Fast-track training

• Registration Number: NCT01877824
• Lead Sponsor: University of Aarhus

Brief Summary

All Danish trainees in surgery in a two-year period asked for participation when enrolled in the formal five-year training program for specialty in surgery. The participants are randomized for either educational intervention or control (without intervention). The intervention group receive a skills-lab course in hernia repair followed by an opportunity to perform 20 groin hernia repairs in their departments within 4-8 weeks. Their performance will be video recorded three times during the intervention and as follow-up at end of the first year of training. After termination of the hernia training program a similar program for laparoscopic cholecystectomies are made. Each participant receive both intervention. The control group are video recorded at start of their first year and at end. All videos are blindly assessed with a validated rating scale of operative performance. The purpose is to assess if a fast-track program improves technical skills and if a change is sustained. Furthermore we want to compare outcome in similar training programs in open and laparoscopic skills.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2010-03
• Primary Completion: 2013-03
• Study Completion: 2013-03
• Study First Submitted: 2013-05-27
• Status Verified: 2013-06
• Study First Submitted QC: 2013-06-11
• Last Update Submitted: 2013-06-11
• Study First Posted: 2013-06-14
• Last Update Posted: 2013-06-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

• Medical doctors accepted for formal surgical training in Denmark in 2010-11.

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Exclusion Criteria

• Current experience in surgery exceeding need of supervision in groin hernia and cholecystectomy procedures.
• Employed at a non-participating hospital.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Fast-track training	Fast-track training	A skills-lap course (1 day) followed by opportunity to perform 20 planned surgical procedures of each type (open groin hernia repair and laparoscopic cholecystectomy) under supervision and within 4-8 weeks. Videorecording at start, mid and end and at follow-up before ending first year of training.

Primary Outcome Measures

Name	Time	Method
Technical skills in performed surgical procedures	Three years	Blinded video recordings of the trainees' performances are rated with a validated rating scale of technical skills.

Secondary Outcome Measures

Name	Time	Method
Operative time	Three years	The time in performing the surgical procedures are recorded.
Satisfaction	Three years	The intervention group participants are asked for their experience and satisfaction with a fast-track program

Trial Locations

Locations (1)

Centre of Medical Education; 🇩🇰 Aarhus, Denmark