Operating Room Outcomes After Resident Training on a Virtual Reality Simulator
- Conditions
- Gall Bladder Disease
- Interventions
- Behavioral: laparoscopic training curriculum
- Registration Number
- NCT00459472
- Lead Sponsor
- Columbia University
- Brief Summary
The purpose of this study is to compare outcomes of patients undergoing laparoscopic cholecystectomy before and after a laparoscopic training curriculum was implemented.
- Detailed Description
All general surgery interns and PGY-2's AND PGY 3's will be enrolled in a laparoscopic surgery training curriculum that includes practicing surgical skills on a laparoscopic simulator. The PI has constructed an examination on the simulator that will document a significant level of laparoscopic skill. Each general surgery intern, second, AND THIRD year general surgery resident will be required to pass this examination on the simulator prior to being given more responsibility during cases of laparoscopic cholecystectomy. Specifically, interns, second, AND THIRD year residents must pass the examination on the simulator before they are allowed to function as primary surgeon in a supervised setting during laparoscopic cholecystectomy. These interns, PGY-2's, AND PGY 3'S would then be allowed to function as primary surgeon under the supervision of an attending surgery for laparoscopic cholecystectomy cases. The outcomes of these cases would be compared to a matched group of laparoscopic cholecystectomy cases performed by second year general surgery residents in the same supervised environment (but without having trained on the simulator) one year prior.
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 100
- General Surgery residents at NewYork Hospital/Columbia in PGY 1, 2, or 3.
- persons who are not General Surgery residents at NewYork Hospital/Columbia in PGY 1, 2, or 3.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Training laparoscopic training curriculum laparoscopic training curriculum: all general surgery interns and PGY-2-5's already participate in a surgery training curriculum that includes lectures, surgery, laparoscopic training, attending surgeons evaluating performance of residents at the end of surgical procedures, written tests, and skills tests.
- Primary Outcome Measures
Name Time Method Operative time 1 year Mortality rate 30 days Prevalence of complications (such as bile duct injuries, bilomas, infections, bleeding) 1 year
- Secondary Outcome Measures
Name Time Method Average days of hospital stay 30 days
Trial Locations
- Locations (1)
Columbia University College of Physicians and Surgeons
🇺🇸New York, New York, United States