6.Attitudes of obstetrics and gynecology residents on laparoscopic skills training in a government training tertiary hospital.
Lairah Mangondaya UNTAO ; Marie Janice ALCANTARA-BOQUIREN ; Paula Cynthia CRUZ-LIMLENGCO
Philippine Journal of Obstetrics and Gynecology 2025;49(1):10-17
OBJECTIVE
The aim of this study was to determine the different attitudes and perception of obstetrics and gynecology residents on laparoscopic skills training.
METHODSA cross-sectional research was conducted in a tertiary hospital’s Department of Obstetrics and Gynecology using a survey questionnaire. The respondents were resident physician trainees using population sampling. An approval to use the survey questionnaire from its developer was obtained. Descriptive statistics was used for analysis of the demographic profile. Pearson product moment correlation was used to determine correlation between expectancy-value constructs, simulation use and surgical experience.
RESULTSThe average hours the residents spent in simulation laparoscopic exercises was 11 h in the last 12 months and at least 1 h per week with supervision (76%). The reasons for using laparoscopic simulation include skill development (94%), proximity to the simulation lab (90%), free time (85%), recommendation of attending surgeon (84%), and requirement for rotation (84%). Among the expectant value constructs, only intrinsic interest utility value (r = −0.390) showed statistical correlation suggesting a weak negative correlation with simulation use. Hours of simulation use were significantly negatively correlated with self-efficacy for learning skills required to become proficient at minimally invasive surgery (MIS) (r = −0.390) and self-efficacy for learning sufficient MIS skills to perform procedures safely (r = −0.351).
CONCLUSIONSThe residents were motivated to do well and had greater self-belief and enjoyed performing and mastering the laparoscopic skills training. The residents’ perception revealed that there was an improvement in their MIS skills with the laparoscopic simulation exercises in the short time they spent in the simulation. Despite the residents’ positive attitude and perceptions, voluntary participation was limited. The most commonly cited barriers to the access of the surgical knowledge improvement laboratory and laparoscopy simulation unit were the lack of time due to the workload, conflicting schedules, and COVID-19 pandemic restrictions. Supervision of the residents is of great importance to provide guidance and motivation to the residents in improving their technical skills and performance in the operating room.
Human ; Minimally Invasive Surgery ; Minimally Invasive Surgical Procedures
7.Minimally Invasive Surgery for Gastric Cancer.
Journal of the Korean Medical Association 2000;43(1):86-87
No abstract available.
Minimally Invasive Surgical Procedures*
;
Stomach Neoplasms*
8.The Present and Future of Surgery.
Journal of the Korean Surgical Society 2006;70(2):87-90
Surgery is a field of the medical science that aims to treat disease with the best possible medical skill. Until recently, surgeons have had a fixed idea that an adequate big incision is needed to perform a satisfactory operation and to get a good result. As we say in Korea, "Great surgeon, big incision was the traditional rule when training a surgeon. However, we are now at turning point and transition period for the surgical Department of medical science. Almost every day we are experiencing the change that the surgeon can perform a minimally invasive procedure for people with disease, and the present high technical procedures are less invasive have less complications, superior cosmetic results and faster recovery. This is partially because the consumers, i.e., the patients, demand this more advanced medical service and so surgeons, are, making strenuous efforts to achieve a more humanistic medical approach to treatment. Of course, minimally invasive surgery has some limitations and pitfalls for its technical and, economical, aspects. We cannot oppose to this general trend in spite of possible obstacles. We can anticipate rather major changes in surgery, such as "individualized minimally invasive surgery" or "tailored surgery". So, we should prepare ourselves with study and education to receive this new paradigm.
Education
;
Humans
;
Korea
;
Surgical Procedures, Minimally Invasive