A simulation-based mastery-learning curriculum using the Guildford MATTU TEP model produced faster TEP repair, higher GOALS scores and fewer complications than standard apprenticeship training¶

Claim · All claims
Evidence · 1 study · review r2 · q3
Currency · newest study 2021 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? Surgical residents in a mastery-learning simulation curriculum performed TEP faster with higher operative performance scores than those in standard training. → Pelly T. 2021 q3 i? The mastery-learning group had fewer intraoperative and postoperative complications, with similar 3-month recurrence rates. → Pelly T. 2021

Evidence¶

Pelly T. 2021¶

Pelly T., Vance-Daniel J., Linder C. (2021). Characteristics of laparoscopic and open hernia repair simulation models: a systematic review. Hernia. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8251686/

q3 · i? · review · r2

Randomised controlled trial of 50 surgical residents comparing a simulation-based mastery-learning curriculum using the Guildford MATTU TEP model against standard apprenticeship training; the review reports the mastery-learning group "perform TEP faster, with higher operative performance scores". The article prints no effect size.

"Of the 50 surgical residents who participated, the 26 enrolled in the “mastery-learning” curriculum were found on assessment to perform TEP faster, with higher operative performance scores assessed via the Global Operative Assessment of Laparoscopic Skills (GOALS) tool."

Discussion¶

Related Claims¶

• A moulded rubber TEP box trainer programme produced higher composite operative scores (P = 0.01) and suggested transfer of skills to real operations — related
• Simulation-based training with the McGill Laparoscopic Inguinal Hernia Simulator improved operating-room GOALS-GH scores by a mean of 3.4 points in a randomised trial — related
• Spaced VR simulator training yields better performance and faster skill acquisition than massed training for surgical psychomotor skills — a broader claim this one bears on
• Open hernia repair simulation models lack evidence of educational impact, with fewer validity assessments than laparoscopic models — related
• The SAW model shows construct validity and good correlation (0.87) between simulated and operating-room laparoscopic ventral/incisional hernia repair performance — related
• Simulation-based training contributes to patient safety in laparoscopic surgery — related
• Simulation-based training improves laparoscopic performance time in the operating room — a broader claim this one bears on
• Simulation-based training translates laparoscopic surgical skills to the operating room — a broader claim this one bears on