Introduction Learning surgical techniques is a dynamic process. In the 1980s David Kolb described developed a learning model that enabled teaching styles to adapt for better learner outcomes. The aim of this study was to identify the Kolb learning styles of the participants in a laparoscopic technical skills course and to check see if there was any relationship with performance. Methods An observational descriptive study was conducted with 64 participants in an intensive course in which they performed laparoscopic manual intestinal anastomoses. All completed Kolb's inventory of learning styles. For each anastomosis, join quality was assessed and the performing time recorded. After that, they were analyzed through statistical studies. Results The most frequent learning style was assimilating type (39.1%). No significant differences were observed between different learning styles and gender, professional category, the time taken or the quality of the anastomoses. Conclusions Assimilating type was the most frequent Kolb learning style, with no differences observed between categories, age or gender. There is no relationship between the learning style of the participants and the results obtained in the course.

Analysis of learning styles in a laparoscopic technical skills course. Implications for surgical training.

Introduction Surgical training based on simulation seeks the acquisition of skills in novice participants and ongoing skill development in experts. The aim of this study is to assess the evolution of students in an intensive laparoscopic anastomosis course and to analyze their results depending on their level and previous experience. Methods The students of all the anastomosis courses conducted during 30 months in the Valdecilla virtual hospital (Santander) were analyzed. Manual side-to-side intestinal anastomoses with porcine ‘ex vivo’ viscera were performed in a laparoscopic endotrainer. The technical and quality differences between the first and the last anastomoses were analyzed and the progression between residents and specialists was compared. Results We analyzed 45 participants, 22 of them residents and 23 specialists. A statistically significant improvement of 80.5% was observed in all procedural parameters (94.8% residents vs. 67.3% specialists). The time was reduced by 48.1% in the residents and 43.2% in the specialists ( P In terms of quality, significant improvements were obtained in the group of residents: an increase of 90% in adequate tension, and a reduction of 75% of everted edges and 60% of leaks. In addition, they obtained results comparable to the specialists (27.3% leak in the last anastomosis vs. 34.8% by the specialists, P =.59), which presented improvement without statistical significance. Conclusions The group of residents presented a major and significant improvement in procedural skills and in the quality of the technique, reaching the level of the specialists after completion of the course.

Influence of previous experience on the benefits of laparoscopic surgical training based on simulation.

Resumen Introduccion El entrenamiento quirurgico basado en simulacion busca la adquisicion de habilidades en los participantes noveles y la capacitacion en los expertos. El objetivo de este estudio es valorar la evolucion de los alumnos en un curso intensivo de anastomosis laparoscopica y el analisis de sus resultados dependiendo de su nivel y experiencia previa. Metodos Se analizaron los alumnos de todos los cursos de anastomosis realizados durante 30 meses en el Hospital virtual Valdecilla (Santander). Se realizaron anastomosis intestinales latero-laterales manuales con visceras «ex vivo» porcinas en un endotrainer laparoscopico. Se analizaron las diferencias tecnicas y de calidad entre la primera y la ultima anastomosis y se comparo la progresion entre residentes y los facultativos especialistas. Resultados Se analizaron 45 participantes, 22 de ellos residentes y 23 especialistas. Se observo una mejoria estadisticamente significativa del 80,5% en todos los parametros procedimentales (94,8% residentes vs. 67,3% especialistas). El tiempo se redujo un 48,1% en los residentes y un 43,2% en los especialistas (p  En cuanto a calidad, se obtuvieron mejorias significativas en el grupo de residentes: incremento del 90% de tension adecuada, reduccion del 75% de bordes evertidos y 60% de las fugas. Ademas, obtuvieron resultados comparables a los especialistas (27,3% fuga en ultima anastomosis vs. 34,8% especialistas, p = 0,59), los cuales presentaron mejoria sin significacion estadistica. Conclusiones El grupo de residentes presenta una mejora mayor y significativa en habilidades procedimentales y en calidad de la tecnica, alcanzando el nivel de los especialistas tras completar el curso.

Influencia de la experiencia previa en los beneficios del entrenamiento quirúrgico laparoscópico basado en la simulación

Resumen Introduccion El aprendizaje de las tecnicas quirurgicas es un proceso dinamico. David Kolb describio en los anos ochenta un modelo de aprendizaje que permite adaptar el tipo de ensenanza y mejorar los resultados de esta. El objetivo del estudio es identificar los estilos de aprendizaje segun Kolb de los participantes en un curso de habilidades tecnicas laparoscopicas y comprobar si existe relacion con el rendimiento final de la tarea realizada. Metodos Estudio observacional descriptivo que incluye 64 participantes que completaron un curso intensivo donde realizaron anastomosis intestinales manuales laparoscopicas. Todos ellos completaron el inventario de estilos de aprendizaje de Kolb. En cada anastomosis se recogio el tiempo de ejecucion y se valoro su calidad. Posteriormente, los datos fueron analizados estadisticamente. Resultados El estilo de aprendizaje mas frecuente fue el asimilador (39,1%). No se observan diferencias significativas entre los estilos y el sexo de los participantes, su categoria profesional, el tiempo en realizar la anastomosis o su calidad. Conclusiones El estilo de aprendizaje predominante es el asimilador, sin diferencias entre categorias, edad o sexo. No existe relacion entre el estilo de aprendizaje de los participantes y los resultados obtenidos en el curso.

Análisis de los estilos de aprendizaje en un curso de habilidades técnicas laparoscópicas. Implicaciones para el entrenamiento quirúrgico

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El General Medical Council revisa un documento clave: Tomorrow's Doctors

Diseño de un programa de formación de los residentes de Cirugía General y Aparato Digestivo basado en competencias : integración de la simulación clínica y la práctica asistencial

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Diseño de un programa de formación de los residentes de Cirugía General y Aparato Digestivo basado en competencias : integración de la simulación clínica y la práctica asistencial