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

University of Aarhus

Status: Completed

Conditions: Surgical Training

Treatments: Other: Fast-track training

Study type: Interventional

Funder types: Other

Identifiers

NCT01877824

MEDU001

Details and patient eligibility

About

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.

Enrollment: 35 patients

Sex: All

Ages: 20 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

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

Trial design

35 participants in 2 patient groups

Fast-track training

Experimental group

Description:

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.

Treatment:

Other: Fast-track training

Control

No Intervention group

Description:

Follows the existing training program without intervention. Video recording of the trainee performing a open groin hernia repair and a laparoscopic cholecystectomy procedure at start end end of first training year.