Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery

确定复杂腹腔镜胃肠手术的学习曲线

• 批准号: 8355086
• 负责人: DENNIS LEE FOWLER
• 金额: $ 4.93万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-01 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8355086
• 关键词: Determining; Learning; Curve; Complex; Laparoscopic

DESCRIPTION (provided by applicant): Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery. The purpose of this project is to validate the Global Operative Assessment of Laparoscopic Skills (GOALS) as an assessment tool and define the learning curve for complex laparoscopic gastrointestinal surgery. Using previously recorded data from a centralized database of the Fellowship Council, we will analyze the performance scores of surgical fellows when performing six different operations. There are three phases of the analysis. Since various factors impact technical performance, we will first correlate factors such as previous experience and case difficulty with performance scores as measured with GOALS. Second, by comparing performance scores of fellows at the beginning of the fellowship year with their scores at the end of the fellowship year, we will determine whether GOALS can differentiate novice fellows from graduating fellows and establish construct validity. Third, we wil define the learning curve in this small grant project by plotting performance over time through the academic year while accounting for previous experience and other factors that might impact the curve. The innovation in this project is the use of a national data set to determine the learning curve for surgical fellows for complex gastrointestinal (GI) operations. This should provide solid evidence on which to define the necessary components of technical surgical training and a tool with which we can implement proficiency-based training. PUBLIC HEALTH RELEVANCE: Determining a Learning Curve for Complex Laparoscopic Gastrointestinal Surgery. The purpose of this project is to validate an assessment tool and define the learning curve for complex laparoscopic gastrointestinal surgery. These results will lead to broader implementation of proficiency-based training, which will lead to not only better-trained surgeons but also better documentation that a surgeon is well trained. This will improve patient safety.

描述（由申请人提供）：确定复杂腹腔镜胃肠道手术的学习曲线。 该项目的目的是验证腹腔镜技能（目标）作为评估工具的全球手术评估，并定义复杂的腹腔镜胃肠道手术的学习曲线。使用先前记录的奖学金委员会集中数据库的数据，我们将在执行六个不同操作时分析外科研究员的性能得分。分析有三个阶段。由于各种因素会影响技术绩效，因此我们将首先将诸如以前的经验和案例难度等因素与目标得分相关联。其次，通过比较奖学金年开始时研究员的表现分数与奖学金年末的分数，我们将确定目标是否可以区分新手伙伴与毕业的研究员并建立构造有效性。第三，我们将通过在整个学年中绘制绩效，同时考虑到以前的经验和其他可能影响曲线的因素来定义学习曲线。该项目的创新是使用国家数据集来确定复杂胃肠道（GI）操作的手术研究员的学习曲线。这应该提供可靠的证据来定义技术手术培训的必要组成部分以及我们可以实施基于能力的培训的工具。 公共卫生相关性：确定复杂腹腔镜胃肠道手术的学习曲线。 该项目的目的是验证评估工具，并定义复杂的腹腔镜胃肠道手术的学习曲线。这些结果将导致更广泛的基于能力的培训的实施，这不仅会导致训练有素的外科医生，而且还会使外科医生受过良好训练的文档。这将提高患者的安全。