Part vs Whole Task Mastery Training for Laparoscopic Hernia Repair - Full Text View

Purpose

The investigators will perform a randomized controlled trial with a stratified-block design to compare the effect of the part versus whole task simulation training for TEP repairs.

Condition	Intervention
Hernia	Behavioral: Online Video Curriculum Behavioral: Whole Task Mastery Training Behavioral: Part Task Mastery Training

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention
Official Title:	Part vs Whole Task Mastery Simulation Training for Laparoscopic Hernia Repair: A Randomized Trial

Resource links provided by NLM:

MedlinePlus related topics: Hernia

U.S. FDA Resources

Further study details as provided by Mayo Clinic:

Primary Outcome Measures:

Operative Time [ Time Frame: Measured in Seconds ] [ Designated as safety issue: No ]
Operative Time will be measured with a chronometer. Staff take overs and down time will be excluded from the trainee's time. Trainee time will be defined as when he/she has the instruments in his/her hands and is actively doing the case.

Enrollment:	40
Study Start Date:	September 2011
Study Completion Date:	May 2012
Primary Completion Date:	May 2012 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Whole Task Trainees will undergo whole task mastery training in the TEP simulator after completing the video curriculum portion.	Behavioral: Online Video Curriculum A video curriculum has been designed for the purpose of educating general surgery residents in laparoscopic hernia repairs. The curriculum covers topics from basic anatomy, selection of patients, management, and operative technique. Behavioral: Whole Task Mastery Training Trainees will undergo whole task mastery training in the TEP simulator. The benchmarks for mastery training in the setting of whole task tep repairs was established with performance measures of multiple staff surgeons previously.
Experimental: Part Task Trainees will undergo a random part task mastery training in the TEP simulator after completing the video portion of the curriculum.	Behavioral: Online Video Curriculum A video curriculum has been designed for the purpose of educating general surgery residents in laparoscopic hernia repairs. The curriculum covers topics from basic anatomy, selection of patients, management, and operative technique. Behavioral: Part Task Mastery Training Trainees will undergo part task mastery training in the TEP simulator. The benchmarks for mastery training in the setting of part task tep repairs was established with performance measures of multiple staff surgeons previously.

Arms

Assigned Interventions

Experimental: Whole Task

Trainees will undergo whole task mastery training in the TEP simulator after completing the video curriculum portion.

Behavioral: Online Video Curriculum

A video curriculum has been designed for the purpose of educating general surgery residents in laparoscopic hernia repairs. The curriculum covers topics from basic anatomy, selection of patients, management, and operative technique.

Behavioral: Whole Task Mastery Training

Trainees will undergo whole task mastery training in the TEP simulator. The benchmarks for mastery training in the setting of whole task tep repairs was established with performance measures of multiple staff surgeons previously.

Experimental: Part Task

Trainees will undergo a random part task mastery training in the TEP simulator after completing the video portion of the curriculum.

Behavioral: Online Video Curriculum

A video curriculum has been designed for the purpose of educating general surgery residents in laparoscopic hernia repairs. The curriculum covers topics from basic anatomy, selection of patients, management, and operative technique.

Behavioral: Part Task Mastery Training

Trainees will undergo part task mastery training in the TEP simulator. The benchmarks for mastery training in the setting of part task tep repairs was established with performance measures of multiple staff surgeons previously.

Eligibility

Ages Eligible for Study:	18 Years to 90 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Study Participants: Only residents who have achieved mastery of the TEP training curriculum (in either arm) will be eligible for OR assessment
Patients: All patients deemed fit by the staff supervising surgeon to undergo a TEP repair will be considered for this study.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01629485

Locations

United States, Minnesota
Mayo Clinic
Rochester, Minnesota, United States, 55905

Sponsors and Collaborators

Mayo Clinic

Investigators

Principal Investigator:	Roberto Hernandez-Irizarry, BS	Mayo Clinic
Principal Investigator:	David Farley, MD	Mayo Clinic
Principal Investigator:	Benjamin Zendejas, MD/MsC	Mayo Clinic

More Information

No publications provided

Responsible Party:	David R. Farley, Co-Director of the Mayo Simulation Center, Professor of Surgery, Mayo Clinic
ClinicalTrials.gov Identifier:	NCT01629485 History of Changes
Other Study ID Numbers:	11-005712
Study First Received:	June 25, 2012
Last Updated:	April 30, 2013
Health Authority:	United States: Institutional Review Board

Keywords provided by Mayo Clinic:

Mastery Learning
Surgical Education
Laparoscopic Hernia Repair
Part vs Whole Task

Contextual Interference
laparoscopy
training
curriculum

Additional relevant MeSH terms:

Hernia
Pathological Conditions, Anatomical

ClinicalTrials.gov processed this record on May 19, 2013