Mukhtar Fareeda, Shaheen Mohammed F, Alhabeeb Abdulrahman Y, Zafar Muhammad, Alkattan Khaled
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
College of Medicine, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Adv Med Educ Pract. 2025 Feb 27;16:357-366. doi: 10.2147/AMEP.S492321. eCollection 2025.
The adoption of laparoscopic surgery has significantly transformed surgical practice. However, mastering these techniques requires specialized training. In Saudi Arabia, the level of proficiency in laparoscopic skills among General Surgery (GS) trainees is not well-documented. This study aims to assess GS residents' satisfaction with their laparoscopic training, self-appraise their proficiency, and objectively evaluate their skills using the Fundamentals of Laparoscopic Surgery (FLS) test.
This cross-sectional study, approved by the Institutional Review Board and funded by Alfaisal University, took place between October 2021 and May 2023. It involved a two-part approach: an online survey and objective FLS testing. The survey, distributed to GS residents in seven government hospitals in Riyadh, captured self-reported satisfaction and subjective proficiency data. Subsequently, residents who volunteered for FLS testing were objectively assessed using standardized criteria.
Of 195 residents, 70 (36%) responded to the survey. Satisfaction with academic teaching and hands-on training in laparoscopic surgery was low (24% and 44%, respectively), while 62% were satisfied with case volume. Self-assessed proficiency was higher for basic skills than for advanced skills like extra-corporeal and intracorporeal knotting. Only a third had been exposed to laparoscopic trainers, and 14.3% had FLS certification prior. Fourteen residents participated in FLS testing, revealing a 36% failure rate in task completion. Prior simulation practice or laparoscopic training certification significantly improved performance (p<0.001), reflected by achieving higher scores and passing FLS proficiency scores.
Despite satisfaction with exposure to laparoscopic surgeries, the study highlights a considerable gap in satisfaction and proficiency among GS residents in Saudi Arabia, particularly in advanced laparoscopic skills. The positive impact of simulation-based practice and laparoscopic training certification underscores the need for structured training programs. Addressing these gaps, through integrating comprehensive simulation-based programs and promoting laparoscopic skill certification, is crucial for enhancing surgical education and training outcomes.
腹腔镜手术的应用显著改变了外科手术实践。然而，掌握这些技术需要专门的培训。在沙特阿拉伯，普通外科（GS）住院医师的腹腔镜技能熟练程度尚无充分记录。本研究旨在评估GS住院医师对其腹腔镜培训的满意度，自我评估其熟练程度，并使用腹腔镜手术基础（FLS）测试客观评估其技能。
本横断面研究经机构审查委员会批准，由阿费萨尔大学资助，于2021年10月至2023年5月进行。它采用了两部分方法：在线调查和客观的FLS测试。该调查分发给利雅得七家政府医院的GS住院医师，收集自我报告的满意度和主观熟练程度数据。随后，对自愿参加FLS测试的住院医师使用标准化标准进行客观评估。
195名住院医师中，70名（36%）回复了调查。对腹腔镜手术学术教学和实践培训的满意度较低（分别为24%和44%），而62%的人对病例数量感到满意。自我评估的基本技能熟练程度高于体外和体内打结等高级技能。只有三分之一的人接触过腹腔镜训练器，14.3%的人之前有FLS认证。14名住院医师参加了FLS测试，任务完成失败率为36%。先前的模拟练习或腹腔镜培训认证显著提高了表现（p<0.001），表现为获得更高分数并通过FLS熟练程度分数。
尽管对接触腹腔镜手术感到满意，但该研究突出了沙特阿拉伯GS住院医师在满意度和熟练程度方面存在相当大的差距，尤其是在高级腹腔镜技能方面。基于模拟的实践和腹腔镜培训认证的积极影响强调了结构化培训计划的必要性。通过整合全面的基于模拟的计划和推广腹腔镜技能认证来弥补这些差距，对于提高外科教育和培训成果至关重要。
