- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04524988
Comparing Proficiency of Laparoscopic Vaginal Cuff Suturing After Laparoscopic Training in Surgically Naive Students
August 20, 2020 updated by: Magdy Milad, MD, Northwestern University
Comparing Surgical Proficiency of Laparoscopic Vaginal Cuff Suturing in Surgically Naïve Learners After Training With Two Different Laparoscopic Simulators: A Randomized Controlled Trial
Surgically naive premedical and medical students were trained on two different laparoscopic simulation trainers, then tested on the same vaginal cuff suturing model.
Video recordings were collected from the vaginal cuff suturing tasks.
These recordings were graded by expert gynecologic surgeons using a laparoscopic skills rubric.
Their scores were compared to determine if one of the two laparoscopic trainers better prepared surgically naive students to complete a gynecologic surgical task.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Surgically naive premedical and medical students were recruited from June-November 2019.
They were block randomized into two laparoscopic simulation training groups: Essentials in Minimally Invasive Gynecology (EMIG) or Fundamentals of Laparoscopic Surgery (FLS).
Demographic data was collected from all participants.
Participants watched instructional videos specific to their simulation trainer, as well as a video for the vaginal cuff suturing task.
Participants then completed a pre-test on a vaginal cuff laparoscopic suturing model.
They underwent EMIG or FLS training for approximately 2.5 hours.
After training, they completed a post-test on the same vaginal cuff laparoscopic suturing model.
Both pre- and post-test tasks were recorded.
Video recordings were reviewed and graded by two expert high-volume MIGS surgeons who were masked to participant group (EMIG or FLS) and test phase (pre- or post-test).
A modified version of the previously validated GOALS tool was used for grading.
Participants also completed a survey rating their confidence level in performing laparoscopic tasks using a 5-point Likert scale after completion of their post-test vaginal cuff suturing task.
Study Type
Interventional
Enrollment (Actual)
49
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- 259 E Erie - Northwestern
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- current student enrolled in premedical internship program at Northwestern during recruitment dates
- current medical student in M1/M2 preclinical years enrolled in accredited medical school
- MD/PhD student in their PhD year(s) enrolled in accredited medical school
Exclusion Criteria:
- medical student in M3/M4 clinical years enrolled in accredited medical school
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Fundamentals of Laparoscopic Surgery (FLS)
This group will undergo 2.5h of training on the current standard laparoscopic simulation trainer (FLS), including the following tasks: peg transfer, intracorporeal knot tying and ligating loop.
|
All participants underwent 2.5h of training with one of two laparoscopic simulation trainers (FLS or EMIG).
|
Experimental: Essentials in Minimally Invasive Gynecology (EMIG)
This group will undergo 2.5h of training on a new gynecology-specific laparoscopic simulation trainer (EMIG), including the following tasks: peg transfer, intracorporeal knot tying and running suture.
|
All participants underwent 2.5h of training with one of two laparoscopic simulation trainers (FLS or EMIG).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proficiency of surgically naive premedical/medical students at completing a vaginal cuff suturing task following training on one of two laparoscopic simulators
Time Frame: 4 hours
|
Using a previously validated laparoscopic skills assessment tool (Global Operative Assessment of Laparoscopic Skills, or GOALS), two expert MIGS surgeons reviewed each video and scored it using a modified version of the GOALS tool.
Each participant was ultimately given a GOALS composite score, which was made up of 8 individual skill domains (3 of which were added to make the scoring relevant and specific to the vaginal cuff suturing task).
The GOALS scores serve to measure student surgical proficiency at laparoscopic tasks.
|
4 hours
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Correlation of fine motor skills task experience with laparoscopic surgical task performance
Time Frame: 4 hours
|
Demographic data was collected from each participant in a survey prior to their training session.
This data included experience with fine motor skills tasks, including video games, sewing and playing an instrument.
As above, objective performance scores were obtained after video grading using a modified version of the GOALS tool.
GOALS scores from participants with fine motor skills task performance were compared with GOALS scores for participants without the same prior fine motor skills task experience to assess for associations between performance and previous fine motor skill task experience.
|
4 hours
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Student-reported confidence on laparoscopic surgical task performance
Time Frame: 4 hours
|
All participants completed a survey after training where they rated their confidence in performing individual laparoscopic tasks using a 5-point Likert scale.
Scores will be compared between the two study arms to determine if either simulator is associated with higher confidence ratings for completing laparoscopic tasks.
|
4 hours
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Magdy Milad, MD, Northwestern University Feinberg School of Medicine
- Study Director: Emily Lin, MD, Northwestern University Feinberg School of Medicine
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 5, 2019
Primary Completion (Actual)
November 15, 2019
Study Completion (Actual)
December 1, 2019
Study Registration Dates
First Submitted
May 17, 2020
First Submitted That Met QC Criteria
August 20, 2020
First Posted (Actual)
August 24, 2020
Study Record Updates
Last Update Posted (Actual)
August 24, 2020
Last Update Submitted That Met QC Criteria
August 20, 2020
Last Verified
August 1, 2020
More Information
Terms related to this study
Other Study ID Numbers
- STU00209340
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Educational Problems
-
Stanford UniversityNot yet recruiting
-
Gunma PAZ CollegeRecruiting
-
The University of Texas Health Science Center at...Genentech, Inc.RecruitingEducational ProblemsUnited States
-
The Hong Kong Polytechnic UniversityCompletedEducational ProblemsHong Kong
-
The Cleveland ClinicActive, not recruitingEducational ProblemsUnited States
-
Tokat Gaziosmanpasa UniversityCompleted
-
Stanford UniversityEnrolling by invitation
-
The University of Hong KongUniversity of CambridgeCompletedThe Effect of Blend-learning in STEM in Young Children's Affective, Cognitive, and Academic OutcomesEducational ProblemsHong Kong
-
Saglik Bilimleri UniversitesiKarabuk UniversityCompleted
-
Karabuk UniversitySaglik Bilimleri UniversitesiCompleted
Clinical Trials on Laparoscopic Simulation Training
-
University of Texas Southwestern Medical CenterThe University of Texas Health Science Center, Houston; University of Alabama... and other collaboratorsCompletedSurgical Procedure, Unspecified | Surgical SimulationUnited States
-
University Hospital, GenevaRecruiting
-
Zonguldak Bulent Ecevit UniversityNurten Taşdemir Assoc. Prof. PhD.UnknownCardiopulmonary Resuscitation | Nurse's Role | Simulation TrainingTurkey
-
Université Evangélique enAfriqueUniversity Hospital, AngersNot yet recruitingPostpartum Hemorrhage | Simulation Training | Healthcare Providers
-
Çankırı Karatekin UniversityRecruiting
-
Sheba Medical CenterWithdrawnEducation, HealthIsrael
-
Bogomolets National Medical UniversityCompletedCritical Illness | Intubation; Difficult or Failed | Educational ProblemsUkraine
-
University of OxfordCompleted
-
Hadassah Medical OrganizationClalit Health Services; Israel Center for Medical Simulation (MSR); The Samuel...UnknownEnd of Life ProcessIsrael
-
Sheba Medical CenterSuspendedEducation, HealthIsrael