Scientific paperThe impact of a formal mentoring program for minimally invasive surgery on surgeon practice and patient outcomes
Section snippets
Methods
We examined patient charts 1 year before and from the time of recruitment of a fellowship-trained advanced MIS surgeon in July 2004 whose job description included facilitating the introduction of advanced MIS through mentoring. All advanced MIS of the gastrointestinal tract (excluding bariatric surgery) were included: colorectal surgery, gastroesophageal surgery, and incisional hernia repair.
Outcomes examined include adoption rate, conversion rate, operative time, intraoperative complications,
Results
After 1 year of intense mentoring at a tertiary care, high-volume (>28,000 surgical procedures/y) hospital, a total of 7 surgeons were formally mentored in advanced MIS; none withdrew or refused mentoring. A total of 53 cases were mentored by 1 surgeon (D. W. B), representing 52% of all advanced MIS cases completed. The outcomes of formal mentoring are listed in Table 1.
The total number of advanced MIS cases increased from 35 to 155 (excluding mentor, n = 102) and included advanced MIS
Comments
As standards of care evolve, contemporary surgeons need a mechanism by which to safely and appropriately introduce new surgical techniques into practice. As evidence accumulates for the efficacy and effectiveness of advanced MIS for gastrointestinal disease, general surgeons will look for a way to learn these techniques. Typically, surgeons complete courses with limited hands-on training in preparation for performing a new MIS technique [6]. Early adopters of MIS recognized that short courses
References (8)
Training, credentialling, and granting of clinical privileges for laparoscopic general surgery
Am J Surg
(1991)- et al.
Training postgraduate urologists in laparoscopic surgery: the current challenge
J Urol
(2002) - et al.
The feasibility of introducing advanced minimally invasive surgery into practice
Can J Surg
(2007) Granting of priviledges for laparoscopic general surgery
Am J Surg
(1991)
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2016, Best Practice and Research: Clinical Obstetrics and GynaecologyCitation Excerpt :Despite the overwhelming evidence for MIH, most hysterectomies are still performed via the abdominal route [53]. General surgeons have investigated the influence of mentoring and simulation training in laparoscopic colorectal surgery to increase MIS rates [54–56]. Individual studies have described effective incorporation of laparoscopic colon surgery through formal mentoring programmes with no increases in complication rates [54,55].
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