Improving laparoscopic training in gynecology through pedagogical framework at public hospitals

Professor Sadia Khan (Head of Department), Assistant Professor Nighat Naheed, Senior Registrar Ayesha Zulfiqar, Post graduate trainee Amina Najiullah

Rawalpindi Medical University, Rawalpindi, Pakistan

 

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Title

Improving laparoscopic training in gynecology through pedagogical framework at public hospitals

Abstract

Objective: 

To improving laparoscopic training in gynecology through pedagogical framework

Design:

A prospective interventional study was conducted. Laparoscopic surgery improves outcomes but faces adoption barriers due to limited training and resources. This study evaluates the impact of the LSPPDM framework on resident training and laparoscopic outcomes.

Method:
A retrospective analysis was conducted, comparing the number of laparoscopic surgeries performed over two consecutive years. From May 2022 to April 2023, prior to the interventions, 14 laparoscopic surgeries were performed. From May 2023 to April 2024, following the introduction of a trained supervisor and department-led workshops, this number increased to 32. The workshops included hands-on training and theoretical sessions designed to enhance the surgical team's skills and confidence. The effectiveness of the training was assessed through the improvement in technical skills, confidence levels, and feedback from surgical residents.

Results:
The number of laparoscopic surgeries increased significantly, from 14 in the first year (2022-2023) to 32 in the subsequent year (2023-2024), marking a 128.6% increase in the number of surgeries performed. Additionally, 90% of the trainees reported an improvement in their technical skills, with 75% feeling more confident in performing laparoscopic procedures independently. The workshops were rated highly by participants, with an average score of 4.5 out of 5 for their impact on learning and skill development.

Conclusion:
The LSPPDM pedagogical framework proved to be both practical and effective, leading to significant improvements in the technical and non-technical skills of surgical trainees. The structured approach, including hands-on workshops and supervision, contributed to a notable increase in the number of laparoscopic surgeries performed and enhanced trainees' overall surgical competence, compared to a traditional training program. This study suggests that adopting the LSPPDM framework can be a valuable strategy for improving laparoscopic training, particularly in resource-limited settings.