Current Techniques of Teaching and Learning in Bariatric Surgical Procedures: A Systematic Review

Mirjam Kaijser, Gabrielle van Ramshorst, Bart van Wagensveld, Jean Pierre Pierie

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: The gastric sleeve resection and gastric bypass are the 2 most commonly performed bariatric procedures. This article provides an overview of current teaching and learning methods of those techniques in resident and fellow training. Design: A database search was performed on Pubmed, Embase, and the Education Resources Information Center (ERIC) to identify the methods used to provide training in bariatric surgery worldwide. After exclusion based on titles and abstracts, full texts of the selected articles were assessed. Included articles were reviewed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Results: In total, 2442 titles were identified and 14 full text articles met inclusion criteria. Four publications described an ex vivo training course, and 6 focused on at least 1 step of the gastric bypass procedure. Two randomized controlled trials (RCT) provided high-quality evidence on training aspects. Surgical coaching caused significant improvement of Bariatric Objective Structured Assessment of Technical Skills (BOSATS) scores (3.60 vs. 3.90, p = 0.017) and reduction of technical errors (18 vs. 10, p = 0.003). A preoperative warm-up increased global rating scales (GRS) scores on depth perception (p = 0.02), bimanual dexterity (p = 0.01), and efficiency of movements (p = 0.03). Conclusion: Stepwise education, surgical coaching, warming up, Internet-based knowledge modules, and ex vivo training courses are effective in relation to bariatric surgical training of residents and fellows, possibly shortening their learning curves.

Original languageEnglish
Pages (from-to)730-738
Number of pages9
JournalJournal of Surgical Education
Volume75
Issue number3
DOIs
Publication statusPublished - 1 May 2018

Cite this

Kaijser, Mirjam ; van Ramshorst, Gabrielle ; van Wagensveld, Bart ; Pierie, Jean Pierre. / Current Techniques of Teaching and Learning in Bariatric Surgical Procedures : A Systematic Review. In: Journal of Surgical Education. 2018 ; Vol. 75, No. 3. pp. 730-738.
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Current Techniques of Teaching and Learning in Bariatric Surgical Procedures : A Systematic Review. / Kaijser, Mirjam; van Ramshorst, Gabrielle; van Wagensveld, Bart; Pierie, Jean Pierre.

In: Journal of Surgical Education, Vol. 75, No. 3, 01.05.2018, p. 730-738.

Research output: Contribution to journalArticleAcademicpeer-review

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T2 - A Systematic Review

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AU - van Ramshorst, Gabrielle

AU - van Wagensveld, Bart

AU - Pierie, Jean Pierre

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N2 - Objective: The gastric sleeve resection and gastric bypass are the 2 most commonly performed bariatric procedures. This article provides an overview of current teaching and learning methods of those techniques in resident and fellow training. Design: A database search was performed on Pubmed, Embase, and the Education Resources Information Center (ERIC) to identify the methods used to provide training in bariatric surgery worldwide. After exclusion based on titles and abstracts, full texts of the selected articles were assessed. Included articles were reviewed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Results: In total, 2442 titles were identified and 14 full text articles met inclusion criteria. Four publications described an ex vivo training course, and 6 focused on at least 1 step of the gastric bypass procedure. Two randomized controlled trials (RCT) provided high-quality evidence on training aspects. Surgical coaching caused significant improvement of Bariatric Objective Structured Assessment of Technical Skills (BOSATS) scores (3.60 vs. 3.90, p = 0.017) and reduction of technical errors (18 vs. 10, p = 0.003). A preoperative warm-up increased global rating scales (GRS) scores on depth perception (p = 0.02), bimanual dexterity (p = 0.01), and efficiency of movements (p = 0.03). Conclusion: Stepwise education, surgical coaching, warming up, Internet-based knowledge modules, and ex vivo training courses are effective in relation to bariatric surgical training of residents and fellows, possibly shortening their learning curves.

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KW - Gastric bypass

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KW - Professionalism

KW - Teaching

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M3 - Article

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JO - Journal of Surgical Education

JF - Journal of Surgical Education

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