The effect of laparoscopy courses in laparoscopy practice after urology resident training: A questionnaire-based observational study

摘要

Ama?: Laparoskopi, cerrahi e?itimin ?nemli bir par?as?d?r. Laparoskopi yeterlili?ini artt?rmak i?in laparoskopi kurslar? düzenlenmektedir. Bu yaz?da Türk ürologlar?n, laparoskopik cerrahi yeterlili?i ve laparoskopi kurslar?n?n etkinli?inin de?erlendirilmesi planland?. Y?ntemler: 2014 y?l?nda Türkiye’de üroloji alan?ndaki 180 uzmana e-mail anket formu g?nderildi. Sorulara yan?t veren 78 üroloji uzman?n?n, ?al??t??? kurum, laparoskopik deneyimi, ald?klar? laparoskopi kurs süresi ve laparoskopi cerrahisindeki yeterlilikleri 11 soruluk anket ile sorgulanm??t?r. Bulgular: Laparoskopi konusunda kendini yeterli g?ren uzmanlar?n %41,2’si, yeterli g?rmeyenlerin %84,1’i kurs almak istedi?ini belirtti (P0,001). Zorluk seviyesi 1 kabul edilen laparoskopi vakalar? yapabilen uzmanlar?n %100’ü kendini yeterli g?rmeyip, laparoskopi e?itimi almak istedi?ini belirtti (P0,001). Asistanl???nda laparoskopi e?itimi almayanlar?n %54,9’u ve alanlar?n %48,1’i kurs alm??. Uzun süreli kurs alanlar?n hepsi, k?sa süreli kurs alanlar?n %73,6’s? laparoskopi yapabiliyordu (P0,001). Uzun süreli kurs alanlar daha zor vaka yapabildi?i izlenmektedir (P0,001). Sonu?: Yap?lan anketin sonucunda, asistanl?k sonras? laparoskopik cerrahi yeterlili?inde kurslar?n büyük yarar sa?lad??? g?rülmektedir. Asistanl???nda laparoskopi e?itimi almayan ürologlar?n, uzun süreli e?itim veren merkezlerde bulunmas? laparoskopi becerilerini artt?raca??n? dü?ünmekteyiz. Aim: Laparoscopy is an important part of surgical training. Laparoscopy courses are organized to increase competence of laparoscopy. This aim of this paper is to evaluate the laparoscopic surgery competence of Turkish urologists and the effectiveness of laparoscopy courses. Methods: In 2014, an online survey consisting of 11 questions was sent to 180 urologists via e-mail, among which 78 responded. The survey questions aimed at gathering information about where the urologists worked, their laparoscopic surgical experience, how long they attended laparoscopy courses, and whether they considered themselves to be competent in laparoscopic surgeries. Results: 41.2% of the respondents who considered themselves to be competent in laparoscopy and 84.1% of those who did not, stated that they wanted to attend laparoscopy courses (P0.001). 100% of the respondents who could perform Level-1 laparoscopy surgeries stated that they did not consider themselves to be competent and wanted to receive laparoscopic training (P0.001). 54.9% of those who did not receive laparoscopy training during their residency and 48.1% of those who received training during residency stated that they attended courses in the past. All respondents who attended long-term courses and 73.6% of those who attended short-term courses could perform laparoscopic surgeries (P0.001). It was also determined those who attended long-term courses could perform complicated laparoscopic surgeries (P0.001). Conclusion: This study revealed that the courses contributed a lot to laparoscopic surgical competence after residency. The study stresses that if the urologists who did not receive laparoscopy training during their residency attend long-term courses, they can increase their competence in laparoscopy.