THE USE OF A MODULAR SKILLS CENTER FOR THE MAINTENANCE OF LAPAROSCOPIC SKILLS

Background: A reliable method supplying graduated experience and pract ice is needed to develop and refine laparoscopic skills. The laparosco pic surgeon, like the microvascular surgeon, must have ongoing trainin g to refine and maintain his or her skills. Methods: The authors descr ibe a new modular training unit. The unit consists of a box with a bui lt-in television camera, a light source, and a rotating platform. A vi deotape recorder with a timing device documents the actual ''operating time'' required for the various exercises. The first phase of trainin g consists of a basic skills board. This initial phase enhances the us e of dominant and nondominant hand motor activity. Results: The surgeo n then progresses to lifelike models (biliary, suturing, hernia, gynec ologic) to simulate the human operative setting. Ten surgeons spent 5 h each working with the module, The specific exercises were recorded a nd timed. Their progress is described. Conclusions: The modular laparo scopic skills center is an integral part of any laparoscopic education al program. It facilitates the acquisition and maintenance of laparosc opic skills.