Table 1

Best available evidence for teaching interventions in advanced minimally invasive surgery: data summary

Intervention; study*No. and type of participantsSummary
Courses
 See et al13128 respondentsOngoing association with surgeons performing similar procedures decreases long-term complication rates
 Colegrove et al17166 respondentsFew respondents are maintaining the skills acquired during the original training course, lap cases decreasing
 Birch et al1865 respondentsCourses have positive short-term impact on knowledge, skills, practice patterns
Course and proctoring
 Heniford et al1932 course-only
15 course + proctoring
Proctoring after courses increased adoption rates
 Heniford et al2048 course-only
15 course + proctoring
Proctoring after courses increased adoption rates
Mentoring
 Stolzenburg et al211 mentor/4 traineesMentorship, modular concept to teaching laparoscopic prostatectomy successful
 Cook et al221 mentor/4 traineesMentorship positively impacts on MIS practice patterns
 Skrekas et al231 mentor/1 traineeMentorship allows safe introduction of laparoscopic prostatectomy
 Birch et al241 mentor/7 surgeonsMentoring process is an effective strategy for introducing advanced MIS into practice
Mini-residency
 Corica et al2532 candidatesA 5-day intensive laparoscopic surgery course seems to encourage the expansion of laparoscopic cases
Mini-fellowship
 Shalhav et al261 mentor/2 traineesProvides successful training for laparoscopic urologic procedures
  • MIS = minimally invasive surgery.

  • * Search strategy: “laparoscopy” AND “mentors” (MeSH); limits set to human, abstracts (21 articles identified); abstracts reviewed and manuscripts selected that discuss outcomes of comprehensive training programs. “Laparoscopy” AND “education” (subheading) OR “education, medical, continuing” (MeSH); limits set to abstracts, English, publication date from 1990 to 2007, humans, core clinical journals (141 articles identified); abstracts reviewed and manuscripts selected that discuss outcomes of comprehensive training programs.