Part vs Whole Task Mastery Training for Laparoscopic Hernia Repair

Study Overview
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Brief Summary
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The investigators will perform a randomized controlled trial with a stratified-block design to compare the effect of the part versus whole task simulation training for TEP repairs.

Official Title
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Part vs Whole Task Mastery Simulation Training for Laparoscopic Hernia Repair: A Randomized Trial

Conditions
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Hernia

Intervention / Treatment
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* Behavioral: Online Video Curriculum
* Behavioral: Whole Task Mastery Training
* Behavioral: Part Task Mastery Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Study Participants: Only residents who have achieved mastery of the TEP training curriculum (in either arm) will be eligible for OR assessment Patients: All patients deemed fit by the staff supervising surgeon to undergo a TEP repair will be considered for this study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Whole Task<br>Trainees will undergo whole task mastery training in the TEP simulator after completing the video curriculum portion. | Behavioral: Online Video Curriculum<br>* A video curriculum has been designed for the purpose of educating general surgery residents in laparoscopic hernia repairs. The curriculum covers topics from basic anatomy, selection of patients, management, and operative technique.<br>Behavioral: Whole Task Mastery Training<br>* Trainees will undergo whole task mastery training in the TEP simulator. The benchmarks for mastery training in the setting of whole task tep repairs was established with performance measures of multiple staff surgeons previously.<br>|
| Experimental: Part Task<br>Trainees will undergo a random part task mastery training in the TEP simulator after completing the video portion of the curriculum. | Behavioral: Online Video Curriculum<br>* A video curriculum has been designed for the purpose of educating general surgery residents in laparoscopic hernia repairs. The curriculum covers topics from basic anatomy, selection of patients, management, and operative technique.<br>Behavioral: Part Task Mastery Training<br>* Trainees will undergo part task mastery training in the TEP simulator. The benchmarks for mastery training in the setting of part task tep repairs was established with performance measures of multiple staff surgeons previously.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Operative Time | Operative Time will be measured with a chronometer. Staff take overs and down time will be excluded from the trainee's time. Trainee time will be defined as when he/she has the instruments in his/her hands and is actively doing the case. | Measured in Seconds | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mastery Learning, Surgical Education, Laparoscopic Hernia Repair, Part vs Whole Task, Contextual Interference, laparoscopy, training, curriculum