Intensive continuing medical education course training on simulators results in proficiency for laparoscopic suturing

Dimitrios Stefanidis, Rafael Sierra, James R. Korndorffer, J. Bruce Dunne, Sarah Markley, Cheri L. Touchard, Daniel J. Scott

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


Background: The purpose of this study was to determine the feasibility and effectiveness of implementing a validated suturing curriculum as a free-standing continuing medical education (CME) course. Methods: Eighteen participants (9 practicing surgeons, 9 surgery residents) attended a 4-hour laparoscopic suturing CME course. After viewing an instructional videotape all participants had their baseline performance measured on a fundamentals of laparoscopic surgery-type videotrainer suture model. Participants then practiced on the model with active instruction from 6 proctors until a previously reported proficiency level was achieved or until the course ended. Performance was scored objectively based on time and errors. Precourse and postcourse questionnaires were collected. Results: Participants trained for 2.6 ± .8 hours and performed 37 ± 11 repetitions. Although no participant was proficient at baseline, 72% achieved the proficiency level by the end of the course. Participants showed 44% improvement in objective scores and 34% improvement according to subjective self-rating. Conclusions: Although 4 hours may be insufficient for some trainees, an intensive half-day CME course is feasible and effective in significantly improving performance and allowing the majority of participants to achieve proficiency.

Original languageEnglish (US)
Pages (from-to)23-27
Number of pages5
JournalAmerican journal of surgery
Issue number1
StatePublished - Jan 2006


  • CME course
  • FLS
  • Laparoscopy
  • Simulators
  • Skills training
  • Surgical education
  • Suturing

ASJC Scopus subject areas

  • Surgery


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