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    Development & evaluation of LapPass (TM): the laparoscopic passport

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    Authors
    Fong, M.
    Treglohan, J.
    Selvasekar, C.
    Sedman, P.
    Leeder, P.
    Francis, N.
    Affiliation
    North Middlesex University Hospital, London
    Issue Date
    2021
    
    Metadata
    Show full item record
    Abstract
    Aims: Laparoscopic surgery is technically challenging and assessment of competency is necessary to ensure patient safety and guide training. Existing tools of assessment are mostly subjective, with a growing need for objective credentialing. LapPassTM was developed by a UKbased laparoscopic society as an accessible simulation assessment tool. The aim of this study was to report on its development and preliminary findings of usability and validity. Methods: LapPassTM consists of 4 tasks that test: bimanual dexterity, simulated appendicectomy, dissection and intracorporeal suturing. Participants were prospectively recruited from testing events. Online surveys were sent to assessors and participants to assess the usability, face and content validity of the tool. Options to respond were on a fivepoint Likert scale with ratings from strongly disagree (1) to strongly agree (5). Results: LapPass was launched and offered to trainees as free-ofcharge assessment tool. 31 participants and 12 assessors took part. The 1st time pass rate for bimanual dexterity was 19/29 (65.5%), appendicectomy 13/23 (56.5%), dissection 20/27 (74.1%) and intracorporeal suturing 6/19 (31.5%). The mean scores for participants’ usability and validity were 3.8 and 4.12 for bimanual dexterity; 3.96 and 4.37 for appendicectomy; 4.5 and 4.16 for dissection and 3.84 and 4.52 for intracorporeal suturing. Assessors’ mean score of usability was 4.5 across all Abstracts | vii75 Downloaded from https://academic.oup.com/bjs/article/108/Supplement_7/znab362.082/6411637 by Mid Yorkshire Hospitals NHS Trust user on 10 January 2022 tasks. Assessors scored validity of bimanual dexterity 4.35, appendicectomy 4.42, dissection 3.71 and intracorporeal suturing 4.65. Conclusion: LapPassTM is a an accessible objective assessment tool for laparoscopic basic surgical skills with preliminary data to confirm its usability and face and content validity.
    Citation
    Fong M, Treglohan J, Selvasekar C, Sedman P, Leeder P, Francis N. TP8.2.9 Development & Evaluation of LapPass™: The Laparoscopic Passport Vol. 108, British Journal of Surgery. Oxford University Press (OUP); 2021.
    Journal
    British Journal of Surgery
    URI
    http://hdl.handle.net/10541/624858
    DOI
    10.1093/bjs/znab362.082
    Additional Links
    https://dx.doi.org/10.1093/bjs/znab362.082
    Type
    Meetings and Proceedings
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1093/bjs/znab362.082
    Scopus Count
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