Addressing the gap in laparoscopic common bile duct exploration training for rural surgeons: imparting procedural abilit
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and Other Interventional Techniques
Addressing the gap in laparoscopic common bile duct exploration training for rural surgeons: imparting procedural ability is not enough Ryan A. J. Campagna1,3 · Allison M. Belette1 · Amy L. Holmstrom1 · Amy L. Halverson1 · Byron F. Santos2 · Eric S. Hungness1 · Ezra N. Teitelbaum1 Received: 11 May 2020 / Accepted: 16 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background Laparoscopic common bile duct exploration (LCBDE) is an underutilized therapy for choledocholithiasis. The driving factors of this practice gap are poorly defined. We sought to evaluate the attitudes and practice patterns of surgeons who underwent training courses using an LCBDE simulator. Methods Surgeons completed a half-day simulator-based LCBDE curriculum at national courses, including the American College of Surgeons Advanced Skills Training for Rural Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons annual meeting. Attitudes were assessed with Likert surveys immediately before and after curriculum completion. Follow-up surveys were distributed electronically. Results 159 surgeons completed training during six courses. Surgeon attitudes regarding the overall superiority of LCBDE vs. ERCP shifted towards favoring LCBDE after course participation (4.0 vs 3.3; Likert scale 1–5, p
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