Training the trainees: An evaluation exercise using the TLH and BSO model

S. Saso, J. Chatterjee, Praveenajoglekar Pai, A. Farthing, S. Ghaem-Maghami

Research output: Contribution to journalArticlepeer-review


Our aim was to evaluate surgical training in gynaecological oncology by assessing the time required by a trainee to complete a single laparoscopic gynaecologic-oncological operation. A total of 135 patients with a BMI < 40 kg/m2, diagnosed with endometrial cancer, underwent a total laparoscopic hysterectomy and bilateral salpingo-oophorectomy (TLH and BSO). Patients in Group I (n = 78) were operated on by a consultant gynaecological oncology surgeon and in Group II (n = 57) by sub-specialist trainees (SSTs). The mean patient age and BMI was 63.5 years and 29.6 kg/m2, respectively, in Group I and 64.5 years and 29.9 kg/m2, respectively, in Group II. Median operating times for Groups I and II were 58 and 90 min, respectively (p < 0.05). Furthermore, significant improvement was noted when comparing the average operating time between the first and second half of SST training. Even experienced gynaecological trainees take significantly longer to perform a reproducible laparoscopic operation. At the completion of training, an SST demonstrates improvement with respect to operation duration but is still not as fast as the trainer.

Original languageEnglish
Pages (from-to)548-552
Number of pages5
JournalJournal of Obstetrics and Gynaecology
Issue number6
Publication statusPublished - 01-08-2013

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology


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