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This study aims to improve basic laparoscopic and thoracoscopic skills in thoracic surgery residents and rotating surgical residents through a structured simulation-based training program. Participants will complete hands-on practice sessions using box trainers, artificial models, and bovine tissues in a controlled, non-patient setting.
Before and after the training, participants will complete self-assessment surveys and a standardized technical skills evaluation (OSATS). The study will compare these results to measure changes in technical performance, confidence, and learning needs. No real patients, live animals, or clinical procedures are involved, and there are no expected medical risks.
The goal of this study is to determine whether structured simulation training is effective, practical, and acceptable for surgical education, and whether it can support safer transition to real operating room experience in the future.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Structured Simulation Training | Experimental | Participants will undergo a standardized simulation-based training program designed to develop laparoscopic and thoracoscopic technical skills. Training includes camera navigation, tissue dissection, stapling, and suturing tasks performed on box trainers, artificial models, and bovine tissues in a controlled laboratory setting. All participants complete baseline (pre-training) and post-training evaluations using OSATS scoring, self-assessment surveys, and performance timing. No clinical procedures, live animals, or patient interactions occur during the study. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Structured Simulation-Based Surgical Training | Behavioral | Participants will complete a structured simulation-based training curriculum designed to improve fundamental laparoscopic and thoracoscopic surgical skills. The program includes standardized modules on camera navigation, tissue handling, dissection, stapling, and suturing, performed on box trainers, artificial models, and bovine tissues. Training occurs in a controlled laboratory environment with faculty supervision and predefined performance goals. No real patients, clinical procedures, or live animals are involved. All participants undergo pre- and post-training performance assessment using OSATS scoring, task completion time, and self-evaluation surveys. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Total OSATS Score | Technical skill performance will be assessed using the Objective Structured Assessment of Technical Skills (OSATS), consisting of a global rating scale and task-specific checklist (total score range 0-35). Each participant will complete the same standardized tasks before and after the simulation training. The primary outcome is the within-subject change (post-training minus pre-training) in total OSATS score. | Baseline (pre-training) and immediately after completion of the training program (within 1 week) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ondokuz Mayis University Medical Faculty, Department of Thoracic Surgery | Samsun | Samsun | 55139 | Turkey (Türkiye) |
Individual participant data will not be shared because the sample size is small and performance videos, OSATS scores, and survey results may allow indirect identification of surgical trainees. Data are collected solely for educational and research purposes within a single institution and will be stored securely according to ethics committee requirements. Only aggregated and de-identified results will be reported in publications and presentations.
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Participants will receive a structured simulation-based training program consisting of standardized laparoscopic and thoracoscopic skill modules. All participants complete pre-training and post-training assessments using the same protocol.
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