2013-2014
LAP I SWS
SAGES Biliary Curriculum
Post-Test Questionnaire
Post-test Questionnaire
Name:
Date:
1.
Do you feel comfortable with your current laparoscopic technical skills? (circle)
2.
Laparoscopy self-rating: How good are you at laparoscopic surgical skills?
(circle)
3.
very poor
poor
moderate
good
yes
no
excellent
Current laparoscoipic experience: Since the first set of skills testing (at the beginning of this course), how many
laparoscopic cases have you performed?
Estimated # of Laparoscopic Cases
Observer (only)
Assistant
(ex. camera driver)
3.
Do you feel more comfortable with your laparoscopic skills than you did at the beginning of training?
(circle)
4.
no
Did training to proficiency levels improve your laparoscopic skills more than any other training?
(circle)
5.
yes
yes
no
n/a
Operative Improvement: Do you think that training to proficiency had a bigger impact on your ability to
perform laparoscopic cases in the OR compared to the training/practice that you did previously?
(circle)
6.
n/a
yes
no
Laparoscopic suturing self-rating: How good are you at laparoscopic suturing?
(circle)
8.
no
Do you feel comfortable with your current laparoscopic suturing skills?
(circle)
7.
yes
very poor
poor
moderate
good
excellent
Current open experience: Since the Lap I pre-test, in how many cases have you performed laparoscopic
suturing?
total # of cases ______________
9.
Do you feel the skills acquired in Lap I have enhanced your laparoscopic endostitch suturing skills?
(circle)
yes
no
n/a
10. Operative Improvement: Do you think that training to proficiency levels for suturing had a bigger impact on
your ability to perform laparoscopic cases in the OR compared the repetitions that you did previously?
(circle)
yes
no
n/a
OVER
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11. Were the proficiency levels and the training protocol appropriate?
Not Appropriate = the proficiency levels and protocol were too challenging, took too much effort, and required
too much practice
Appropriate = the proficiency levels and protocol were appropriately challenging and required a reasonable
amount of effort and practice
Not Appropriate
Appropriate
Bean Drop
1
2
3
4
5
Running String
1
2
3
4
5
Checkerboard
1
2
3
4
5
Block Move
1
2
3
4
5
Suture Foam (Endostitch)
1
2
3
4
5
12. During training (not counting the pre-test session), how many times did you watch the videos for each task?
(write in the # of times videos were viewed)
Bean Drop
Running string
Checkerboard
Block Move
Suture Foam
13. Did you receive adequate information for training from the videos?
Not Adequate
1
Adequate
2
3
4
5
14. Overall, what do you think about SAGES MIS Biliary Curriculum as a learning tool ?
(circle) very poor
poor
moderate
good
excellent
Approximately how many hours did you spend completing the SAGES MIS Biliary Curriculum? Total Time:
15. How much feedback did you receive during training from the instructors?
None
1
Extensive
2
3
4
5
16. Was the amount of feedback you received during training from the instructors appropriate?
Not Appropriate
1
Appropriate
2
3
4
Comments and Suggestions:
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