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  1. Laparoscopic practice patterns among north american urologists 5 years after formal training.

    Article - En anglais


    We assessed urologist laparoscopy practice patterns 5 years after a postgraduate training course in urological laparoscopic surgery.

    Results were compared to findings from similar studies performed on the same cohort at 3 and 12 months after training.

    Materials and Methods 

    Between January 1991 and November 1992,11,2-day university sponsored, postgraduate laparoscopic surgery training programs were held.

    A survey was mailed to the 322 North American participants in the summer of 1997 to determine current laparoscopic use and experience.


    Of the 166 respondents (51% response rate) 53.6% (89) had performed 1 or more laparoscopic procedures in the previous year, compared to 84% 1 year following course completion.

    Of the respondents 37% believed their laparoscopic experience was sufficient to maintain skills compared to 66% at 1 year.

    Of the respondents 6% had performed more laparoscopic procedures while 82% had performed fewer than anticipated.

    Reasons cited for decreased use included decreasing and/or lack of indications, increased cost, decreased patient interest, higher complication rates, decreased institutional support and increased operative time.

    Respondents practicing in academic or residency affiliated centers, or those who had completed residency after 1980 were more likely to have performed more procedures than anticipated (p=0.044) compared to community based colleagues. (...)

    Mots-clés Pascal : Formation professionnelle, Médecin, Spécialité médicale, Urologie, Evaluation, Long terme, Expérience professionnelle, Laparoscopie, Etude statistique, Homme, Endoscopie

    Mots-clés Pascal anglais : Occupational training, Physician, Medical specialty, Urology, Evaluation, Long term, Professional experience, Laparoscopy, Statistical study, Human, Endoscopy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0131216

    Code Inist : 002B30A09. Création : 16/11/1999.