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Trop Doct 2008;38:217-218
doi:10.1258/td.2008.070359
© 2008 Royal Society of Medicine Press

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Methods and Devices

A structured training module using an inexpensive endotrainer for improving the performance of trainee surgeons

Iqbal Saleem Mir MS   *    Mir Mohsin MS   *   Anjum Malik MD   {dagger}   Abdul Qayoom Shah MS   {ddagger}   Tafazul Majid MS   *

* Minimal Access Surgery Unit, Government Gousia Hospital, Khanyar; {dagger} Government Lal ded Hospital, Srinagar; {ddagger} Minimal Access Surgery Unit, Government District Hospital, Baramulla, Kashmir, India, 190010

Correspondence to: Dr Iqbal Saleem Mir, Apex Clinic, Gole Market, Karan Nagar, Srinagar, Kashmir, India Email: iqbalsurg{at}yahoomail.com

Training in minimal access surgery has always been difficult in developing countries with limited resources, non availability of formal animal labs, inaffordability of conventional endotrainers and lack of trained endosurgeons to help the amateurs. It is always difficult to start a new procedure in such places where not only the patients but the orthodox surgical fraternity are reluctant to accept new ideas and newer trends in surgery. After thorough discussions with senior surgeons, the author (who was the only trained endosurgeon to begin with) developed a training policy to train the surgeons over a period of time through various exercises before allowing them to assist him in the actual surgeries. A homemade, inexpensive endotrainer was designed for these exercises. Audio-visual seminars were held in between the training sessions. This training module can be employed by other rural hospitals to improve the skills of surgeons who are new to the art of endosurgery.


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