MTP7.06 Enhancing Operative Skills Through Targeted Simulation-Based Training for Intermediate Trainees: A Northern Ireland Experience

Aim This study aimed to design and implement a simulation-based laparoscopic training program for intermediate surgical trainees at a district general hospital in Northern Ireland. The objective was to enhance operative skills through structured simulation modules and assess satisfaction and confidence levels among participants. Methods Two sequential modules were developed. Module 1 focused on camera handling and triangulation, while Module 2 covered diagnostic laparoscopy for incisional hernia and laparoscopic appendectomy, encompassing three variations of appendicitis (uncomplicated appendicitis, tip abscess, and perforated appendicitis). Participants received 1:1 simulation-based practice with a target of completing nine appendectomy simulations (three guided, three unguided, and three test scenarios). Feedback was collected post-course using a five-point Likert scale, where 1 indicated the least satisfaction and 5 the highest. Results Nine residents participated, with eight completing the program and one pending completion. Satisfaction scores averaged 4.86 (85.7%) for Module 1 and 5.0 (100%) for Module 2. Six residents initiated Module 2, with three (50%) completing it and the remaining in progress. Pre-simulation confidence levels rated ≤3 in 89.9% of participants, which improved to ≥4 in 89.9% following simulation-based training. Conclusion Simulation-based laparoscopic training was highly appreciated by participants, in particular where surgical exposure is limited by work dynamics. High-fidelity simulators provide a scalable and effective method to assess and improve surgical skills and confidence in trainees.