{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T09:54:35Z","timestamp":1788170075787,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T00:00:00Z","timestamp":1521849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Mater Research"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Lack of time and access to equipment are recognised barriers to simulation training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the effect of a take\u2010home laparoscopic simulator training program on the laparoscopic skills of gynaecology trainees.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants (<jats:italic>n<\/jats:italic>\u00a0=\u00a017 in 2015, <jats:italic>n<\/jats:italic>\u00a0=\u00a016 in 2016) were supplied with a box trainer, associated equipment and instructions on self\u2010directed training. A program was designed and implemented in 2015 comprising of ten weekly laparoscopic skills tasks and modified in 2016 to eight monthly tasks. Half of the participants were randomly allocated a supervisor. Participants performed baseline and post\u2010training assessments of laparoscopic skills in a box trainer task (thread transfer) and virtual reality simulator tasks (laparoscopic tubal ligation and bilateral oophorectomy).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Trainees in 2015 demonstrated an improvement in the median time to complete the laparoscopic tubal ligation task (baseline 124\u00a0s vs post\u2010training 91\u00a0s, <jats:italic>P\u00a0=\u00a0<\/jats:italic>0.041). There was no difference in the number of tubal ligation bleeding incidents, or in the time taken to complete the box trainer thread transfer task. In 2016 trainees demonstrated improvement in tubal ligation time (baseline 251 vs 71 post\u2010training, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.021) and bilateral oophorectomy time (baseline 891\u00a0s vs 504 post\u2010training, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.025). There was no significant difference in other outcome measures. There was no difference found in performance when groups were compared by supervisor allocation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A take\u2010home box trainer simulation\u2010training program was associated with improvement in laparoscopic skills. This type of program may improve trainee access to simulation training.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12802","type":"journal-article","created":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T12:27:27Z","timestamp":1521894447000},"page":"110-116","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Improved laparoscopic skills in gynaecology trainees following a simulation\u2010training program using take\u2010home box trainers"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5163-6701","authenticated-orcid":false,"given":"Erin","family":"Wilson","sequence":"first","affiliation":[{"name":"Mater Research University of Queensland  South Brisbane Queensland Australia"},{"name":"University of Queensland Faculty of Medicine  Herston Queensland 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