{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:32:43Z","timestamp":1772987563270,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,22]],"date-time":"2024-12-22T00:00:00Z","timestamp":1734825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,12,22]],"date-time":"2024-12-22T00:00:00Z","timestamp":1734825600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100018736","name":"Kaken Pharmaceutical","doi-asserted-by":"publisher","award":["23K19835"],"award-info":[{"award-number":["23K19835"]}],"id":[{"id":"10.13039\/100018736","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Regional disparities in medical practice between urban and rural areas in Japan represent a critical issue, and extend to the field of surgical education. To address these disparities, we evaluated the effectiveness of simultaneous remote coaching across multiple facilities using a standardized laparoscopic training method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 28 trainees from a university hospital and 3 rural hospitals were categorized into remote and on\u2010site coaching groups. The training curriculum included lectures, practical training, and assessments, conducted for 1\u2009h per week using three sessions. The primary endpoint of the study was the change in time for ligation of one suture between the on\u2010site and remote coaching groups, expressed as the median of the reduction suture time rate (RTR). Secondary endpoints included the RTR categorized by years of graduation and the results of a questionnaire survey of participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants included 19 trainees in postgraduate year (PGY) 1\u20132 and 9 those in PGY 3\u20135. The median suture ligation time for the first attempt was 145\u2009s (remote: 136\u2009s vs. on\u2010site: 160\u2009s;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.33) and that for the third attempt was 51\u2009s (remote: 33\u2009s vs. direct: 52\u2009s;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.91). The median RTR was 57%, with no significant difference observed between the remote and on\u2010site coaching groups (43.2% vs. 71.2%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.26). The trainees' ratings for the training were generally favorable, with median ratings of 4 (range: 3\u20135) for the content of practical skills and 5 (4, 5) for the distance learning aspect, based on a 5\u2010point Likert scale.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Simultaneous remote laparoscopic training could be effective in reducing disparities in surgical education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70007","type":"journal-article","created":{"date-parts":[[2024,12,22]],"date-time":"2024-12-22T20:53:54Z","timestamp":1734900834000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Simultaneous Remote Laparoscopic Training for Trainees Among Multiple Institutions: Can Remote Coaching Replace On\u2010Site Coaching?"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3929-8345","authenticated-orcid":false,"given":"Kenji","family":"Baba","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery, Graduate School of Medical and Dental Sciences Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuto","family":"Hozaka","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Graduate School of Medical and Dental Sciences Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kan","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Department of Surgery and Digestive Surgery Imamura General Hospital  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masumi","family":"Wada","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Graduate School of Medical and Dental Sciences Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Kuroshima","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Graduate School of Medical and Dental Sciences Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kinjo","family":"Takara","sequence":"additional","affiliation":[{"name":"Department of Surgery Tanegashima Medical Center  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shizuka","family":"Yoshidome","sequence":"additional","affiliation":[{"name":"Department of Surgery Kagoshima Prefectural Hospital of Ohshima  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunya","family":"Iio","sequence":"additional","affiliation":[{"name":"Department of Surgery Kagoshima Prefectural Hospital of Ohshima  Kagoshima 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