Citation
Hiemstra, E. (2012, January 26). Acquiring minimally invasive surgical skills.
Retrieved from https://hdl.handle.net/1887/18417
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License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden
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Acquiring MiniMAlly invAsive surgicAl skills
Copyright © E. Hiemstra, 2011. All rights reserved. No part of this thesis may be reproduced, stored in a retrieval system of any nature, or transmitted in any form or by any means, without prior written permission of the author, or, when appropriate, of the holder of the copyright.
Financial support for the publication of this thesis was provided by:
A Hiemstra-Timmenga, NVEC, Simendo BV, Maatschap Gynaecologie Haga Ziekenhuis, DSSH, BMA BV (Mosos), Memedis Pharma BV, Convidien Nederland BV, Johnson & Johnson Medical BV, Olympus Nederland BV, Janssen Cilag BV, Medical Dynamics BV.
Acquiring MiniMAlly invAsive surgicAl skills
PROEFSCHRIFT
ter verkrijging van
de graad van Doctor aan de Universiteit van Leiden op gezag van Rector Magnificus prof. mr. P.F. van der Heijden
volgens besluit van het College van Promoties te verdedigen op donderdag 26 januari 2012
klokke 15.00 uur
door
Ellen Hiemstra geboren te Zwolle in 1979
Mw. dr. M.P. Schijven, Academisch Medisch Centrum, Amsterdam Prof. dr. J.B.M.Z. Trimbos
Aan mijn ouders
contents
chapter 1 General Introduction 9
PArt i outside of the operating room
chapter 2 Skills training in minimally invasive surgery in Dutch Obstetrics and
Gynaecology Residency Curriculum 15
chapter 3 Virtual Reality in Laparoscopic Skills Training:
Is Haptic Feedback replaceable? 21
chapter 4 Optimizing laparoscopic skills training: Does a fixed camera compromise
depth perception? 29
chapter 5 Intracorporeal suturing: economy of movements in a box trainer model 37 chapter 6 Retention of basic laparoscopic skills after a structured training program 47
chapter 7 Grading surgical skills curricula and training facilities for minimally
invasive surgery 55
PArt ii in the operating room
chapter 8 The value of an objective assessment tool in the operating room 63 chapter 9 Implementation of OSATS in the Residency Program: a benchmark study 73
chapter 10 Are minimally invasive procedures harder to acquire than conventional
surgical procedures? 81
chapter 11 General discussion 89
chapter 12 Conclusions and Recommendations 95
chapter 13 Summary / Samenvatting 99
chapter 14 Addendum
Literature 111
Author affiliations 119
About the author 121
List of publications 123
Dankwoord 125
