Stepwise training program: A novel practice schedule for laparoscopic suturing

Hsin An Chen, Shih Wei Huang, Shih Chiang Shen, Kuei Yen Tsai, Hsin Hong Kuo, Bernard Dallemagne, Howard C. Jen, Chin Hung Wei

Research output: Contribution to journalArticlepeer-review


Purpose: We establish stepwise training program in which laparoscopic suturing is broken down to discrete steps. The purpose is to evaluate the learning outcomes of stepwise training program. Materials and methods: Volunteer participants were enrolled from medical students and surgical trainees. Students took two courses of 2-h stepwise training, and a post-course (1st & 2nd) test was taken after each course; trainees took one course of stepwise training with a pre-course (1st) and a post-course (2nd) test. Attending surgeons took the test as control. Learning outcomes were assessed with laparoscopic suturing competency assessment tool (LS-CAT) and suturing time. Results: There were 10 students, 8 trainees and 6 surgeon controls. Suturing time and LS-CAT scores significantly improved between the 1st and 2nd test (p < 0.01). In the both tests, suturing time and LS-CAT scores of students and trainees were similar. In the 1st test, surgeons had significantly better performance in suturing time and LS-CAT score than students and trainees; in the 2nd test, the LS-CAT scores of students and trainees were similar to the surgeon controls. Conclusions: Stepwise program effectively enhances laparoscopic suturing skill for medical students and surgical trainees. Catch-up effect was demonstrated in medical students with stepwise training.

Original languageEnglish
Article numbere22563
Issue number12
Publication statusPublished - Dec 2023


  • Laparoscopic suturing
  • Practice schedule
  • Stepwise training

ASJC Scopus subject areas

  • General


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