<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1981-5271</journal-id>
<journal-title><![CDATA[Revista Brasileira de Educação Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Bras. Educ. Med.]]></abbrev-journal-title>
<issn>1981-5271</issn>
<publisher>
<publisher-name><![CDATA[Associação Brasileira de Educação Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1981-52712019000200106</article-id>
<article-id pub-id-type="doi">10.1590/1981-52712015v43n2RB20180088</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Validação de um Programa de Treinamento Simulado de Habilidades Laparoscópicas por Residentes de Cirurgia]]></article-title>
<article-title xml:lang="en"><![CDATA[Validation of a Simulated Laparoscopic Skills Training Program by Surgical Residents]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barreto]]></surname>
<given-names><![CDATA[Ricardo Monteiro de Sá]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[Hermano Alexandre Lima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borges]]></surname>
<given-names><![CDATA[Glaydison Cesar de Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peixoto Júnior]]></surname>
<given-names><![CDATA[Arnaldo Aires]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moura Júnior]]></surname>
<given-names><![CDATA[Luiz Gonzaga de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peixoto]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Uniersitário Chistus  ]]></institution>
<addr-line><![CDATA[Fortaleza Ceará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal do Ceará  ]]></institution>
<addr-line><![CDATA[Fortaleza Ceará]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>2</numero>
<fpage>106</fpage>
<lpage>113</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712019000200106&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712019000200106&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712019000200106&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdu&#231;&#227;o  Os treinamentos com simuladores para videocirurgia t&#234;m sido propostos como ferramentas de ensino, permitindo avalia&#231;&#227;o formativa de alunos em condi&#231;&#245;es mais controladas e seguras.   Objetivo  Validar um programa estruturado de treinamento de endossuturas para residentes de cirurgia, por meio de duas escalas estruturadas de aquisi&#231;&#227;o de habilidades laparosc&#243;picas e da percep&#231;&#227;o dos participantes.   M&#233;todos  Estudo experimental longitudinal quantitativo, que contou com a participa&#231;&#227;o de 12 residentes de cirurgia provenientes de quatro hospitais distintos. O treinamento consistia na confec&#231;&#227;o de endossuturas com simuladores de v&#237;deo em sete sess&#245;es num per&#237;odo de sete meses. A avalia&#231;&#227;o da progress&#227;o da compet&#234;ncia t&#233;cnica dos alunos foi realizada por tr&#234;s avaliadores, utilizando-se o Objective Structured Assessement of Technical Skills (Osats) e a Escala de Progress&#227;o de Profici&#234;ncia (EPP) em Endossuturas. Os residentes usaram um question&#225;rio com escala de Likert de 1 a 5 para avaliar o programa de treinamento realizado quanto &#224; aquisi&#231;&#227;o de habilidades espec&#237;ficas. Foram feitos os testes de Anova e Qui-Quadrado para compara&#231;&#227;o entre vari&#225;veis. As correla&#231;&#245;es e associa&#231;&#245;es entre duas vari&#225;veis num&#233;ricas foram verificadas por meio de regress&#227;o linear simples e m&#250;ltipla, quando foram inclu&#237;dos os fatores determinantes al&#233;m do n&#250;mero de sess&#245;es de treinamento. Foi calculado o ranking m&#233;dio para an&#225;lise da escala de Likert. Foram consideradas significativas as compara&#231;&#245;es com valor de p &#8804; 0,05. Este estudo foi aprovado pelo Comit&#234; de &#201;tica em Pesquisa da institui&#231;&#227;o.   Resultados  Quanto ao desempenho dos residentes observado pelos avaliadores por meio do Osats, observou-se melhora estatisticamente significante na pontua&#231;&#227;o em rela&#231;&#227;o aos &#237;tens: respeito ao tecido (p = 0,006), tempo e movimento (p = 0,001), conhecimento e manuseio dos instrumentos (p = 0,002), fluxo da cirurgia (p = &lt; 0,001), conhecimento do procedimento espec&#237;fico (p = 0,001), pelo teste Qui-Quadrado. Em rela&#231;&#227;o ao n&#250;mero total de pontos pela EPP e &#224; nota m&#233;dia nos testes pelo Osats modificado, o total e a nota m&#233;dia nos testes foram significantes (&lt; 0,001 e &lt; 0,001), utilizando-se o teste Kruskal-Wallis ao longo dos meses de treinamento. Na percep&#231;&#227;o dos alunos, o programa de treinamento contribuiu para o desenvolvimento de habilidades cir&#250;rgicas, tendo como itens mais bem avaliados o manuseio de pin&#231;as e porta-agulhas e a confec&#231;&#227;o de n&#243;s. Os itens mais mal avaliados foram a hapticidade e a passada de al&#231;a. Demonstrou-se ganho significativo na aquisi&#231;&#227;o de compet&#234;ncia t&#233;cnica pelos residentes durante o curso, percebido por meio dos dois instrumentos de avalia&#231;&#227;o utilizados (Osats e EPP).   Conclus&#227;o  Houve ganho significativo de habilidades pelos residentes de cirurgia ao longo dos sete meses do programa de treinamento simulado, demonstrado pelos dois instrumentos de avalia&#231;&#227;o estruturada e pela percep&#231;&#227;o dos residentes. ]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction  Training with simulators for video-surgery has been proposed as teaching tools, allowing formative evaluation of students under more controlled and safe conditions.   Objective  To validate structured program of endosuture training for surgical residents, through two structured scales of acquisition of laparoscopic skills and participant&#8217;s perception.   Methods  This was a quantitative longitudinal experimental study involving 12 residents of surgery from four different hospitals. The training consisted of making endorsements with video simulators in seven sessions over a period of seven months. The evaluation of the progression of the technical competence of the students was carried out by three evaluators, using the Objective Structured Assessmen of Technical Skills (Osats) and the Progression of Proficiency Scale (EPP) in Endorsements. Residents used a Likert scale to evaluate the training program. Anova and chi square tests were performed to compare variables. Correlations and associations between two numerical variables were verified through simple and multiple linear regression, when the determinants were included in addition to the number of training sessions. The Average Ranking was calculated for Likert scale analysis. Comparisons with p value &#8804; 0.05 were considered significant.This study was approved by the Research Ethics Committee of the institution.   Results  There was a significant gain in the acquisition of technical competence by the residents during the course, perceived through the two evaluation instruments used (Osats and EPP). As regards the performance of the residents observed by the evaluators through the Osats, there was a statistically significant improvement in the score in relation to the items: Respect to the tissue (p = 0.006), Time and movement (p = 0.001), Knowledge and handling of instruments p = 0.002), Circulation flow (p = 0.001), Knowledge of the specific procedure (p = 0.001), by the chi-square test. In relation to the total number of points by EPP and the mean score in the tests by the modified Osats, the total and the mean score in the tests were significant (&lt; 0.001 and &lt; 0.001), using the Kruskal-Wallis test, over the months training. In the students&#8217; perception, the training program contributed to the development of surgical skills, with the best evaluated items being the handling of tweezers and needle holders and the knitting. The worst evaluated items were the hapticity and the gait step.   Conclusion  There was a significant gain in skills by the residents of surgery during the seven months of simulated training, demonstrated in two structured assessment instruments and by the residents&#8217; perception. ]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Treinamento por Simulação]]></kwd>
<kwd lng="pt"><![CDATA[Laparoscopia]]></kwd>
<kwd lng="pt"><![CDATA[Internato e Residência]]></kwd>
<kwd lng="en"><![CDATA[Simulation Training]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[Internship and Residency]]></kwd>
</kwd-group>
</article-meta>
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