<?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>S1981-52712020000200204</article-id>
<article-id pub-id-type="doi">10.1590/1981-5271v44.2-20190160.ing</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Validation of a Training Model for Performing Laparoscopic Knots and Stitches in a Simulation Environment]]></article-title>
<article-title xml:lang="pt"><![CDATA[Validação de Modelo de Treinamento para Realização de Nós e Pontos Laparoscópicos em Ambiente de Simulação]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Grijalva Otávio Ferreira da]]></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"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[Cândida Mayara Rodrigues]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moura Junior]]></surname>
<given-names><![CDATA[Luiz Gonzaga de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medeiros]]></surname>
<given-names><![CDATA[Francisco das Chagas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Universitário Christus  ]]></institution>
<addr-line><![CDATA[Fortaleza Ceará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal do Ceará  ]]></institution>
<addr-line><![CDATA[Fortaleza Ceará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712020000200204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712020000200204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712020000200204&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  To evaluate the progression of competence, learning curve and degree of satisfaction with the training model of medical students undergoing training to perform laparoscopic knots in a simulator.  Methods:  This was a prospective, longitudinal, interventional study, carried out from April 2016 to July 2017, with the participation of 52 students from the Centro Universitário Christus, Fortaleza, Brazil, from the first to the third year of medical school, undergoing theoretical practical, systematic, and methodized training, with progression of skills to perform laparoscopic knots in a simulation environment in four stages, with a total duration of 16 hours. It was established the task of performing laparoscopic stitches, with five simple knots, in the beginning and in the end, in a suture mold, in an abdominal cavity simulator, in 18 minutes. The main outcomes were time and quality of performance. The students were evaluated before the first and after all stages of the training regarding the quantity and quality of the knots or the subject of the stage and satisfaction with the training model. ANOVA and Student&#8217;s t tests were performed for the independent samples and the chi-square test for the categorical variables. For variables with serial measurements, general linear models were used. Univariate binomial models were used in the evaluation variables of the training model. P values &lt;0.05 were considered significant.  Results:  The values of the medians were analyzed between the first and last stages of the training; of the number of simple knots (0.0 and 15.0) and laparoscopic knots (0.0 and 3.0), the adequacy of the sizes of the suture tail ends (0.0 and 11.0), the number of adjusted initial simple knots ( 0.0 and 3.0) and adjusted sequential ones (0.0 and 24.0). There was statistical significance in all evaluated parameters (p&lt; 0.001). The learning curve showed that 99.1% of the students attained competence. The degree of satisfactory evaluation of the training model was considered good or great in 97% or more, with statistical relevance in 8 of the 10 evaluated statements.  Conclusions:  The study demonstrated that the students showed competence progression and learning curve evolution. The degree of student satisfaction in relation to the training model stages was very significant.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  O objetivo deste estudo foi avaliar a progressão da competência, a curva de aprendizagem e o grau de satisfação com o modelo de treinamento de estudantes de Medicina submetidos a capacitação para realização de pontos laparoscópicos em simulador.  Método: Trata-se de estudo prospectivo, longitudinal, intervencionista, realizado de abril de 2016 a julho de 2017, com participação de 52 estudantes de Medicina do Centro Universitário Christus, de Fortaleza, Brasil, do primeiro ao terceiro ano, submetidos a treinamento teórico prático, sistematizado, metodizado, com progressão de habilidades para realização de pontos laparoscópicos em ambiente de simulação, em quatro etapas com duração total de 16 horas. Foi estabelecida a tarefa de realizar pontos laparoscópicos, com cinco seminós, nas etapas inicial e final, em molde de sutura, em simulador de cavidade abdominal, em 18 minutos. Os desfechos principais foram o tempo e a qualidade de execução. Os estudantes foram avaliados antes da primeira e depois de todas as etapas do treinamento quanto à quantidade e qualidade dos pontos ou quanto ao conteúdo da estação e satisfação com o modelo de treinamento. Realizaram-se os testes ANOVA e T de Student para as amostras independentes e o teste do qui-quadrado para as categóricas. Para variáveis com medidas seriadas, utilizou-se o modelo linear geral. Utilizaram-se modelos binomiais univariados nas variáveis de avaliação do modelo de treinamento. Foram considerados significativos os valores de p menores que 0,05.  Resultados: Analisaram-se os valores das medianas, entre a primeira e última etapas do treinamento, do número de seminós (0,0 e 15,0) e pontos laparoscópicos (0,0 e 3,0), da adequação dos tamanhos dos cotos dos fios (0,0 e 11,0), do número de seminós iniciais ajustados (0,0 e 3,0) e sequenciais ajustados (0,0 e 24,0). Houve significância estatística em todos os parâmetros avaliados (p &lt; 0,001). A curva de aprendizagem mostrou que 99,1% dos estudantes atingiram a competência. O grau de avaliação satisfatória do modelo de treinamento foi considerado bom ou ótimo em 97% ou mais, com relevância estatística em oito das dez afirmações avaliadas.  Conclusões:  O estudo revelou que os alunos apresentaram progressão na competência e evolução na curva de aprendizagem. O grau de satisfação dos estudantes em relação às etapas do modelo de treinamento foi muito significativo.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Laparoscopic Surgery]]></kwd>
<kwd lng="en"><![CDATA[Simulation Training]]></kwd>
<kwd lng="en"><![CDATA[Medical Education]]></kwd>
<kwd lng="en"><![CDATA[Suture]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia laparoscópica]]></kwd>
<kwd lng="pt"><![CDATA[Treinamento por Simulação]]></kwd>
<kwd lng="pt"><![CDATA[Educação Médica]]></kwd>
<kwd lng="pt"><![CDATA[Suturas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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