332 Port to Practice: Simulation-Driven Laparoscopic Skills for Aspiring Surgeons

Abstract Introduction Laparoscopic surgery is a fundamental component of modern surgical practice, yet formal training often begins only at ST3 level. This project aimed to address this gap by introducing a structured, registrar-led laparoscopic skills course for medical students and foundation doctors, aligned with Royal College of Surgeons (RCS) guidelines. The primary research question was: Does a structured two-day simulation-based course improve participants’ competence, confidence, and perceived transferability of laparoscopic skills to clinical practice? Secondary questions explored participants’ views on making such training mandatory in core surgical training (CST) and their perceptions of box trainers versus virtual reality (VR) simulators. Method A two-day hands-on course was delivered over alternate weeks using box trainers and the VirtaMed LaparoS™ VR simulator. The curriculum followed RCS-recommended competencies, including port insertion, camera navigation, and basic procedural steps in laparoscopic appendicectomy and cholecystectomy. Fifteen final-year medical students and foundation doctors participated. Anonymized pre- and post-course questionnaires assessed confidence, knowledge, and satisfaction. Results All participants completed the course. Pre-course data showed limited prior laparoscopic exposure. Post-course results demonstrated marked improvement in confidence and self-perceived competence. Participants expressed strong support for earlier laparoscopic training, with 100% recommending its inclusion in CST. VR and box trainers were seen as complementary, with varied preferences. Discussion This pilot course demonstrated the feasibility and positive impact of early simulation-based laparoscopic training. The findings support broader integration of such initiatives into early surgical education to enhance preparedness and engagement in surgical careers.