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Table 1 Procedural proficiency checklist

From: Sequential learning of psychomotor and visuospatial skills for laparoscopic suturing and knot tying – study protocol for a randomized controlled trial “The shoebox study”

Procedure assessment

Yes/No

Needle position 1

1

Held at one half to two thirds distance from the tip

 
 

2

Angle 90° ± 20°

 
 

3

Uses tissue or other instrument for stability

 
 

4

Attempts at positioning (≤3)

 

Needle driving 1 (entry to incision)

5

Entry at 60° to 90° to the tissue plane

 

6

Driving with one movement

 
 

7

Single point of entry through the tissue

 
 

8

Removes the needle along its curve

 

Needle position 2

9

Held at one half to two thirds distance from the tip

 
 

10

Angle 90° ± 20°

 
 

11

Uses tissue or other instrument for stability

 
 

12

Attempts at positioning (≤3)

 

Needle driving 2 (incision to exit)

13

Driving with one movement

 

14

Removes the needle along its curve

 

Pulling the suture

15

Needle on needle holder in view at all times

 
 

16

Uses the pulley concept

 

Technique of knots

17

Correct C-loop (no S- or O-loops)

 
 

18

Smoothly executed throw, no fumbles

 
 

19

Correct inverse C-loop (no S- or O-loops)

 
 

20

Smoothly executed throw, no fumbles

 
 

21

Knot squared (capsized/reef/surgical)

 
 

22

Correct third C-loop (no S- or O-loops)

 
 

23

Smoothly executed throw, no fumbles

 

Total points