Lapco  

Welcome to the Fellow Section

Welcome to the Fellow Section of the Lapco Web Site which is available for all Colorectal  Fellows in England.

Fellow Section of Web Site

This section of the web site has been designed to allow registered users to upload records of their laparoscopic colorectal operative procedures to a dedicated password protected account. This is done by completion of a Global Assessment Score (GAS) Form which creates a logbook of activity. Both the Fellows and their Trainers will be required to complete their respective GAS Forms after each training episode which needs to be uploaded to the Lapco web site (www.lapco.nhs.uk)

Registration

  • Both Fellows, and Trainers providing training must registrer through the Lapco web site
  • Fellows in colorectal surgery are eligible to be registered as trainees
  • Fellows are requested to ensure that their contact details are updated regularly
  • All Trainers seeking to register are required to be a Consultant
  • Upon registration, each user will be issued a password which is required to gain access to their account

Login

To upload a GAS form or to review your account go to the ‘login section’ of the Fellow section of the web site and enter your email address and user password that will be issued by email at registration.

Assessment

After each training case you and your trainer are required fill in a short assessment GAS form, there is a form for the Fellow (Fellow Trainee GAS Form download) and the Trainer (Fellow Trainer GAS Form download).  After each case a short discussion between the Fellow and the Trainer should take place following the template format of the GAS form before it is completed. Upon completion the form needs to be submitted on line, and it will be added to the individuals account records, an automated 'pending' prompt will appear in an account if a session has not been recorded by either the correlating Fellow or Trainer.

The form contains some basic clinical information and an assessment section which has been designed to score components of the procedure from theatre set up to completion of the procedure on a grading of assessment from 1 to 6 as follows:

1.Not Performed, step had to be done by Trainer

2.Partly performed, step had to be partly done by Trainer

3.Performed, with substantial verbal support

4.Performed with minor verbal support

5.Competent performance, safe (without guidance)

6.Proficient performance, couldnt do better.

GAS Form

GAS (global assessment score) forms have been successfully implemented for Consultants in the National Training Programme in Laparoscopic Colorectal Surgery (Lapco). These forms allow monitoring the training progression by measuring the amount of support needed for each task for a laparoscopic colorectal resection. The tool is not designed for competency assessment, i.e. it doesn’t automatically mean that someone is competent if no substantial support is required. However, it gives an impression on the development during training and can highlight problematic areas in the procedure that may require further training and might be a useful framework for you and your trainer to systematically discuss your performance after each case. Furthermore it may also provide valuable documentation of your training for your CV.

The GAS forms are mainly self-explanatory and do not require further instruction on how to use them. The clinical and assessment information you submit may be used for educational research but will be completely de-identified for this purpose. Each form takes approximately 2-4 minutes to complete.

DVDs

If Fellows wish to submit DVDs for assessment during their training to Imperial College cases can be reviewed, and feedback will be provided on the case.  DVDs need to be accompanied by the trainee GAS form, clearly labelled with the name of the Fellow, patient ID, type of operation, and sent to:

Melody Ni 
Surgical Skills Programme
Imperial College London
Academic Surgical Unit
10th Floor, QEQM Building
St Mary’s Hospital
London W2 1NY

Tel: 020 3312 7657

Account Review

Your individual account allows you to go back to your account and review your past performance. A summary can be printed if you need a copy for your CV which in the near future will be the possibility to plot your individual learning curve and to compare your performance with that of your peers.

Further Information

If you require any further information or wish to raise any queries:

Contact: Laura Langsford, NTP Programme Manager

Email: laura.langsford@nhs.net

Telephone: 01752 439845