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Fundamentals of Laparoscopic Surgery

...the definitive laparoscopic skills enhancement and assessment module.

FLS Supporting Literature

  1. Higgins, R.M., Turbati, M.S. & Goldblatt, M.I. Preparing for and passing the fundamentals of laparoscopic surgery (FLS) exam improves general surgery resident operative performance and autonomy. Surg Endosc 37, 6438–6444 (2023). https://doi.org/10.1007/s00464-023-10124-8
  2. Scott DJ, Hafford M, Willis RE, Gugliuzza K, Wilson TD, Brown KM, Vansickle KR. Ensuring competency: Are fundamentals of laparoscopic surgery training and certification necessary for practicing surgeons and operating room personnel? Surg Endosc. 2013 Jan;27(1):118-26. doi: 10.1007/s00464-012-2437-7.
  3. Edelman DA, Mattos MA, Bouwman DL. FLS Skill Retention (Learning) in First Year Surgery Residents. Journal of Surgical Research 163, 2428 (2010) doi:10.1016/j.jss.2010.03.057.
  4. Mashaud LB, Castellvi AO, Hollett LA, Hogg DC, Tesfay ST, Scott DJ. Two-year skill retention and certification exam performance after fundamentals of laparoscopic skills training and proficiency maintenance. Surgery 2010;148:194-201.
  5. Sroka G, Feldman LS, Vassiliou MC, Kaneva PA, Fayez R, Fried G.  Fundamentals of Laparoscopic Surgery simulator training to proficiency improves laparoscopic performance in the operating room a randomized controlled trial. Am J Surg, 199: 115-120, 2010.
  6. Castellvi AO, Hollett LA, Minhajuddin A, Hogg DC, Tesfay ST, Scott DJ. Maintaining proficiency after Fundamentals of Laparoscopic Surgery training: A 1-year analysis of skill retention for surgery residents. Surgery 2009; 146: 387-393.
  7. Feldman LS, Cao J, Andalib A, Fraser S, Fried GM. A method to characterize the learning curve for performance of a fundamental laparoscopic simulator task: Defining learning plateau and learning rate. Surgery 2009; 146: 381-6.
  8. Scott DJ, Ritter EM, Tesfay ST, Pimental EA, Nagji L, Fried GM. Certification pass rate of 100% for fundamentals of laparoscopic surgery skills after proficiency-based training. Surgical Endoscopy 2008; 10.1107/s00464-0089745-y (online).
  9. Ritter EM, Scott DJ (2007) Design of a proficiency-based skills training curriculum for the Fundamentals of Laparoscopic Surgery. Surg Innov, 14; 107, 2007.
  10. Swanstrom LL. Fried GM. Hoffman KI. Soper NJ. Beta test results of a new system assessing competence in laparoscopic surgery. Journal of the American College of Surgeons; 202(1): 62-9, 2006.
  11. Korndorffer Jr JR, Dunne JB, Sierra R, Stefanidis D, Touchard CL, Scott DJ. Simulator training for laparoscopic suturing using performance goals translates to the OR. J Am Coll Surg, 201:23 29, 2005.
  12. Stefanidis D, Sierra R, Markley S, Korndorffer Jr JR, Scott DJ. Proficiency maintenance: impact of ongoing simulator training on laparoscopic skill retention. J Am Coll Surg, 202:599  603, 2006.
  13. Stefanidis D, Sierra R, Korndorffer Jr JR, Dunne JB, Markley S, Touchard C, Scott DJ. Intensive CME course training on simulators results in proficiency for laparoscopic suturing. Am J Surg, 191:23 27, 2006.
  14. Dauster B, Steinberg AP, Vassiliou MC, Bergman S, Stanbridge DD, Feldman LS, Fried GM: Validity of the MISTELS Simulator for Laparoscopy Training in Urology. J Endourol. Jun; 19:541-5, 2005
  15. Fraser SA, Feldman LS, Stanbridge D, Fried GM: Characterizing the learning curve for a basic laparoscopic drill. Surgical Endoscopy, 19(12): 1572-8, 2005
  16. Fried GM, Feldman LS, Vassiliou MC, Fraser SA, Stanbridge D, Ghitulescu G, and Andrew CG. Proving the value of simulation in laparoscopic surgery. Ann Surg 2004; 240: 518-528.
  17. Peters JH, Fried GM, Swanstrom LL, Soper NJ, Sillin LF, Schirmer B, Hoffman K and the SAGES FLS Committee. Development and validation of a comprehensive program of education and assessment of the basic fundamentals of laparoscopic surgery. Surgery 2004; 135: 21-27
  18. Feldman LS, Sherman V, Fried GM. Using simulators to assess laparoscopic competence: ready for widespread use? Surgery 2004; 135: 28-42
  19. Feldman LS, Hagarty SE, Ghitulescu G, Stanbridge D, Fried GM. Relationship between objective assessment of technical skills and subjective in-training evaluations in surgical residents. J Am Coll Surg 2004; 198:105110
  20. Fraser SA, Klassen DR, Feldman LS, Ghitulescu GA, Stanbridge D, Fried GM. Evaluating laparoscopic skills; setting the pass/fail score for the MISTELS system. Surgical Endoscopy 2003; 17(6): 964-967
  21. Keyser EJ, Derossis AM, Antoniuk M, Sigman HH, Fried GM. A simplified simulator for the training and evaluation of laparoscopic skills. Surgical Endoscopy 2000; 14: 149-153
  22. Fried GM, Derossis AM, Bothwell J, Sigman HH. Comparison of laparoscopic performance in vivo with performance measured in laparoscopic simulator. Surgical Endoscopy 1999; 13: 1077-1081
  23. Derossis AM, Antoniuk M, Fried GM: Evaluation of laparoscopic skills: a 2-year follow-up during residency training. Canadian Journal of Surgery 1999; 42:293-296
  24. Derossis AM, Fried GM, Abrahamowicz M, Sigman HH, Barkum JS, Meakins JL. Development of a model for training and evaluation of laparoscopic skills. American Journal of Surgery 1998; Vol.175: 482-487
  25. Derossis AM, Bothwell J Sigman HH, Fried GM. The effects of practice on performance in a laparoscopic simulator. Surgical Endoscopy 1998; 12: 1117-1120