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Residents are videotaped performing laparoscopic treatments on models. Five surgeons measure the taped performances on 4 global expertise. Creating mechanical models reduces training costs. Trainees agreed procedures were well represented through the simulations. Blinded assessment of performances showed high inter-rater agreement and correlated with the trainees' degree of experience. Nonclinician evaluations on checklists linked with evaluations by surgeons. Inexpensive simulations of laparoscopic appendectomy, cholecystectomy, inguinal herniorrhaphy, bowel enterotomy, and splenectomy, hysterectomy, ovarian cystectomy, salpingo-oophorectomy, myomectomy enable surgical and gynecological residents to practice laparoscopic skills safely. Obtaining masked, objective, and self-sufficient evaluations of basic skills in laparoscopic surgery can assist in reliable examination of surgical students.

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