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ssss1 A number of laparoscopic skills training boxes are commercially available. Most are portable, and many have cameras that connect to a computer by USB connections. Some, including the official box for Veterinary Assessment of Laparoscopic Skills (VALS; small inlay), require a TV screen.

Source: Photo courtesy of Henry Moore, Jr., Washington State University, College of Veterinary Medicine.

ssss1 Commonly used dimensions in laparoscopic training boxes.

Figure 1.3

A number of practice drills have been developed and validated. In the 1990s, several structured training tasks were described, including the Dr. Rosser's station tasks developed at Yale University, which are part of the popular “Top‐Gun Laparoscopic Skills Shoot‐Out” resident competition. The physical task training system with the most solid validation to date is the McGill Inanimate Simulator for Training and Evaluation of Laparoscopic Skills (MISTELS) [8,19–21]. MISTELS was the foundation for the task training included in the Veterinary Assessment of Laparoscopic Skills (VALS) program (ssss1), which launched in 2017 (www.valsprogram.org). VALS intends to provide veterinarians with a validated curriculum with tutorials for independent skills practice and certification available for specialty trained surgeons [22]. Our group has trained and assessed veterinarians in our simulation training and research facility, the VALT laboratory at Washington State University since 2008. This experience was instrumental in the development of VALS [7, 23].