Correlating virtual reality and box trainer tasks in the assessment of laparoscopic surgical skills

Newmark, Jordan L.; Dandolu, Vani; Milner, Richard; Grewal, Harsh; Harbison, Sean P.; Hernández, Enrique

doi:10.1016/j.ajog.2007.07.026

Cited by 55 publications

(33 citation statements)

References 7 publications

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“…This finding is consistent with recent results of Palter et al, who found in their inventory that residents prefer box trainers above VR simulators for training the more advanced laparoscopic skills [13]. Regarding the assessment of laparoscopic skills, both trainer models have an equally good correlation [14]. VR trainers have the advantage as they allow solitary training while the supervisor can monitor the resident's skills level electronically.…”

Section: Discussionsupporting

confidence: 88%

Grading surgical skills curricula and training facilities for minimally invasive surgery

et al. 2012

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In teaching hospitals all over the world, skills laboratories have been set up in order to train and assess minimally invasive surgical (MIS) skills. However, there are no generally accepted standards as to what an MIS skills laboratory should look like and how the training should be conducted. This study is an attempt to develop an international and consensus-based set of quality criteria for a skills laboratory for training MIS. Three quality domains for skills laboratory were defined: 'personnel and resources', 'trainee motivation' and 'curriculum'. A list of consensus-based criteria, nine items per domain, was made. Twenty-three recognised experts in MIS rated each item on a 0 to 3 scale in the level of importance. The most important items per domain were: 'personnel and resources', the presence of a box trainer, a laparoscopic expert and the availability of financial resources; 'trainee motivation', mandatory training supervised by laparoscopic experts; and 'curriculum', the presence of a structured skills curriculum, dedicated time for training and a yearly evaluation of the skills of the resident. This consensus list can be used when setting up a skills laboratory, but also for verifying the quality of an existing laboratory. From there, the focus for new developments can be chosen.

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Section: Discussionsupporting

confidence: 88%

Grading surgical skills curricula and training facilities for minimally invasive surgery

et al. 2012

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“…1) to the specification of Beatty [9]. Studies have shown such trainers to be comparable with commercial trainers in current use for assessing basic surgical skills [10,11].…”

Section: Methodsmentioning

confidence: 90%

Nintendo Wii video-gaming ability predicts laparoscopic skill

et al. 2010

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“…The different VR simulators identified for this review are shown in Table 5 , [64][65][66][67][68][69][70][71][72][73][74][75][76][77]. VR simulators can be differenced by the way they make use of their didactic resources (Fig.…”

Section: Tracking Systems In Virtual Reality Simulatorsmentioning

confidence: 99%

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

García

Sánchez-González

Lamata

et al. 2011

Journal of Surgical Research

128

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Training and assessment paradigms for laparoscopic surgical skills are evolving from traditional mentortrainee tutorship towards structured, more objective and safer programs. Accreditation of surgeons requires reaching a consensus on metrics and tasks used to assess surgeons' psychomotor skills. Ongoing development of tracking systems and software Solutions has allowed for the expansión of novel training and assessment means in laparoscopy. The current challenge is to adapt and include these systems within training programs, and to exploit their possibilities for evaluation purposes. This paper describes the state of the art in research on measuring and assessing psychomotor laparoscopic skills. It gives an overview on tracking systems as well as on metrics and advanced statistical and machine learning techniques employed for evaluation purposes. The later ones have a potential to be used as an aid in deciding on the surgical competence level, which is an important aspect when accreditation of the surgeons in particular, and patient safety in general, are considered. The prospective of these methods and tools make them complementary means for surgical assessment of motor skills, especially in the early stages of training. Successful examples such as the Fundamentáis of Laparoscopic Surgery should help drive a paradigm change to structured curricula based on objective parameters. These may improve the accreditation of new surgeons, as 1 To whom correspondence and reprint requests should be addressed at Bioengineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Universidad Politécnica de Madrid (UPM). Avda Complutense, 30, 28040, Madrid, Spain. E-mail: ioropesa@gbt.tfo. upm.es. well as optimize their already overloaded training schedules.

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Correlating virtual reality and box trainer tasks in the assessment of laparoscopic surgical skills

Cited by 55 publications

References 7 publications

Grading surgical skills curricula and training facilities for minimally invasive surgery

Grading surgical skills curricula and training facilities for minimally invasive surgery

Nintendo Wii video-gaming ability predicts laparoscopic skill

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

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