Effectiveness of a CD-ROM multimedia tutorial in transferring cognitive knowledge essential for laparoscopic skill training

Rosser, James C.; Herman, Björn; Risucci, Donald A.; Murayama, Michinori; Rosser, Ludie E; Merrell, Ronald C.

doi:10.1016/s0002-9610(00)00342-1

Cited by 55 publications

(26 citation statements)

References 9 publications

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“…[77][78][79][80][81][82]. Ein e-Learning-Programm mit CD vor dem ALS-Kurs wurde von den Teilnehmern geschätzt, da es ihr Verständnis der Kernelemente des ALS-Kurses verbesserte.…”

Section: Trainingsstrategien Auf Fortgeschrittenen-niveauunclassified

Ausbildung und Implementierung der Reanimation

Greif

Lockey

Conaghan

et al. 2015

Notfall Rettungsmed

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“…[77][78][79][80][81][82]. Ein e-Learning-Programm mit CD vor dem ALS-Kurs wurde von den Teilnehmern geschätzt, da es ihr Verständnis der Kernelemente des ALS-Kurses verbesserte.…”

Section: Trainingsstrategien Auf Fortgeschrittenen-niveauunclassified

Ausbildung und Implementierung der Reanimation

Greif

Lockey

Conaghan

et al. 2015

Notfall Rettungsmed

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“…For decades, laparoscopic skills have been taught by having surgeons-in-training watch videos of surgical procedures [Rosser et al 2000;Scherer et al 2003;Birch et al 2007], by teaching learners to imitate expert surgeons' actions. This takes hours of practice of manual skills in the laboratory or clinical environment.…”

Section: Introductionmentioning

confidence: 99%

Saccadic delays on targets while watching videos

Atkins

Jiang

Tien

et al. 2012

Proceedings of the Symposium on Eye Tracking Research and Applications

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To observe whether there is a difference in eye gaze between doing a task, and watching a video of the task, we recorded the gaze of 17 subjects performing a simple surgical eye-hand coordination task. We also recorded eye gaze of the same subjects later while they were watching videos of their performance.We divided the task into 9 or more sub-tasks, each of which involved a large hand movement to a new target location. We analyzed the videos manually and located the video frame for each sub-task where the operator's saccadic movement began, and the frame where the watcher's eye movement began. We found a consistent delay of about 600 ms between initial eye movement when doing the task, and initial eye movement when watching the task, observed in 96.3% of the sub-tasks.For the first time, we have quantified the differences between doing and watching a manual task. This will help develop gaze-based training strategies for manual tasks.

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“…Indeed, video-based instruction has been shown to be efficacious in the development of laparoscopic skills. [26,27] It has been recently demonstrated that under prescribed practice conditions, video based instruction is equally effective as faculty instruction in teaching basic surgical skills to novice trainees. [23,24,28] Supervised practice-feedback is believed to be another foundation of effective learning.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic skills training of surgical residents: a comparison of two proficiency-based independent approaches

Bellows¹,

Smith²

2017

MIS

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How to cite this article: Bellows CF, Smith AA. Laparoscopic skills training of surgical residents: a comparison of two proficiency-based independent approaches. Mini-invasive Surg 2017;1:126-32. Quick Response Code: Original ArticleThis is an open access article licensed under the terms of Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, as long as the original author is credited and the new creations are licensed under the identical terms. For reprints contact: service@oaepublish.com Open AccessBellows et al. Mini-invasive Surg 2017;1:126-32 DOI: 10.20517/25741:126-32 DOI: 10.20517/ -12251:126-32 DOI: 10.20517/ .2017 Mini-invasive Surgery www.misjournal.net Aim: Current financial and work hour constraints make proctored on-site laparoscopic simulation training challenging. An independent learning approach utilizing proficiency-based training is a potential solution. The purpose of this study was to determine if an independent approach using a portable, laparoscopic training device within one's home environment could effectively train novices in laparoscopic procedural skills. Methods: After baseline testing, laparoscopic novices (n = 16) were randomized to one of two study groups. The on-site group (n = 7) received unlimited access to the workplace laparoscopic trainers and the home group (n = 9) received portable laparoscopic trainers for home. Both groups underwent self-directed, proficiency-based training for three months then were retested. Results were compared with parametric and non-parametric statistical tests. Results: Baseline characteristics were similar between groups. The practice rate (56%) and practice time (range, 0.18 to 2.6 h) were poor in both groups during the training period. At post-test, the number of participants who demonstrated an improvement (86% on-site, 78% home) on the peg task was not different between groups. The successful completion of the suturing task post-test had significantly improved compared with pre-test in both groups (71% vs. 29% on-site; 44% vs. 22% home, P < 0.001). Although the majority of participants reported it was difficult to practice on a regular basis (86% on-site, 89% home), 56% of the home group participants agreed that the at-home trainer was a helpful teaching modality. Conclusion: Learning of laparoscopic skills by novice trainees can be augmented by an independent learning approach using either home or on-site laparoscopic trainers. Although over half the candidates found it was useful to have the training device at home, none of the participants practiced more than an hour or two in the three month training period. Thus, the solution to conducting training does not lie in merely providing home training, but rather to understand the work-related stressors and reconfigure jobs. Key words:Laparoscopic surgery, training, medical education, proficiency, simulation, independent learning ABSTRACT Article history:

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Effectiveness of a CD-ROM multimedia tutorial in transferring cognitive knowledge essential for laparoscopic skill training

Cited by 55 publications

References 9 publications

Ausbildung und Implementierung der Reanimation

Ausbildung und Implementierung der Reanimation

Saccadic delays on targets while watching videos

Laparoscopic skills training of surgical residents: a comparison of two proficiency-based independent approaches

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