Should surgical novices trade their retractors for joysticks? Videogame experience decreases the time needed to acquire surgical skills

Shane, Matthew D.; Pettitt, Barbara J.; Morgenthal, Craig B.; Smith, C. Daniel

doi:10.1007/s00464-007-9614-0

Cited by 83 publications

(50 citation statements)

References 8 publications

(10 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Shane et al evaluated 0.14 whether surgical novices exposed to previous video game exercises would acquire new surgical skills faster than nonplayers and concluded that previous video game exercises shortened the time to achieve proficiency on 2 tasks on a validated surgical simulator (12). In contrast to these studies, Harper et al collected information about the video game experiences of 242 preclinical medical students and chose 10 students with the highest and lowest video game exposure for closer examination to assess whether prior video game experience enhances the acquisition of robotic surgical skills.…”

Section: Discussionmentioning

confidence: 99%

Impact of current video game playing on robotic simulation skills among medical students

Öge¹,

Borahay²,

Achjian³

et al. 2015

J Turkish German Gynecol Assoc

View full text Add to dashboard Cite

Minimally invasive surgery (MIS) is gaining popularity as technology advances. Robot-assisted surgery represents an increasing share of MIS in the field of gynecology as well as urology and other surgical specialties. Overall, MIS has some advantages, such as decreased blood loss, less postoperative pain, shorter hospital stay, better visualization, improved postoperative recovery, and better cosmetic outcomes, compared with open surgical cases. Robotic surgery has additional technical advantages, such as 3D viewing and better dexterity compared with conventional laparoscopy. The presence of robot-assisted surgery is projected to grow in the various surgical fields. Thus, teaching robot-assisted surgical skills is becoming part of the curriculum of surgical residency programs nationwide. To create well-structured residency training, determining future surgeons' hand-eye coordination skills is a necessity (1). One of the main disadvantages of robotic surgery is that surgeons must operate without tactile sense. Therefore, simulation training is necessary to improve the outcome of initial hands-on experiences to avoid errors and malpractice. Video games have been discussed previously in the English medical literature for the development of laparoscopic skills to improve the learning curve in simulators and in surgery (2). The idea originated from studies that pointed out that video game playing was associated with improved reaction time, spatial visualization, and mental rotation (3, 4). Although some authors were unable to show the beneficial effects of video game playing on the ability to learn robotic suturing (5), other studies concluded that training on video games appeared to improve laparoscopic skills (6-8). Our group previously demonstrated that residents with prior laparoscopic suturing experience may learn more quickly from robotic surgery training than those with less laparoscopic surgery experience (9). Medical schools are currently educating a generation of students who played video games from the beginning of their childhoods. They have more ability than their older counterparts to adapt to technological developments, and their experience using computers and video game consoles may afford them an advantage in their baseline eye-brain-hand coordination skills. We therefore hypothesize that these visuospatial skills acquired from playing video games can be adapted to learning robotic surgery skills. To test this hypothesis, we Objective: To evaluate the impact of current and prior video game playing on initial robotic simulation skill acquisition. Material and Methods:This cross-sectional descriptive study (Canadian Task Force Classification II-1) was conducted at a medical university training center. The study subjects were medical students who currently played video games (Group I) and those who had not played video games in the last 2 years (Group II). The robotic skills of both groups were assessed using simulation.Results: Twenty-two students enrolled in this study; however, only 21 completed it. ...

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of current video game playing on robotic simulation skills among medical students

Öge¹,

Borahay²,

Achjian³

et al. 2015

J Turkish German Gynecol Assoc

View full text Add to dashboard Cite

show abstract

“…In fact, several reports have been published in this area in recent years. For example, Shane et al (11) showed that in a group of 26 medical students and first-year residents, individuals with previous video game experience took significantly less time to reach proficiency in laparoscopic skills than individuals without previous video game use. In 2 separate studies, Rosenberg et al (8) and Glaser et al (12) showed that in groups of 11 and 26 medical students, respectively, video game use correlated with both hand-eye coordination and reduced completion time for simple laparoscopic tasks.…”

Section: Discussionmentioning

confidence: 99%

Assessment of minimally invasive surgical skills of pre-medical students: What can we learn from future learners?

Borahay

Jackson

Tapisiz

et al. 2014

J Turkish German Gynecol Assoc

View full text Add to dashboard Cite

Results: A total of 17 students, both high school (n=9) and college (n=8), in addition to 11 residents, completed the study. Overall, students performed comparably to the residents in simple exercises (p>.05). However, students took significantly longer time to complete complex exercises (p=.001). Finally, students played video games significantly more than residents (p<.001). Conclusion:Future learners may have a different background skill set. This difference may be related to improved hand-eye coordination, possibly due to playing video games. The results of this pilot study should spur more research into surgical teaching strategies. (J Turk Ger Gynecol Assoc 2014; 15: 69-73)

show abstract

“…25 Apart from the lack of haptic feedback, which the experienced group is accustomed to when in the operating room (OR), possible other explanations for the fact that performance on the PA task did not correlate with performance on the EP task include novices hypothetically having more videogame experience because they are younger and therefore acquire the skills needed to perform the simulated task faster. 26,27 In addition, from our data on quality of performance for the EP task, we hypothesized that novices might have performed faster than expected because they have limited insight into the possible complications of the procedure and therefore work less accurately.…”

Section: Figmentioning

confidence: 99%

Face and Construct Validity of the SimSurgery SEP VR Simulator for Salpingectomy in Case of Ectopic Pregnancy

Hessel

Buzink

Schoot

2012

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

Objective: To secure patient safety, skills needed for laparoscopy are preferably obtained in a non-patient setting. Therefore, we assessed face and construct validity of performance of a salpingectomy in case of ectopic pregnancy on the SimSurgery SEP VR simulator. Materials and Methods: Fifteen experienced gynecologists ( ‡ ESGE level 2) and 17 novices (no laparoscopy experience) performed the Place Arrow (PA), Inspect Abdomen (IA), and Ectopic Pregnancy (EP) tasks and evaluated realism and didactic value of the simulator on 5-point scales. Their task performance was assessed according to the time needed to complete the tasks, total instrument path length, and parameters that indicated quality of performance. Results: The experienced gynecologists performed the PA task significantly faster ( p = 0.003, Mann-Whitney U-test) and with a shorter total instrument path length ( p = 0.001) compared to novices. The experienced gynecologists performed the EP task significantly better on parameters that indicate quality of performance, such as amount of blood loss ( p = 0.019), time to react to blood loss ( p = 0.020), and time of suction in the air ( p = 0.007) compared to novices. Between both groups, no significant differences were found at all for the IA task. Data from the questionnaire revealed that, in general, all participants had a favorable opinion toward the EP module on the SimSurgery SEP. Conclusions: This study demonstrates that the SimSurgery SEP simulator offers a realistic representation of the salpingectomy procedural task according to both experienced gynecologists as well as novices (face validity), and that the simulator can discriminate between different levels of expertise (construct validity) for the PA and EP tasks. The simulator is also perceived as an important additional training tool for gynecological residents. ( J GYNECOL SURG XX:1)

show abstract

Should surgical novices trade their retractors for joysticks? Videogame experience decreases the time needed to acquire surgical skills

Abstract: Previous VGE shortens time to achieve proficiency on two tasks on a validated surgical simulator. The possibility that VGE may ameliorate gender differences in length of time required to acquire surgical skills should be explored further.

Cited by 83 publications

References 8 publications

Impact of current video game playing on robotic simulation skills among medical students

Impact of current video game playing on robotic simulation skills among medical students

Assessment of minimally invasive surgical skills of pre-medical students: What can we learn from future learners?

Face and Construct Validity of the SimSurgery SEP VR Simulator for Salpingectomy in Case of Ectopic Pregnancy

Contact Info

Product

Resources

About