The effect of simulation in improving students’ performance in laparoscopic surgery: a meta-analysis

Al-Kadi, Azzam; Donnon, Tyrone; Paolucci, Elizabeth Oddone; Mitchell, Philip; Debru, Estifanos; Church, Neal

doi:10.1007/s00464-012-2327-z

Cited by 37 publications

(19 citation statements)

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“…The overall results indicate that simulation provided a useful format for the clinical assessment of performance using standardized scenarios. Past studies have yielded similar findings but in the opposite direction, as they have focused on simulation as a training modality and have involved assessments of the transfer of this training to actual clinical practice (Al Kadi et al, 2012;Andreatta et al, 2006;Franzeck et al, 2012;Gomoll et al, 2007;Korndorffer et al, 2005;Martin et al, 2011;Wahidi et al, 2010). The results of this study are encouraging when considered with regard to current initiatives focused on finding new ways to measure clinical skill in a way that is superior to conventional didactic or ''check-off'' testing modalities.…”

Section: Discussionsupporting

confidence: 72%

“…Studies from medicine have provided evidence of such a relationship. For instance, a positive relationship has been demonstrated between the use of laparoscopic surgical simulators and real-time performance of surgical procedures (Al Kadi et al, 2012;Andreatta et al, 2006;Franzeck et al 2012;Korndorffer et al, 2005) in arthroscopy (Gomoll, O'Toole, Czarnecki, & Warner, 2007;Martin et al, 2011) and bronchoscopy (Ost et al, 2001;Wahidi et al, 2010). Studies that demonstrate simulationeclinical performance linkages in nursing are more recent and have focused on the degree to which clinical simulation is associated with traditional clinical experiences outcomes, such as response times during patient emergencies (Huseman, 2012;Watson et al, 2012).…”

Section: Introductionmentioning

confidence: 94%

See 1 more Smart Citation

The Relationship between Standardized Test Scores and Clinical Performance

Whyte

Pickett-Hauber

Ward

et al. 2013

Clinical Simulation in Nursing

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 94%

The Relationship between Standardized Test Scores and Clinical Performance

Whyte

Pickett-Hauber

Ward

et al. 2013

Clinical Simulation in Nursing

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“…There is a huge explosion of research in the effectiveness of VR-based training for surgery including meta-analyses and reviews (Al-Kadi et al, 2012;Zendejas et al, 2013;Lorello et al, 2014), transfer of training (Buckley et al, 2014;Connolly et al, 2014), and many specialized applications (Arora et al, 2014;Jensen et al, 2014;Singh et al, 2014). This is likely to be a field that expands considerably.…”

Section: Surgical Trainingmentioning

confidence: 99%

Enhancing Our Lives with Immersive Virtual Reality

2016

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SUMMARYVirtual reality (VR) started about 50 years ago in a form we would recognize today [stereo head-mounted display (HMD), head tracking, computer graphics generated images] -although the hardware was completely different. In the 1980s and 1990s, VR emerged again based on a different generation of hardware (e.g., CRT displays rather than vector refresh, electromagnetic tracking instead of mechanical). This reached the attention of the public, and VR was hailed by many engineers, scientists, celebrities, and business people as the beginning of a new era, when VR would soon change the world for the better. Then, VR disappeared from public view and was rumored to be "dead. " In the intervening 25 years a huge amount of research has nevertheless been carried out across a vast range of applications -from medicine to business, from psychotherapy to industry, from sports to travel. Scientists, engineers, and people working in industry carried on with their research and applications using and exploring different forms of VR, not knowing that actually the topic had already passed away.The purpose of this article is to survey a range of VR applications where there is some evidence for, or at least debate about, its utility, mainly based on publications in peer-reviewed journals. Of course not every type of application has been covered, nor every scientific paper (about 186,000 papers in Google Scholar): in particular, in this review we have not covered applications in psychological or medical rehabilitation. The objective is that the reader becomes aware of what has been accomplished in VR, where the evidence is weaker or stronger, and what can be done. We start in Section 1 with an outline of what VR is and the major conceptual framework used to understand what happens when people experience it -the concept of "presence. " In Section 2, we review some areas where VR has been used in science -mostly psychology and neuroscience, the area of scientific visualization, and some remarks about its use in education and surgical training. In Section 3, we discuss how VR has been used in sports and exercise. In Section 4, we survey applications in social psychology and related areas -how VR has been used to throw light on some social phenomena, and how it can be used to tackle experimentally areas that cannot be studied experimentally in real life. We conclude with how it has been used in the preservation of and access to cultural heritage. In Section 5, we present the domain of moral behavior, including an example of how it might be used to train professionals such as medical doctors when confronting serious dilemmas with patients. In Section 6, we consider how VR has been and might be used in various aspects of travel, collaboration, and industry. In Section 7, we consider mainly the use of VR in news presentation and also discuss different types of VR. In the concluding Section 8, we briefly consider new ideas that have recently emerged -an impossible task since during the short time we have written this page even newer idea...

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“…For instance, learning how to handle tissue in laparoscopic surgery requires knowledge and skills to apply the appropriate amount of force for pulling or cutting. Previous studies have shown that virtual simulators can efficiently train these skills (Kim, Rattner, & Srinivasan, 2003; Al-Kadi, Donnon, Oddone Paolucci, Mitchell, Debru, & Church, 2012). Moreover, the addition of haptic feedback and animation to the surgical surface also improves the acquisition of these skills because it allows one to correctly perceive the elasticity and other tissue properties (Basdogan, De, Kim, Muniyandi, Kim, & Srinivasan, 2004).…”

Section: Related Workmentioning

confidence: 99%

Achieving interface and environment fidelity in the Virtual Basic Laparoscopic Surgical Trainer

Chellali

Mentis

Miller

et al. 2016

International Journal of Human-Computer Studies

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Virtual reality trainers are educational tools with great potential for laparoscopic surgery. They can provide basic skills training in a controlled environment and free of risks for patients. They can also offer objective performance assessment without the need for proctors. However, designing effective user interfaces that allow the acquisition of the appropriate technical skills on these systems remains a challenge. This paper aims to examine a process for achieving interface and environment fidelity during the development of the Virtual Basic Laparoscopic Surgical Trainer (VBLaST). Two iterations of the design process were conducted and evaluated. For that purpose, a total of 42 subjects participated in two experimental studies in which two versions of the VBLaST were compared to the accepted standard in the surgical community for training and assessing basic laparoscopic skills in North America, the FLS box-trainer. Participants performed 10 trials of the peg transfer task on each trainer. The assessment of task performance was based on the validated FLS scoring method. Moreover, a subjective evaluation questionnaire was used to assess the fidelity aspects of the VBLaST relative to the FLS trainer. Finally, a focus group session with expert surgeons was conducted as a comparative situated evaluation after the first design iteration. This session aimed to assess the fidelity aspects of the early VBLaST prototype as compared to the FLS trainer. The results indicate that user performance on the earlier version of the VBLaST resulting from the first design iteration was significantly lower than the performance on the standard FLS box-trainer. The comparative situated evaluation with domain experts permitted us to identify some issues related to the visual, haptic and interface fidelity on this early prototype. Results of the second experiment indicate that the performance on the second generation VBLaST was significantly improved as compared to the first generation and not significantly different from that of the standard FLS box-trainer. Furthermore, the subjects rated the fidelity features of the modified VBLaST version higher than the early version. These findings demonstrate the value of the comparative situated evaluation sessions entailing hands on reflection by domain experts to achieve the environment and interface fidelity and training objectives when designing a virtual reality laparoscopic trainer. This suggests that this method could be used successfully in the future to enhance the value of VR systems as an alternative to physical trainers for laparoscopic surgery skills. Some recommendations on how to use this method to achieve the environment and interface fidelity of a VR laparoscopic surgical trainer are identified.

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The effect of simulation in improving students’ performance in laparoscopic surgery: a meta-analysis

Cited by 37 publications

References 37 publications

The Relationship between Standardized Test Scores and Clinical Performance

The Relationship between Standardized Test Scores and Clinical Performance

Enhancing Our Lives with Immersive Virtual Reality

Achieving interface and environment fidelity in the Virtual Basic Laparoscopic Surgical Trainer

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