Deliberate Practice on a Virtual Reality Laparoscopic Simulator Enhances the Quality of Surgical Technical Skills

Crochet, Patrice; Aggarwal, Rajesh; Dubb, Sukhpreet Singh; Ziprin, Paul; Rajaretnam, Niroshini; Grantcharov, Teodor P.; Ericsson, K. Anders; Darzi, Ara

doi:10.1097/sla.0b013e3182197016

Cited by 152 publications

(83 citation statements)

References 24 publications

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“…A simulated training, as a complementary moment in the formation of a young surgeon, not only allows the acquisition of necessary skills but also the execution of fearsome steps, such as vascular dissections, in a total safety and dedicated environment and under an experienced tutor's control. About this, such a program has a cognitive aspect at different levels according to trainee's experience and allows the execution from the simplest to the most complex procedures, improving not only the technique but also the effectiveness of the surgical gestures which result in a significant reduction of the operating times (14)(15)(16). Important parameters of a learning program are "construct validity", as the ability of simulators to discriminate between users of different skill levels and "content validity" as decision-making processes and virtual-reality (VR) surgical simulators are thought to facilitate the acquisition of cognitive and technical skills in early stage trainees.…”

Section: Commentmentioning

confidence: 99%

Video-assisted thoracoscopic surgery lobectomy learning curve: what program should be offered in a residency course?

et al. 2017

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Video-assisted thoracoscopic (VAT) procedures are emerging for treatment of both benign and malignant thoracic diseases and substituting classical approaches, such as thoracotomies, thanks to several advantages concerning postoperative morbidity rates and overall patients' outcome (i.e., postoperative pain, chronic pain and quality of life). However, a VAT approach needs an established learning curve making procedures as safe as in open surgery. With regard of trainee surgeons, notwithstanding an increasing number of learning tools and strategies, such as simulation programs (i.e., black-boxes, wet labs, cadaver or animal labs, 3D virtual reality simulators) and direct observation both of live surgery and videos with a supportive evidence base from benchtop studies, there remains inconsistent adoption in surgical educations.

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Section: Commentmentioning

confidence: 99%

Video-assisted thoracoscopic surgery lobectomy learning curve: what program should be offered in a residency course?

et al. 2017

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“…This may be attributable in part to current resident duty-hour restrictions that reduce the time a learner can actually be in the OR [2,8,12,15]. Use of simulation may prove a to be a valuable adjunct because emerging research in surgical simulation suggests that observable improvement can be expected through deliberate practice of these skills [3,4].…”

Section: Limitationsmentioning

confidence: 99%

“…Although the development of expertise had been studied extensively in disciplines such as athletics, music, and other arts for some time, it is only within the last few years that its value has become increasingly recognized within the medical community [5,6]. Many fields such as internal medicine, emergency medicine, and general surgery have studied the importance of deliberate practice in transforming learners into experts, but little has been published regarding its role in creating expert orthopedic surgeons [4,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Orthopaedic Surgery Residents and Program Directors Agree on How Time Is Currently Spent in Training and Targets for Improvement

Camp

Martin

Karam

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Although much attention has been paid to the role of deliberate practice as a means of achieving expert levels of performance in other medical specialties, little has been published regarding its role in maximizing orthopaedic surgery resident potential. As an initial step in this process, this study seeks to determine how residents and program directors (PDs) feel current time spent in training is allocated compared with a theoretical ideal distribution of time.

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“…Cope et al [19] 2008 22 interns 6 tasks on MIST VR MIST VR Crochet et al [20] 2011 26 trainees Laparoscopic cholecystectomy VR Simulator Ganai et al [21] 2007…”

Section: Lapmentormentioning

confidence: 99%

Evaluation of surgical training in the era of simulation

Shaharan

Neary

2014

WJGE

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AIM:To assess where we currently stand in relation to simulator-based training within modern surgical training curricula. METHODS:A systematic literature search was performed in PubMed database using keywords "simulation", "skills assessment" and "surgery". The studies retrieved were examined according to the inclusion and exclusion criteria. Time period reviewed was 2000 to 2013. The methodology of skills assessment was examined. RESULTS:Five hundred and fifteen articles focussed upon simulator based skills assessment. Fifty-two articles were identified that dealt with technical skills assessment in general surgery. Five articles assessed open skills, 37 assessed laparoscopic skills, 4 articles assessed both open and laparoscopic skills and 6 assessed endoscopic skills. Only 12 articles were found to be integrating simulators in the surgical training curricula. Observational assessment tools, in the form of Objective Structured Assessment of Technical Skills (OSATS) dominated the literature. CONCLUSION:Observational tools such as OSATS remain the top assessment instrument in surgical training especially in open technical skills. Unlike the aviation industry, simulation based assessment has only now begun to cross the threshold of incorporation into mainstream skills training. Over the next decade we expect the promise of simulator-based training to finally take flight and begin an exciting voyage of discovery for surgical trainees. Core tip: The nature of surgical training has teetered on the brink of a seismic change in how we can deliver the level of expertise required of a modern surgeon for over a decade. It is evolving from Halstedian's apprenticeship model towards simulation-based training similar to the aviation industry. Since 2000 there have been approximately 173 studies about validation of simulators as assessment tools. As the technology grows, its translation into real changes in curriculum is still unclear. This review is focused upon where we currently stand in relation to the effective integration of simulation-based skills assessment into modern surgical training curricula.Shaharan S, Neary P. Evaluation of surgical training in the era of simulation. World J Gastrointest Endosc 2014; 6(9): 436-447 Available from:

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Deliberate Practice on a Virtual Reality Laparoscopic Simulator Enhances the Quality of Surgical Technical Skills

Abstract: VR training improved dexterity for both groups, and led to transfer of skill onto a porcine LC model. The DP group achieved higher quality, and demonstrated superior transfer onto real tissues.

Cited by 152 publications

References 24 publications

Video-assisted thoracoscopic surgery lobectomy learning curve: what program should be offered in a residency course?

Video-assisted thoracoscopic surgery lobectomy learning curve: what program should be offered in a residency course?

Orthopaedic Surgery Residents and Program Directors Agree on How Time Is Currently Spent in Training and Targets for Improvement

Evaluation of surgical training in the era of simulation

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