Laparoscopic Skills Maintenance: A Randomized Trial of Virtual Reality and Box Trainer Simulators

Khan, Montaha W.; Lin, Diwei; Marlow, Nicholas; Altree, Meryl; Babidge, Wendy; Field, John; Hewett, Peter; Maddern, Guy J.

doi:10.1016/j.jsurg.2013.05.009

Cited by 24 publications

(14 citation statements)

References 12 publications

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“…Also, due to the small sample size, no multivariate analysis of the effect of the teaching module on resident skill could be performed to control for factors such as resident experience level or quantity of US experience. Despite limited sample sizes, however, others have validated the effects of simulated training on resident learning with studies where small sample sizes were utilized (19, 20). Therefore, while our sample size was small, it was not outside of a reasonable range to be expected for this type of study.…”

Section: Discussionmentioning

confidence: 99%

Using an abdominal phantom to teach urology residents ultrasound-guided percutaneous needle placement

Filippou¹,

Odisho²,

Ramaswamy³

et al. 2016

Int. braz j urol.

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Introduction:To assess the effect of a hands-on ultrasound training session to teach urologic trainees ultrasound-guided percutaneous needle placement.Materials and methods:University of California, San Francisco (UCSF) urology residents completed a time trial, placing a needle into a phantom model target under ultrasound guidance. Participants were randomized into three educational exposure groups: Group 1's time trial occurred prior to any teaching intervention, group 2's after experiencing a hands-on training module, and group 3's after exposure to both the training module and one-on-one attending feedback. Needle placement speed and accuracy as well as trainees' perceived confidence in utilizing ultrasound were measured.Results:The study cohort consisted of 15 resident trainees. Seven were randomized to group 1, three to group 2, and five to group 3. All residents reported minimal prior ultrasound experience. Their confidence in using ultrasound improved significantly after completing the training module with the most significant improvement seen among junior residents. Time to needle placement was fastest after receiving attending feedback (46.6sec in group 3 vs. 82.7sec in groups 1 and 2, p<0.01). Accuracy also improved with attending feedback, though the number of repositioning attempts did not differ significantly between groups.Conclusions:A hands-on training module and use of an abdominal phantom trainer increased resident confidence and skill in their use of ultrasound to guide percutaneous needle positioning. Attending feedback is critical for improving accuracy in needle guidance toward a target. Ultrasound-guided needle positioning is a teachable skill and can be applicable to multiple urologic procedures.

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Section: Discussionmentioning

confidence: 99%

Using an abdominal phantom to teach urology residents ultrasound-guided percutaneous needle placement

Filippou¹,

Odisho²,

Ramaswamy³

et al. 2016

Int. braz j urol.

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“…Future studies should analyze the effect of increasing the number of sessions and how the curve of skill loss manifests. 34 Regarding the classification for the subgroup analysis, the criterion used was a change of more than 10% of the value obtained in the IA. Unfortunately, there are no publications about a significant threshold shift in skills.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Learning Advanced Laparoscopic Skills in a Brief Intensive Laparoscopy Training Program

Castillo¹,

Buckel²,

León³

et al. 2015

Journal of Surgical Education

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“…In 2007, RACS secured a Commonwealth Grant of AUD 5 million over 3 years to assess simulated low‐ and high‐fidelity surgical environments, which was conducted by a team at ASERNIP‐S. The results on measurement of uptake and skills retention for high‐ versus low‐fidelity simulation have been published . Ultimately, a mobile simulation van was built and tested in rural and metropolitan centres demonstrating that such a portable and low‐cost system could be deployed to train surgeons in city and country locations …”

Section: Surgical Simulationmentioning

confidence: 99%

ASERNIP‐S: unusual acronym, outstanding results

Maddern

Babidge

Faulkner

2020

ANZ Journal of Surgery

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In the late 1990s, concerns regarding the introduction of new surgical procedures arose following the rapid uptake of some minimally invasive procedures. At that time, the evidence was not clear on the safety and effectiveness of these new procedures, and it was recommended that data be collected to look at both short‐ and long‐term outcomes. Based on a UK group, ‘the Safety and Efficacy Register of New Interventional Procedures (SERNIP)’, the Australian SERNIP was born under the auspices of the Royal Australasian College of Surgeons, with ‘‐S’ added to the acronym to highlight the focus on surgery. ASERNIP‐S was established to review the evidence on new interventional procedures before their introduction into the Australian healthcare system. The programme operated with initial national government funding for 7 years. Following establishment of the Medical Services Advisory Committee, ASERNIP‐S became a contractor and remains so today. ASERNIP‐S was an also an early adopter of Horizon Scanning, a key activity informing of new procedures/technologies on the verge of introduction into our healthcare system. A strong international reputation of ASERNIP‐S is recognised, both by lead roles of international networks and in working relationships with overseas agencies. In recent years the remit of ASERNIP‐S has expanded to include research and evaluation services across the Royal Australasian College of Surgeons (including committees) and for Specialty Surgical Societies. Externally funded work is growing, including for the Federal Office of Public Health in Switzerland and the Ludwig Boltzmann Institute in Austria. It is unknown what the future will be for this unusually titled programme, but its long history in promoting and supporting surgical evidence and innovation is clear.

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Laparoscopic Skills Maintenance: A Randomized Trial of Virtual Reality and Box Trainer Simulators

Cited by 24 publications

References 12 publications

Using an abdominal phantom to teach urology residents ultrasound-guided percutaneous needle placement

Using an abdominal phantom to teach urology residents ultrasound-guided percutaneous needle placement

Effectiveness of Learning Advanced Laparoscopic Skills in a Brief Intensive Laparoscopy Training Program

ASERNIP‐S: unusual acronym, outstanding results

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