Pre-course cognitive training using a smartphone application in orthopaedic intern surgical skills “boot camps”

Levin, Adam S.; Haq, Ikram U.; LaPorte, Dawn M.

doi:10.1016/j.jor.2018.03.038

Cited by 8 publications

(6 citation statements)

References 8 publications

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“…So, TS can be considered a useful tool to supplement and improve surgical laparoscopic training. This has also been shown in previous educational research in this field [30][31][32]. VR used in a multimodal setting may also supplement training curricula in surgical education, as VR simulation has already been demonstrated to be effective and useful [33,34].…”

Section: Discussionsupporting

confidence: 61%

Serious gaming and virtual reality in the multimodal training of laparoscopic inguinal hernia repair: a randomized crossover study

et al. 2022

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Background The aim of this study was to assess the transferability of surgical skills for the laparoscopic hernia module between the serious game Touch Surgery™ (TS) and the virtual reality (VR) trainer Lap Mentor™. Furthermore, this study aimed to collect validity evidence and to discuss “sources of validity evidence” for the findings using the laparoscopic inguinal hernia module on TS. Methods In a randomized crossover study, medical students (n = 40) in their clinical years performed laparoscopic inguinal hernia modules on TS and the VR trainer. TS group started with “Laparoscopic Inguinal Hernia Module” on TS (phase 1: Preparation, phase 2: Port Placement and Hernia Repair), performed the module first in training, then in test mode until proficiency was reached. VR group started with “Inguinal Hernia Module” on the VR trainer (task 1: Anatomy Identification, task 2: Incision and Dissection) and also performed the module until proficiency. Once proficiency reached in the first modality, the groups performed the other training modality until reaching proficiency. Primary endpoint was the number of attempts needed to achieve proficiency for each group for each task/phase. Results Students starting with TS needed significantly less attempts to reach proficiency for task 1 on the VR trainer than students who started with the VR trainer (TS = 2.7 ± 0.6 vs. VR = 3.2 ± 0.7; p = 0.028). No significant differences for task 2 were observed between groups (TS = 2.3 ± 1.1 vs. VR = 2.1 ± 0.8; p = 0.524). For both phases on TS, no significant skill transfer from the VR trainer to TS was observed. Aspects of validity evidence for the module on TS were collected. Conclusion The results show that TS brought additional benefit to improve performances on the VR trainer for task 1 but not for task 2. Skill transfer from the VR trainer to TS could not be shown. VR and TS should thus be used in combination with TS first in multimodal training to ensure optimal training conditions.

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Section: Discussionsupporting

confidence: 61%

Serious gaming and virtual reality in the multimodal training of laparoscopic inguinal hernia repair: a randomized crossover study

et al. 2022

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“…Levin et al 26 assessed the utility of Touch Surgery modules among 14 first-year orthopaedic surgery residents and found that 71.4% of participants felt that the application improved their baseline understanding of the procedures (open reduction and internal fixation of an ankle fracture and lag screw fixation). To assess the construct validity of Touch Surgery modules for intramedullary femoral nailing, Sugand et al 27 compared the performance of medical students (novices) with that of orthopaedic surgery fellows and attendings (experts).…”

Section: Resultsmentioning

confidence: 99%

Cognitive Training in Orthopaedic Surgery

Anderson

deMeireles²,

Trofa³

et al. 2021

JAAOS Glob Res Rev

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Introduction: Over the past two decades, various factors have led to fewer opportunities for hands-on learning in the operating room among orthopaedic surgery trainees. Innovative training platforms using anatomic models, cadaveric specimens, and augmented reality have been devised to address this deficiency in surgical training, but such training tools are often costly with limited accessibility. Cognitive training is a low-cost training technique that improves physical performance by refining the way in which information is mentally processed and has long been used by professional athletes and world-class musicians. More recently, cognitive training tools have been developed for several orthopaedic surgery procedures, but the overall utility of cognitive training in orthopaedic surgery remains unknown. Methods: The purpose of this study was to review the existing literature regarding the use of cognitive training in orthopaedic surgery and to summarize the results of investigations comparing cognitive training tools with other methods of learning. To that effect, the PubMed and Embase databases were systematically reviewed for articles related to cognitive training in orthopaedic surgery. Results: Eleven publications met the inclusion criteria, including six randomized controlled trials. Cognitive task analysis and mental rehearsal were the most common forms of cognitive training identified. All 11 publications supported the use of cognitive training in orthopaedic surgery training. In the six randomized controlled trials, the utilization of cognitive training was associated with notably improved surgical performance and increased knowledge compared with traditional methods of learning. Discussion: Based on the limited evidence presented in this review, cognitive training represents a promising, low-cost adjunct to traditional orthopaedic surgery training. Further efforts should be directed at developing and evaluating additional cognitive training tools for orthopaedic surgery trainees.

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“…Levin et al [ 21 ] had 14 Orthopaedic interns who evaluated the Touch Surgery app: interns completed a simulated ankle open-reduction, internal-fixation and lag screw fixation prior to attending an annual four-week bootcamp. Participants completed the learning module, and then multiple-choice questions (Pass-mark 70%).…”

Section: Resultsmentioning

confidence: 99%

“…To demonstrate construct validity [ 23 ] experts outperformed novices in each module by 32.5% in Patient positioning and preparation, 31.5% in Femoral canal preparation, by 22.5% in Proximal locking and by 17% Distal Locking and closure. Levin et al [ 21 ] did not contain any objective measure of CTA.…”

Section: Resultsmentioning

confidence: 99%

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Using Cognitive Task Analysis to train Orthopaedic Surgeons - Is it time to think differently? A systematic review.

Ahmad

Bhattacharyya

Gupte

2020

Annals of Medicine and Surgery

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Background Working time restraints; senior led care; and a reduction in ‘out of hours’ operating has resulted in less operating time for orthopaedic trainees in the United Kingdom. Therefore, there has been an attempt to overcome these challenges by implementing novel techniques. Cognitive Task Analysis (CTA) focuses on the mental steps required to complete complex procedures. It has been used in training athletes and in general surgery but is new to orthopaedic training. Aims To undertake a systematic review to analyse if CTA is beneficial to train novice surgeons in common orthopaedic and trauma procedures. Materials and methods A systematic review was performed evaluating CTA in trauma and orthopaedic surgery on MEDLINE and EMBASE. Search terms used were: Cognitive task’, ‘mental rehearsal’ and ‘Orthop*‘. 33 studies were originally identified. Duplicate studies were excluded (11). Articles not relating to Orthopaedic surgery were excluded (15). The CTA research ranking scale was used to evaluate the impact of the studies included. Results 7 studies were identified as appropriate for inclusion. 264 participants. 178 M, 86F. All studies showed objective or subjective benefits from CTA in orthopaedic training when compared to traditional methods. The majority of the participants highlighted high subjective satisfaction with the use of the CTA tools and reported that they proved to be excellent adjuncts to the traditional apprenticeship model. Conclusion CTA learning tools have demonstrated significant objective and subjective benefits in trauma and orthopaedic training. It is cost effective, easily accessible and allows repeated practice which is key in simulation training.

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Pre-course cognitive training using a smartphone application in orthopaedic intern surgical skills “boot camps”

Abstract: Touch Surgery enhanced the surgical skills curriculum, was well-received, and has the potential to supplement training of interns.

Cited by 8 publications

References 8 publications

Serious gaming and virtual reality in the multimodal training of laparoscopic inguinal hernia repair: a randomized crossover study

Serious gaming and virtual reality in the multimodal training of laparoscopic inguinal hernia repair: a randomized crossover study

Cognitive Training in Orthopaedic Surgery

Using Cognitive Task Analysis to train Orthopaedic Surgeons - Is it time to think differently? A systematic review.

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