Psychomotor skills and cognitive load training on a virtual reality laparoscopic simulator for tubal surgery is effective

Bharathan, Rasiah; Vali, Saaliha; Setchell, T.; Miskry, Tariq; Darzi, Ara; Aggarwal, Rajesh

doi:10.1016/j.ejogrb.2013.03.017

Cited by 46 publications

(42 citation statements)

References 26 publications

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“…Many studies of cognitive load in medical simulation‐based training have relied on self‐report measures that have not been specifically validated for use in this context . While previous studies have acknowledged the potential for differences in construct representation between the Paas Scale and the NASA TLX, to our knowledge, our study is the first to explicitly compare them in the context of simulation‐based procedural skills training.…”

Section: Discussionmentioning

confidence: 99%

Limitations of subjective cognitive load measures in simulation-based procedural training

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Limitations of subjective cognitive load measures in simulation-based procedural training

et al. 2015

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“…In addition, it has been reported that training with LAP Mentor improves surgical performance indicators: 18,29 A study reported that this type of training (for basic tasks in non-anatomical models) leads to a significant improvement in time and accuracy of camera manipulation, time of clip application, and time, speed, total path and total movements in object retrieval. 29 In another study, 18 LAP Mentor was used to investigate the learning curve of nine novice gynecologic surgeons, under LAP Mentor training for salpingectomy and salpingotomy.…”

Section: Discussionmentioning

confidence: 99%

“…29 In another study, 18 LAP Mentor was used to investigate the learning curve of nine novice gynecologic surgeons, under LAP Mentor training for salpingectomy and salpingotomy. It was reported that the learning curve for salpingectomy reached a plateau after eight training sessions for 'time taken', and after four training sessions for 'number of movements'.…”

Section: Discussionmentioning

confidence: 99%

“…ability to distinguish the performance of surgeons with different performance levels) has been demonstrated for several basic exercises in non-anatomical models (aimed at improving, for example, orientation, eye--to-hand coordination, and manual movement), [12][13][14] and for exercises in anatomical models for procedures such as cholecystectomy, 15 sigmoid colectomy, 16 gastric bypass, 17 salpingectomy, 18 and bariatric surgery (jejunojejunostomy). 19 Furthermore, training with LAP Mentor has been associated with improved surgical performance both in porcine models (e.g.…”

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confidence: 99%

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Virtual Reality Simulation as a Tool to Monitor Surgical Performance Indicators: VIRESI Observational Study

et al. 2017

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A mediana do 'tempo total' necessário para completar a tarefa diminuiu significativamente (p < 0,05) de 759,5 para 523,5 segundos. Verificámos uma diminuição significativa (p < 0,05) nas medianas dos indicadores 'tempo total de carregar a agulha no porta-agulhas' (303,3 para 107,8 segundos), 'tempo médio de carregamento da agulha' (38,5 para 31,0 segundos), 'número de passagens em que a agulha passou precisamente através dos pontos de entrada' (2,5 para 1,0), 'tempo em que a agulha foi manipulada fora do campo de visão' (20,9 para 2,4 segundos), e 'tempo total em que as extremidades dos porta-agulhas foram mantidas fora do campo operatório' (88,2 para 49,6 segundos). Discussão: Este estudo mostra o potencial da realidade virtual servir como ferramenta para a avaliação do desempenho cirúrgico dos cirurgiões portugueses. Conclusão: O simulador de realidade virtual LAP Mentor tem a capacidade de identificar variações em indicadores de desempenho cirúrgico de anastomose digestiva. Palavras-chave: Anastomose Cirúrgica; Laparoscopia/educação; Portugal; Treino de Simulação ABSTRACT Introduction: Virtual reality simulation is a topic of discussion as a complementary tool to traditional laparoscopic surgical training in the operating room. However, it is unclear whether virtual reality training can have an impact on the surgical performance of advanced laparoscopic procedures. Our objective was to assess the ability of the virtual reality simulator LAP Mentor to identify and quantify changes in surgical performance indicators, after LAP Mentor training for digestive anastomosis. Material and Methods:Twelve surgeons from Centro Hospitalar de São João in Porto (Portugal) performed two sessions of advanced task 5: anastomosis in LAP Mentor, before and after completing the tutorial, and were evaluated on 34 surgical performance indicators. Results:The results show that six surgical performance indicators significantly changed after LAP Mentor training. The surgeons performed the task significantly faster as the median 'total time' significantly reduced (p < 0.05) from 759.5 to 523.5 seconds. Significant decreases (p < 0.05) were also found in median 'total needle loading time' (303.3 to 107.8 seconds), 'average needle loading time' (38.5 to 31.0 seconds), 'number of passages in which the needle passed precisely through the entrance dots' (2.5 to 1.0), 'time the needle was held outside the visible field' (20.9 to 2.4 seconds), and 'total time the needle-holders' ends are kept outside the predefined operative field' (88.2 to 49.6 seconds). Discussion: This study raises the possibility of using virtual reality training simulation as a benchmark tool to assess the surgical performance of Portuguese surgeons. Conclusion: LAP Mentor is able to identify variations in surgical performance indicators of digestive anastomosis.

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“…Many studies have utilized VR technology for constructing training systems for imparting medical skills such as laparoscopic surgery [29], radiation therapy [30], tubal surgery [31], and neurosurgery [32]. Furthermore, several researchers have combined haptic systems with VR technology for precisely reproducing real-world conditions toward constructing simulation training systems for surgery skills [33] and dental procedures [34].…”

Section: Introductionmentioning

confidence: 99%

Self-Help Training System for Nursing Students to Learn Patient Transfer Skills

Huang

Nagata

Kanai‐Pak

et al. 2014

IEEE Trans. Learning Technol.

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This paper describes the construction and evaluation of a self-help skill training system for assisting student nurses in learning skills involving the transfer of patients from beds to wheelchairs. We have proposed a feedback method that is based on a checklist and video demonstrations. To help trainees efficiently check their performance and correct errors, the checklist was prepared with items specific to the performance of tasks related to individual body parts (e.g., the height of the waist). In this system, two Kinect RGB-D sensors were used for measuring the posture of the trainees and patients. An automatic skill evaluation method was used to designate the trainees' performance against each evaluation item as correct or incorrect. Furthermore, the system's operation interface was designed to enable self-operation by trainees. Control tests were performed to measure the training effectiveness of the system. The results of the tests on a control group (n ¼ 5) that used only a textbook and demonstration video but did not receive feedback were compared with those of the experimental group (n ¼ 5) that used the proposed system. The results of both subjective and objective evaluation demonstrated that the experimental group showed greater improvement in performing patient transfer than the control group ðp < 0:05Þ.

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Psychomotor skills and cognitive load training on a virtual reality laparoscopic simulator for tubal surgery is effective

Cited by 46 publications

References 26 publications

Limitations of subjective cognitive load measures in simulation-based procedural training

Limitations of subjective cognitive load measures in simulation-based procedural training

Virtual Reality Simulation as a Tool to Monitor Surgical Performance Indicators: VIRESI Observational Study

Self-Help Training System for Nursing Students to Learn Patient Transfer Skills

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