Use of Collapsible Box Trainer as a Module for Resident Education

Caban, Angel M.; Guido, Christopher; Silver, Michele; Rossidis, George; Sarosi, George A.; Ben-David, Kfır

doi:10.4293/108680813x13693422521430

Cited by 25 publications

(22 citation statements)

References 13 publications

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“…The VR group in the current study demonstrated improvement in surgical performance after practicing on a virtual reality simulator in regards to time taken to perform the simulated procedure. Similarly training using box trainers was shown to improve surgical skills [21,22] which is in accordance to the BT group demonstrating enhanced surgical performance between baseline and post-training assessment.…”

Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 67%

“Take-home” box trainers are an effective alternative to virtual reality simulators

Yiasemidou

Siqueira

Tomlinson

et al. 2017

Journal of Surgical Research

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Background: Practice on Virtual Reality simulators (VRS) have been shown to improve surgical performance. However, VRS are expensive and usually housed in surgical skills centres that may be inaccessible at times convenient for surgical trainees to practice. Conversely, box trainers are inexpensive and can be used anywhere at anytime. This study assesses "take-home" Box Trainers (BT) as an alternative to VRS.Methods: After baseline assessments (two simulated laparoscopic cholecystectomies, one on a VRS and one on a BT) 25 surgical trainees were randomised to two groups. Trainees were asked to practice 3 basic laparoscopic tasks for 6 weeks (BT group using a "take-home" box trainer; VR group using VRS in clinical skills centres). After the practice period all performed two LC, one on a VRS and one on a BT; (i.e. post-training assessment). VRS provided metrics (total time (TT), number of movements (NOM) instrument tip path length (PL)) and expert video assessment of cholecystectomy in a BT (GOALS score) were recorded. Performance during pre-and post-training assessment was compared.Results: The BT group showed a significant improvement for all VRS metrics (p=0.008) and the efficiency category of GOALS score (p=0.03). Only TT improved in the VRS group and none of the GOALS categories demonstrated a statistically significant improvement after training.

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Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 67%

“Take-home” box trainers are an effective alternative to virtual reality simulators

Yiasemidou

Siqueira

Tomlinson

et al. 2017

Journal of Surgical Research

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“… 20 There are even fewer studies that evaluate implementation of a structured curriculum with pre- and post-training assessments. 21 , 22 Therefore, the present study may have value both in its novelty and in the design of the surgical skills curriculum itself, which appears to be effective.…”

Section: Discussionmentioning

confidence: 87%

Performance Improvement With Implementation of a Surgical Skills Curriculum

Loftus

Filiberto

Upchurch

et al. 2021

Journal of Surgical Education

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Objective To assess the efficacy of an intern surgical skills curriculum involving a boot camp for core open and laparoscopic skills, self-guided practice with positive and negative incentives, and semiannual performance evaluations. Design Longitudinal cohort study. Setting Academic tertiary care center. Participants Intervention group ( n = 15): residents who completed the intern surgical skills curriculum and had performance evaluations in fall of intern year, spring of intern year, and fall of second year. Control group ( n = 8): second-year residents who were 1 year ahead of the intervention group in the same residency program, did not participate in the curriculum, and had performance evaluations in fall of second year. Results In fall of second year of residency, the intervention group had better performance (presented as median values with interquartile ranges) than the control group on one-hand ties (left hand: 9.1 [6.3-10.1] vs 14.6 [13.5-15.4] seconds, p = 0.007; right hand: 8.7 [8.5-9.6] vs 11.5 [9.9-16.8] seconds, p = 0.039). The intervention group also had better performance on all open suturing skills, including mattress suturing (vertical: 33.4 [30.0-40.0] vs 55.8 [50.0-67.6] seconds, p = 0.001; horizontal: 28.7 [27.3-39.9] vs 52.7 [40.7-57.8] seconds, p = 0.003), and a water-filled glove clamp, divide, and ligate task (28.0 [25.0-31.0] vs 59.1 [53.0-93.0] seconds, p < 0.001). Finally, the intervention group had better performance on all laparoscopic skills, including peg transfer (66.0 [59.0-82.0] vs 95.2 [87.5-101.5] seconds, p = 0.018), circle cut (82.0 [69.0-124.0] seconds vs 191.8 [155.5-231.5] seconds, p = 0.002), and intracorporeal suturing (195.0 [117.0-200.0] seconds vs 359.5 [269.0-450.0] seconds, p = 0.002). Conclusions Implementation of a comprehensive surgical skills curriculum was associated with improved performance on core open and laparoscopic skills. Further research is needed to understand and optimize motivational factors for deliberate practice and surgical skill acquisition.

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“…The TASKit box trainer is a suitable commercial analogue for the DIY box trainer due to its similar portability, lack of built in display, and its use of an included, comparable quality standard definition webcam, as well as existing research that suggests it is an effective box trainer for novice trainees. 21 Both the DIY box trainers and the TASKit box trainers require users to provide their own laptops in order to view the video feed from the included cameras. This also allows users to record their attempts -a feature that was used to facilitate the scoring process.…”

Section: Methodsmentioning

confidence: 99%

An early introduction to surgical skills: Validating a low-cost laparoscopic skill training program purpose built for undergraduate medical education

Sellers

Ghannam

Asantey

et al. 2021

The American Journal of Surgery

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Background: Medical student exposure to laparoscopy is limited to observation despite the prevalence of minimally invasive techniques in practice. The high cost of laparoscopic simulation equipment, commonly called "box trainers", limits undergraduate exposure to skill training. Methods: Students at a Midwestern medical school were recruited to participate in an experimental laparoscopic skill training program. One cohort (n ¼ 17) used a DIY box trainer design freely available on MedEdPORTAL. A second cohort (n ¼ 17) used a commercially available equivalent. Pre-and posttraining attempts for four tasks were scored and the difference was calculated. The average differences for each cohort were then contrasted statistically. Results: Significant performance improvements (pre-and post-training) were demonstrated regardless of group allocation. The difference in performance between the cohorts was not significant for any task (p > 0.05). Conclusions: This low-cost training program using DIY box trainers is as effective as commercially available equivalent box trainers for introducing laparoscopic skills to medical students.

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Use of Collapsible Box Trainer as a Module for Resident Education

Abstract: A simple collapsible mobile box trainer may be a cost-effective method of training residents for the fundamentals of laparoscopic skill tasks.

Cited by 25 publications

References 13 publications

“Take-home” box trainers are an effective alternative to virtual reality simulators

“Take-home” box trainers are an effective alternative to virtual reality simulators

Performance Improvement With Implementation of a Surgical Skills Curriculum

An early introduction to surgical skills: Validating a low-cost laparoscopic skill training program purpose built for undergraduate medical education

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