Virtual reality training for endoscopic surgery; voluntary or obligatory?

Dongen, K. W. van; Schijven, Marlies P.; Rinkes, Inne H.M. Borel; Broeders, I. A. M. J.

doi:10.1097/01266021-200600130-00014

Cited by 27 publications

(40 citation statements)

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“…More solutions concerning future training models' implementation and incorporation of these curricula into surgical work practices are still needed. The findings of this study support the earlier findings, which suggested that we should aim to solve emerging resource and administrative problems so that learning and teaching at hospitals using surgical simulators will become more systematic and efficient (Van Dongen et al 2008, Kneebone 2003. Laparoscopy training with VR simulators should, however, not be the only SBT method for educating surgeons.…”

Section: Practical Conclusion and Future Researchsupporting

confidence: 79%

“…Development and validation of training should be multidisciplinary involving both users and designers; specialists as teachers, residents as learners, educationalists for teaching the teachers, and industrial designers and HCI experts for designing and providing teaching facilities that enable optimal learning transfer from virtual to real environments (Schout et al 2010;Stone 2011). Therefore, in order to reform the traditional surgical education, and even changing the whole culture of educating surgeons to meet the skills requirements of the modern day, more research and development work is needed (Van Dongen et al 2011, Van Dongen et al 2008.…”

Section: Learning Surgical Skills Through Simulator Trainingmentioning

confidence: 99%

“…Simulators are suggested to be used as training tools within formal residency curricula, which would integrate SBT into surgical residents' other daily work routines (Kneebone 2003, Kneebone et al 2004, Sadideen & Kneebone 2012, Van Dongen et al 2008. Practicing opportunities should be organised systematically and periodically within longer interval periods in order for the requirements for expertise development in complex skills like laparoscopy to be fulfilled (Ericsson 2004).…”

Section: Learning Surgical Skills Through Simulator Trainingmentioning

confidence: 99%

“…In order for a computer-based simulator training to succeed, for example, at hospitals, it is vital not only to have the necessary equipment, but also to organise training conditions with proper techniques by including curriculums with working culture and organisational processes. For example, the structure of training and assessment measures and processes requires careful consideration of many aspects (Kneebone 2003, Van Dongen et al 2008, Sidhu et al 2006). This review leaves open questions concerning how laparoscopic skills are learned today at Finnish hospitals and how these aforementioned technological training possibilities, simulators, are utilised.…”

Section: Sub-study 1: Expertise and Skill In Minimally Invasive Surgerymentioning

confidence: 99%

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Towards Technology-Supported Surgical Training

Silvennoinen

2008

2008 21st IEEE International Symposium on Computer-Based Medical Systems

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Section: Practical Conclusion and Future Researchsupporting

confidence: 79%

Section: Learning Surgical Skills Through Simulator Trainingmentioning

confidence: 99%

Section: Learning Surgical Skills Through Simulator Trainingmentioning

confidence: 99%

Section: Sub-study 1: Expertise and Skill In Minimally Invasive Surgerymentioning

confidence: 99%

See 2 more Smart Citations

Towards Technology-Supported Surgical Training

Silvennoinen

2008

2008 21st IEEE International Symposium on Computer-Based Medical Systems

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“…Computer based laparoscopic VR simulators seemed to be of benefit when applied with proficiency goals and as part of structured training program with expert tuition combined with systematic and structured evaluation (14,40,41). Simulator training diminishes the number of technical mistakes, thus enabling the surgeon to concentrate more on the other aspects of surgery, such as decision making and fluent performance.…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality Simulator Training of Laparoscopic Cholecystectomies — A Systematic Review

et al. 2012

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Background and Aims: simulators are widely used in occupations where practice in authentic environments would involve high human or economic risks. surgical procedures can be simulated by increasingly complex and expensive techniques. this review gives an update on computer-based virtual reality (vr) simulators in training for laparoscopic cholecystectomies.Materials and Methods: from leading databases (medline, cochrane, embase), randomised or controlled trials and the latest systematic reviews were systematically searched and reviewed. twelve randomised trials involving simulators were identified and analysed, as well as four controlled studies. furthermore, seven studies comparing black boxes and simulators were included.Results: the results indicated any kind of simulator training (black box, vr) to be beneficial at novice level. after vr training, novice surgeons seemed to be able to perform their first live cholecystectomies with fewer errors, and in one trial the positive effect remained during the first ten cholecystectomies. no clinical follow-up data were found. optimal learning requires skills training to be conducted as part of a systematic training program. no data on the cost-benefit of simulators were found, the price of a vr simulator begins at eur 60 000.Conclusions: theoretical background to learning and limited research data support the use of simulators in the early phases of surgical training. the cost of buying and using simulators is justified if the risk of injuries and complications to patients can be reduced. Developing surgical skills requires repeated training. in order to achieve optimal learning a validated training program is needed.

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The Fun Factor: Does Serious Gaming Affect the Volume of Voluntary Laparoscopic Skills Training?

IJgosse

Goor²,

Rosman³

et al. 2020

World j. surg.

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Background The availability of validated laparoscopic simulators has not resulted in sustainable high-volume training. We investigated whether the validated laparoscopic serious game Underground would increase voluntary training by residents. We hypothesized that by removing intrinsic barriers and extrinsic barriers, residents would spend more time on voluntary training with Underground compared to voluntary training with traditional simulators. Methods After 1 year, we compared amount of voluntary time spent on playing Underground to time spent on all other laparoscopic training modalities and to time spent on performing laparoscopic procedures in the OR for all surgical residents. These data were compared to resident’ time spent on laparoscopic activities over the prior year before the introduction of Underground. Results From March 2016 until March 2017, 63 residents spent on average 20 min on voluntary serious gaming, 17 min on voluntary simulator training, 2 h and 44 min on mandatory laparoscopic training courses, and 14 h and 49 min on laparoscopic procedures in the OR. Voluntary activities represented 3% of laparoscopic training activities which was similar in the prior year wherein fifty residents spent on average 33 min on voluntary simulator training, 3 h and 28 min on mandatory laparoscopic training courses, and 11 h and 19 min on laparoscopic procedures. Conclusion Serious gaming has not increased total voluntary training volume. Underground did not mitigate intrinsic and extrinsic barriers to voluntary training. Mandatory, scheduled training courses remain needed. Serious gaming is flexible and affordable and could be an important part of such training courses.

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Virtual reality training for endoscopic surgery; voluntary or obligatory?

Cited by 27 publications

References 0 publications

Towards Technology-Supported Surgical Training

Towards Technology-Supported Surgical Training

Virtual Reality Simulator Training of Laparoscopic Cholecystectomies — A Systematic Review

The Fun Factor: Does Serious Gaming Affect the Volume of Voluntary Laparoscopic Skills Training?

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