Which skills really matter? proving face, content, and construct validity for a commercial robotic simulator

Lyons, Calvin; Goldfarb, David W.; Jones, Stephen L.; Badhiwala, Niraj; Miles, Brian J.; Link, Richard E.; Dunkin, Brian J.

doi:10.1007/s00464-012-2704-7

Cited by 77 publications

(66 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The da Vinci Skills Simulator is a hardware pack which loads a VR simulator onto the actual da Vinci device (51). The RoSS and dVTrainer, on the other hand, are stand-alone devices with controls resembling those of the da Vinci system (50).…”

Section: Ras Simulatorsmentioning

confidence: 99%

See 1 more Smart Citation

Innovations in surgery simulation: a review of past, current and future techniques

Badash¹,

Burtt²,

Solorzano³

et al. 2016

Ann. Transl. Med.

261

165

View full text Add to dashboard Cite

As a result of recent work-hours limitations and concerns for patient safety, innovations in extraclinical surgical simulation have become a desired part of residency education. Current simulation models, including cadaveric, animal, bench-top, virtual reality (VR) and robotic simulators are increasingly used in surgical training programs. Advances in telesurgery, three-dimensional (3D) printing, and the incorporation of patient-specific anatomy are paving the way for simulators to become integral components of medical training in the future.Evidence from the literature highlights the benefits of including simulations in surgical training; skills acquired through simulations translate into improvements in operating room performance. Moreover, simulations are rapidly incorporating new medical technologies and offer increasingly high-fidelity recreations of procedures. As a result, both novice and expert surgeons are able to benefit from their use. As dedicated, structured curricula are developed that incorporate simulations into daily resident training, simulated surgeries will strengthen the surgeon's skill set, decrease hospital costs, and improve patient outcomes.

show abstract

Section: Ras Simulatorsmentioning

confidence: 99%

“…Some studies suggest that the da Vinci Skills simulator could be a valuable tool for assessment of RAS technical skills and credentialing of RAS surgeons (51). However, the available da Vinci simulators have been criticized for their high costs and lack of high-fidelity surgical simulations (50).…”

Section: Ras Simulatorsmentioning

confidence: 99%

Innovations in surgery simulation: a review of past, current and future techniques

Badash¹,

Burtt²,

Solorzano³

et al. 2016

Ann. Transl. Med.

261

165

View full text Add to dashboard Cite

show abstract

“…Inanimate exercises offer a cost-effective and robot-agnostic approach to training surgeons [110][111][112]. They can be designed to target specific (or a subset of) technical skills needed to understand the basic functionality of a robotic system [105,113]. With various levels of difficulty, a continuum of inanimate exercises can guide surgeons of different abilities through their initial learning curves.…”

Section: Training Coursesmentioning

confidence: 99%

Gynecological Surgery and the Robot

O’Sullivan¹,

O’Reilly²

2014

ENG

View full text Add to dashboard Cite

As the only robotic device with FDA approval for gynecological surgery, the da Vinci ® Surgical System dominates robot-assisted surgery in the field. Benefits to the Surgeon include decreased risk of neck and back injury secondary to improved ergonomics. However, patients benefit greatly due to decreased length of stay, decreased blood loss and analgesic requirements. Unfortunately the initial economic impact of purchasing and maintaining a robot is great but must be balanced with the potential savings from reduced length of stay and earlier return to normal activity. This article looks at the indications for robot-assisted surgery in gynecology. Assessing the efficacy of this modality compared to both straight stick (Laparoscopy) and open procedures. We discuss the impact and implications for surgical training imposed by robotic surgery. Furthermore, we assess the safety of robotic surgery from both the surgeons prospective and as a surgical modality.

show abstract

“…These tasks consist of a set of four inanimate models, collectively called fundamental inanimate robotic skills tasks (FIRST) [5,11], and eight selected virtual reality tasks on the da Vinci Skills Simulator (dVSS) platform [8]. These simulator tasks together encompass all of the basic skills of robotic surgery, including object pick and place, hand-to-hand transfer, instrument wrist manipulation, camera control and clutching, third-arm manipulation, suturing and energy use.…”

Section: Introductionmentioning

confidence: 99%

“…Despite this rapid surge in use, the development and validation of training methods has failed to keep pace. Several training platforms have undergone validation testing, including inanimate tasks [1][2][3][4][5], virtual reality exercises [6][7][8][9] and ex vivo models [5,9,10]. Validation work in these studies includes demonstration of face (realism of training tool), content (usefulness as training tool), construct (ability to distinguish between different skill levels) and cross-method (correlation across training methods) validity.…”

Section: Introductionmentioning

confidence: 99%

Performance of robotic simulated skills tasks is positively associated with clinical robotic surgical performance

et al. 2016

View full text Add to dashboard Cite

ObjectiveTo compare user performance of four fundamental inanimate robotic skills tasks (FIRST) as well as eight da Vinci Skills Simulator (dVSS) virtual reality tasks with intra-operative performance (concurrent validity) during robot-assisted radical prostatectomy (RARP) and to show that a positive correlation exists between simulation and intra-operative performance. Materials and MethodsA total of 21 urological surgeons with varying robotic experience were enrolled. Demographics were captured using a standardized questionnaire. User performance was assessed concurrently in simulated (FIRST exercises and dVSS tasks) and clinical environments (endopelvic dissection during RARP). Intra-operative robotic clinical performance was scored using the previously validated sixmetric Global Evaluative Assessment of Robotic Skills (GEARS) tool. The relationship between simulator and clinical performance was evaluated using Spearman's rank correlation. ResultsPerformance was assessed in 17 trainees and four expert robotic surgeons with a median (range) number of previous robotic cases (as primary surgeon) of 0 (0-55) and 117 (58-600), respectively (P = 0.001). Collectively, the overall FIRST (q = 0.833, P < 0.001) and dVSS (q = 0.805, P < 0.001) simulation scores correlated highly with GEARS performance score. Each individual FIRST and dVSS task score also demonstrated a significant correlation with intra-operative performance, with the exception of Energy Switcher 1 exercise (P = 0.063). ConclusionsThis is the first study to show a significant relationship between simulated robotic performance and robotic clinical performance. Findings support implementation of these robotic training tools in a standardized robotic training curriculum.

show abstract

Which skills really matter? proving face, content, and construct validity for a commercial robotic simulator

Cited by 77 publications

References 9 publications

Innovations in surgery simulation: a review of past, current and future techniques

Innovations in surgery simulation: a review of past, current and future techniques

Gynecological Surgery and the Robot

Performance of robotic simulated skills tasks is positively associated with clinical robotic surgical performance

Contact Info

Product

Resources

About