EASIER: A new model for online learning of minimally invasive surgery skills.
Autor: | Oropesa I; Biomedical Engineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid (UPM), Avda Complutense, 30 28040, Madrid, Spain. Electronic address: i.oropesa@upm.es., Sánchez-Peralta LF; Jesús Usón Minimally Invasive Surgery Centre, Carretera Nacional 521, Km 41.8 10071, Cáceres, Spain., Guzmán García C; Biomedical Engineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid (UPM), Avda Complutense, 30 28040, Madrid, Spain., Chmarra MK; Department of Biomechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering (3mE), Delft University of Technology, Mekelweg 2 2628 CD, Delft, the Netherlands., Berner-Juhos K; Semmelweis University, Faculty of Medicine, HVC, Department of Surgical Research and Techniques, Nagyvaead sqr. 4, Budapest, Hungary H1089., Tiu C; MEDIS Foundation, 83 Grivitei, Campina 105600, Romania., Mettouris C; University of Cyprus, Department of Computer Science, CY-2109, Nicosia, Cyprus., Papadopoulos GA; University of Cyprus, Department of Computer Science, CY-2109, Nicosia, Cyprus., Papadopoulos A; Cyprus Research and Innovation Center Ltd, 28th Octovriou Ave. 72, Office 301, Engomi 2414, Nicosia, Cyprus., Blas Pagador J; Jesús Usón Minimally Invasive Surgery Centre, Carretera Nacional 521, Km 41.8 10071, Cáceres, Spain., Post J; SIMENDO BV, Vijverhofstraat 106 3032 SP, Rotterdam, the Netherlands., Dankelman J; Department of Biomechanical Engineering, Faculty of Mechanical, Maritime and Materials Engineering (3mE), Delft University of Technology, Mekelweg 2 2628 CD, Delft, the Netherlands., González-Segura A; NTT Data, Avda. Cortes Valencianas 39,9C 46015, Valencia, Spain., Sánchez-Margallo FM; Jesús Usón Minimally Invasive Surgery Centre, Carretera Nacional 521, Km 41.8 10071, Cáceres, Spain; Centro de Investigación Biomédica En Red de Enfermedades Cardiovasculares CIBERCV, Av. Monforte de Lemos, 3-5 28029, Madrid, Spain., Gómez EJ; Biomedical Engineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid (UPM), Avda Complutense, 30 28040, Madrid, Spain; Networking Research Center on Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), C/ Melchor Fernández Almagro, 3 28029, Madrid, Spain. |
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Jazyk: | angličtina |
Zdroj: | International journal of medical informatics [Int J Med Inform] 2023 Dec; Vol. 180, pp. 105269. Date of Electronic Publication: 2023 Oct 24. |
DOI: | 10.1016/j.ijmedinf.2023.105269 |
Abstrakt: | Introduction: Technology Enhanced Learning (TEL) can provide the tools to safely master minimally invasive surgery (MIS) skills in patient-free environments and receive immediate objective feedback without the constant presence of an instructor. However, TEL-based systems tend to work isolated from one another, focus on different skills, and fail to provide contents without a sound pedagogical background. Objective: The objective of this descriptive study is to present in detail EASIER, an innovative TEL platform for surgical and interventional training, as well as the results of its validation. Methods: EASIER provides a Learning Management System (LMS) for institutions and content creators that can connect and integrate TEL "external assets" (virtual reality simulators, augmented box trainers, augmented videos, etc.) addressing different skills. The platform integrates all skills under an Assessment Module that measures skills' progress in different courses. Finally, it provides content creators with a pedagogical model to scaffold contents while retaining flexibility to approach course design with different training philosophies in mind. Three courses were developed and hosted in the platform to validate it with end-users in terms of usability, performance, learning results in the courses and student self-perception on learning. Results: In total 111 volunteers completed the validation. The study was limited due to the COVID-19 pandemic, which limited access to external assets (virtual reality simulators). Nevertheless, usability was rated with 73.1 in the System Usability Scale. Most positive aspects on performance were easiness to access the platform, easiness to change the configuration and not requiring additional plug-ins to use the platform. The platform was rated above average in the six scales of the User Experience Questionnaire. Overall, student results improved significantly across the three courses (p < 0.05). Conclusions: This study provides, within its limitations, evidence on the usefulness of the EASIER platform for distance learning of MIS skills. Results show the potential impact of the platform and are an encouraging boost for the future, especially in the aftermath of the COVID-19 pandemic. Competing Interests: Declaration of Competing Interest Project EASIER (588404-EPP-1–2017-1-ES-EPPKA2-KA) is funded with support from the European Commission. The European Commission’s support for the production of this publication does not constitute an endorsement of the contents, which reflect the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein. (Copyright © 2023 Elsevier B.V. All rights reserved.) |
Databáze: | MEDLINE |
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