Trainee Performance After Laparoscopic Simulator Training Using a Blackbox versus LapMentor
| Autor: | Lars Enochsson, Evangelos Georgiou, Ninos Oussi, Ann Kjellin, Lars Henningsohn, Markus Castegren |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Students Medical education Subgroup analysis Basic skills 03 medical and health sciences Young Adult 0302 clinical medicine Sex Factors Informed consent medicine Humans Laparoscopic cholecystectomy Simulation Training Laparoscopic training Virtual Reality Visuospatial ability Test (assessment) 030220 oncology & carcinogenesis Laparoscopic simulator Physical therapy 030211 gastroenterology & hepatology Surgery Female Laparoscopy Clinical Competence Educational Measurement Psychology Computer-Assisted Instruction |
| Zdroj: | The Journal of surgical research. 250 |
| ISSN: | 1095-8673 |
| Popis: | Background Training using laparoscopic high-fidelity simulators (LHFSs) to proficiency levels improves laparoscopic cholecystectomy skills. However, high-cost simulators and their limited availability could negatively impact residents’ laparoscopic training opportunities. We aimed to assess whether motivation and surgical skill performance differ after basic skills training (BST) using a low-cost (Blackbox) versus LHFS (LapMentor) among medical students. Materials and methods Sixty-three medical students from Karolinska Institutet volunteered, completing written informed consent, questionnaire regarding expectations of the simulation training, and a visuospatial ability test. They were randomized into two groups that received BST using Blackbox (n = 32) or LapMentor (n = 31). However, seven students absence resulted in 56 participants, followed by another 9 dropouts. Subsequently, after training, 47 students took up three consecutive tests using the minimally invasive surgical trainer–virtual reality (MIST-VR) simulator, finalizing a questionnaire. Results More Blackbox group participants completed all MIST-VR tests (29/31 versus 18/25). Students anticipated mastering LapMentor would be more difficult than Blackbox (P = 0.04). In those completing the simulation training, a trend toward an increase was noted in how well participants in the Blackbox group liked the simulator training (P = 0.07). Subgroup analysis of motivation and difficulty in liking the training regardless of simulator was found only in women (Blackbox [P = 0.02]; LapMentor [P = 0.06]). In the Blackbox group, the perceived difficulty of training, facilitation, and liking the Blackbox training (significant only in women) were significantly correlated with the students’ performance in the MIST-simulator. No such correlations were found in the LapMentor group. Conclusions Results indicate an important role for low-tech/low-cost Blackbox laparoscopic BST of students in an otherwise high-tech surrounding. Furthermore, experience of Blackbox BST procedures correlate with students’ performance in the MIST-VR simulator, with some gender-specific differences. |
| Databáze: | OpenAIRE |
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