1502 ENHANCED TASK TRAINING IN LAPAROSCOPY VIRTUAL REALITY SIMULATION OR MENTAL TRAINING? A RANDOMIZED CONTROLLED STUDY

Abstract

You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment/Ureteroscopy II1 Apr 20121502 ENHANCED TASK TRAINING IN LAPAROSCOPY VIRTUAL REALITY SIMULATION OR MENTAL TRAINING? A RANDOMIZED CONTROLLED STUDY Philippe Grange, Paul Rouse, David Eldred-Evans, Chang Adrian, and Davendra Sharma Philippe GrangePhilippe Grange San Fernando, United Kingdom More articles by this author , Paul RousePaul Rouse London, United Kingdom More articles by this author , David Eldred-EvansDavid Eldred-Evans London, United Kingdom More articles by this author , Chang AdrianChang Adrian London, United Kingdom More articles by this author , and Davendra SharmaDavendra Sharma London, United Kingdom More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1269AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We have demonstrated in a previous study that the most effective simulation method for novices was the box trainer plus practice. We thought of interest to explore the potential role of virtual reality simulation and mental training as adjuvant methods. Our objective was to compare the effectiveness of virtual reality simulator and mental training in enhancing surgical skills acquisition on box trainers plus self-practice. METHODS In July 2011, 64 medical students without surgical experience were randomised to four groups. The laparoscopic task was to cut a circle. All observed twice the task performed by an expert. The control group was box trained (BT) with practice and received no additional training. Group two received in addition one mental training (MT) mentored session followed by daily self mental training. Group three had two additional self taught sessions on Virtual Reality Simulator (VRS). The fourth group was trained on VRS + MT. An assessment was performed one week later. RESULTS All students underwent a 2 x 15 minutes assessment on BT and on VRS. Time, accuracy, precision and overall performance were recorded and rendered on a 0-1 scale. On BT assessment the additional MT group scored highest. Additional VRS group did not show enhanced performance at all, group four VRS+MT performed below the control group. On VRS assessment additional VRS group were good as were all BT groups. CONCLUSIONS In our study, beginners benefit hugely from additional mental training after box training in laparoscopic skills acquisition. Mental Training is a powerful enhancement tool in laparoscopic skills acquisition. Additional VRS training does not enhance skills acquisition. VRS is confirmed as a reliable assessment tools however VRS training develops only VRS skills. Time BT Precision BT Accuracy BT Performance BT Time VRS Precision VRS Accuracy VRS Performance VRS Group 1 Control 5:49 0.66 0.72 77.9% 5:39 0.70 0.72 81.3% Group 2 MT 6:49 0.84 0.85 90.4% 6:44 0.79 0.83 87.3% Group 3 VRS 4:56 0.68 0.70 82.1% 4:55 0.82 0.87 91.7% Group 4 VRS + MT 8:37 0.38 0.35 42.6% 6:02 0.64 0.65 73.9% © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e608 Peer Review Report Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Philippe Grange San Fernando, United Kingdom More articles by this author Paul Rouse London, United Kingdom More articles by this author David Eldred-Evans London, United Kingdom More articles by this author Chang Adrian London, United Kingdom More articles by this author Davendra Sharma London, United Kingdom More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...