MP23-12 ACCELERATED SKILLS ACQUISITION PROTOCOL (ASAP): AN EFFECTIVE TIME-EFFICIENT APPROACH TO VIRTUAL REALITY BASIC TASK SIMULATION TRAINING

Abstract

You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment II1 Apr 2015MP23-12 ACCELERATED SKILLS ACQUISITION PROTOCOL (ASAP): AN EFFECTIVE TIME-EFFICIENT APPROACH TO VIRTUAL REALITY BASIC TASK SIMULATION TRAINING Ahmed Ghazi, Aisha Siebert, Changyong feng, and Sarah Peyre Ahmed GhaziAhmed Ghazi More articles by this author , Aisha SiebertAisha Siebert More articles by this author , Changyong fengChangyong feng More articles by this author , and Sarah PeyreSarah Peyre More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1255AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES In an effort to improve training, surgical educators and national societies have embraced simulation. Proficiency-based training (PBT), in which learners are required to achieve expert-derived performance goals is considered by many experts the ideal training paradigm on simulators. However, due to new directives of an 80-hour workweek, simulation training must not only be effective but also efficient. Virtual reality, robotic simulators offer skill categories that encompass a variety of exercises, some designed with graded levels of difficulty. Proficiency-based progression through all levels would burden allocated simulator-training time. To achieve effective training while minimizing valuable simulation-training time, we investigated an Accelerated Skills Acquisition Protocol (ASAP) in which trainees would practice PBT of graded exercises at only the uppermost difficulty level. METHODS Two, simple (Camera clutch and Peg board) and complex (Ring walk and Suture sponge) exercises were included. 16 medical students without previous surgical experience were equally divided into an ASAP (e.g. PBT in only Suture sponge 3) and conventional training protocol (proficiency-based progression through all levels e.g. Suture sponge 1,2 then 3). Participants underwent weekly training in 4 groups with an expert. The number of repetitions to reach proficiency (90% of 3 expert performances) was measured. Two tasks (Ring Rail 2 and Tubes) were used for immediate and 6 months post-training evaluations. RESULTS The ASAP group achieved overall score proficiency with significantly fewer repetitions compared to the conventional training group in Peg board, Camera clutch, Ring walk and Suture sponge (p=0.0004, p=0.005, p=0.03, p=0.02 respectively). A similar difference was also demonstrated in economy of motion and master workspace proficiency metrics for simple exercises and time for complex exercises. No significant difference was demonstrated in evaluation exercises between the ASAP and conventional training groups at immediate and 6 months post-training (Table 1). CONCLUSIONS The ASAP achieved a time-efficient training approach, without compromising the development or retention of technical surgical skills. TRAINING TASK ASAP (mean repetitions to overall score proficiency) Conventional PBT (mean repetitions to overall score proficiency) P value Peg board 2 4.6 0.0004 Ring Walk 2.4 4.57 0.005 Camera Clutch 7.83 5.35 0.03 Suture sponge 9.63 6.78 0.04 EVALUATION TASK (post-training) Mean overall score Mean overall score P value Ring rail 2 88.45 86.75 0.51 Tubes 82.6 87.25 0.33 RETENTION TASK (6 months) Mean overall score Mean overall score P value Peg board 98.4 96.17 0.8402 Camera clutch 2 93.83 95.8 0.7140 Ring walk 2 99.1 99 0.9995 Suture sponge 3 87.25 93.5 0.2855 Ring rail 2 92.5 88.63 0.8825 Tubes 73.88 86.5 0.3493 © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e271-e272 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ahmed Ghazi More articles by this author Aisha Siebert More articles by this author Changyong feng More articles by this author Sarah Peyre More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...