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Virtual reality training for endoscopic surgery: voluntary or obligatory?

机译:内窥镜手术的虚拟现实培训:自愿还是强制?

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INTRODUCTION: Virtual reality (VR) simulators have been developed to train basic endoscopic surgical skills outside of the operating room. An important issue is how to create optimal conditions for integration of these types of simulators into the surgical training curriculum. The willingness of surgical residents to train these skills on a voluntary basis was surveyed. METHODS: Twenty-one surgical residents were given unrestricted access to a VR simulator for a period of four months. After this period, a competitive element was introduced to enhance individual training time spent on the simulator. The overall end-scores for individual residents were announced periodically to the full surgical department, and the winner was awarded a prize. RESULTS: In the first four months of study, only two of the 21 residents (10%) trained on the simulator, for a total time span of 163 minutes. After introducing the competitive element the number of trainees increased to seven residents (33%). The amount of trainingtime spent on the simulator increased to 738 minutes. CONCLUSIONS: Free unlimited access to a VR simulator for training basic endoscopic skills, without any form of obligation or assessment, did not motivate surgical residents to use the simulator. Introducing a competitive element for enhancing training time had only a marginal effect. The acquisition of expensive devices to train basic psychomotor skills for endoscopic surgery is probably only effective when it is an integrated and mandatory part of the surgical curriculum.
机译:简介:开发了虚拟现实(VR)模拟器来训练手术室外的基本内窥镜手术技能。一个重要的问题是如何为将这些类型的模拟器集成到外科培训课程中创造最佳条件。调查了外科手术居民自愿培训这些技能的意愿。方法:21名外科住院医师可以在四个月内不受限制地使用VR模拟器。在此期间之后,引入了一项竞争性要素,以增加在模拟器上花费的个人培训时间。定期向整个外科部门公布个人居民的总体得分,获奖者将获得一个奖项。结果:在研究的前四个月中,21位居民中只有2位(10%)在模拟器上进行了培训,总时间为163分钟。在引入竞争因素之后,受训人员数量增加到了七名居民(33%)。在模拟器上花费的培训时间增加到738分钟。结论:无限制地免费使用VR模拟器来训练内窥镜基本技能,没有任何形式的义务或评估,也没有激发外科手术居民使用该模拟器。引入竞争性要素以延长培训时间仅具有边际效应。购买昂贵的器械来训练内窥镜手术的基本心理运动技能,可能只有在它是外科课程中必不可少的一部分时,才可能有效。

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