Training gynaecology trainees using an integrated Visual Reality Stimulator curriculum

Intervention: Virtual-reality integrated training curriculum in addition to standard training for the period of 6months. The curriculum included didactic teaching (online anatomy tutorials, journal articles, and slideshows provided by gynaecologists), two 3-hour consultant-led workshops (one at study commencement and another at 3months), and 24-hour access to traditional box trainers and the LapSim® VRS. Lapsim is an advanced surgical simulation technology that allows users to practice laparoscopic skills on an advanced computer. The high-fidelity simulator was programed with four modules, each with multiple exercises of graded complexity. Two investigators were available for simulation supervision at different times each week. Log-book reviews were undertaken at 3-monthly intervals to assess surgical progress, and the VRS stored information regarding trainee usage. The intervention group (Groups 'novice-trained' and 'experienced-trained') were given access to the VRS-integrated training curriculum. The intervention group was made up of trainees at a specific training hospital. Controls were employed at other training hospitals in the same city.