Surgery
Conditions
Keywords
Laparoscopy, Training, Simulator
Brief summary
Surgical training programs using virtual reality simulators often only use basic skills training and the use of procedural training is very limited. Procedural training differs from basic skills training by requiring integration of isolated skills and decision making and planning components. However, it is unknown if it is necessary to practice all procedures before operating on actual patients or whether it is simply a matter of learning psychomotor skills and if these skills are transferable between different tasks. The main hypothesis is that practicing a laparoscopic procedure on a simulator makes it easier to reach proficiency on a different laparoscopic procedure on the simulator because participants have already practiced the integration of isolated skills.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Medical students enrolled at The Faculty of Health Science, University of Copenhagen. * Obtained the bachelor degree in medicine. * Signed informed consent.
Exclusion criteria
* Previous participation in trials involving laparoscopic training. * Experience with laparoscopy surgery (having performed minimum one laparoscopic procedure as primary surgeon, including supervised procedures). * No informed consent. * Does not speak Danish on a conversational level.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The number of repetitions needed to reach a predefined proficiency level for a procedural module on a simulator | Up to 26 weeks | The number of repetitions needed to reach a predefined proficiency level for a procedural module (a laparoscopic salpingectomy) on the simulator. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The effective training time on the simulator (minutes) needed to reach the predefined proficiency level for a procedural module. | Up to 26 weeks | The effective training time on the simulator (minutes) needed to reach a predefined proficiency level for a procedural module (a laparoscopic salpingectomy) on the simulator. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Subjective Mental Effort Question score after the 1st repetition | Up to 26 weeks | To score the level of stress, all the participants will be required to the Subjective Mental Effort Questionnaire after the first repetition of a procedural module. The SMEQ is a cognitive workload questionnaire with a scale of 0 to 150 points |
| Motor skills performance parameters | Up to 26 weeks | 1. The total path length (cumulative distance tip movement for both the right and left instrument) for the first attempt on procedural module B will be compared for the intervention and the control group. 2. The total angular path (cumulative angular degrees for both the right and left instrument) for the first attempt on procedural module B will be compared for the intervention and the control group. 3. The total procedure time for the first attempt on procedural module B will be compared for the intervention and the control group. |
Countries
Denmark