Gynecologic Disease
Conditions
Keywords
competency-based education, gynecology, laparoscopy, resident education, simulation, surgical curriculum
Brief summary
This study will verify if a comprehensive laparoscopic curriculum using virtual reality demonstrates skills transfer to the operating room, compared to the traditional teaching method.
Detailed description
Second-year residents from different programs of residency in obstetrics and gynecology in Porto Alegre, RS, Brazil, will be invited to participate in this study. they will be randomized to receive a comprehensive training in laparoscopy using modern virtual reality program or the traditional method of training according to their residency program. After 12 weeks of training, they will finish their training and they will perform advanced laparoscopic surgery in the simulator according to their specific needs, for example, salpingectomy, oophorectomy advanced laparoscopic suture or hysterectomy. Data generated from the simulator program will be compared between groups.
Interventions
BEHAVIORALConventional training
traditional training according to residency program
BEHAVIORALVirtual Reality+conventional training
virtual reality training+traditional training using virtual reality
Sponsors
Hospital de Clinicas de Porto Alegre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Two groups will be compared according to their surgical skills.
Eligibility
Sex/Gender
ALL
Age
24 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* residents in obstetrics and gynecology that are about to finish their second-year program
Exclusion criteria
* refuse to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficiency of technical skills (%) | 12 weeks | The software analyzes the percentage of time the needle-holders' ends are kept outside the operative field (%); total number of entrance and exit points through which the needle has passed; total aggressive tissue handling; total amount of strain applied to tissue during needle passages; total needle loading time; total number of completed knots; total number of needle loadings; total number of needle passages; total number of stitches; total time the needle-holders' ends are kept outside the predefined operative field; total time to accomplish the suture; Total time to form a knot. For salpingectomy: efficiency of cautery (%); number of non-cauterized bleeding; number of serious complications: possible damage to vital structures; safe cautery (%); the time cautery is applied without appropriate contact with adhesions; total number of applied clips. |
Countries
Brazil
Contacts
Primary ContactGuilherme G Pretto, MD,PhD
Backup ContactRicardo F Savaris, MD,PhD
Outcome results
None listed