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- Title
Attempted establishment of proficiency levels for laparoscopic performance on a national scale using simulation: the results from the 2004 SAGES Minimally Invasive Surgical Trainer-Virtual Reality (MIST-VR) learning center study.
- Authors
Van Sickle, K. R.; Ritter, E. M.; McClusky III, D. A.; Lederman, A.; Baghai, M.; Gallagher, A. G.; Smith, C. D.; McClusky, D A 3rd
- Abstract
<bold>Background: </bold>The Minimally Invasive Surgical Trainer-Virtual Reality (MIST-VR) has been well validated as a training device for laparoscopic skills. It has been demonstrated that training to a level of proficiency on the simulator significantly improves operating room performance of laparoscopic cholecystectomy. The purpose of this project was to obtain a national standard of proficiency using the MIST-VR based on the performance of experienced laparoscopic surgeons.<bold>Methods: </bold>Surgeons attending the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) 2004 Annual Scientific Meeting who had performed more than 100 laparoscopic procedures volunteered to participate. All the subjects completed a demographic questionnaire assessing laparoscopic and MIST-VR experience in the learning center of the SAGES 2004 meeting. Each subject performed two consecutive trials of the MIST-VR Core Skills 1 program at the medium setting. Each trial involved six basic tasks of increasing difficulty: acquire place (AP), transfer place (TP), traversal (TV), withdrawal insert (WI), diathermy task (DT), and manipulate diathermy (MD). Trial 1 was considered a "warm-up," and trial 2 functioned as the test trial proper. Subject performance was scored for time, errors, and economy of instrument movement for each task, and a cumulative total score was calculated.<bold>Results: </bold>Trial 2 data are expressed as mean time in seconds in Table 2.<bold>Conclusion: </bold>Proficiency levels for laparoscopic skills have now been established on a national scale by experienced laparoscopic surgeons using the MIST-VR simulator. Residency programs, training centers, and practicing surgeons can now use these data as guidelines for performance criterion during MIST-VR skills training.
- Subjects
LAPAROSCOPY; CHOLECYSTECTOMY; LAPAROSCOPIC surgery; DIATHERMY; VIRTUAL reality; SIMULATION methods &; models; CLINICAL competence; COMPUTER simulation; EDUCATIONAL tests &; measurements; MINIMALLY invasive procedures; USER interfaces
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2007, Vol 21, Issue 1, p5
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-006-0011-x