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Training the novice in laparoscopy. More challenge is better.

Research paper by M R MR Ali, Y Y Mowery, B B Kaplan, E J EJ DeMaria

Indexed on: 26 Jul '02Published on: 26 Jul '02Published in: Surgical Endoscopy



Abstract

Virtual reality simulation is effective in training the novice to perform basic laparoscopic skills.Using the Minimally Invasive Surgery Training--Virtual Reality (MIST-VR) trainer, 27 honors high school students were tested at the easy level, prospectively randomized to eight training sessions at the easy (group A, n = 14) or medium (group B, n = 13) level, then retested at the easy level.Both groups were statistically similar at baseline. All scores improved significantly (50.1% to 81.3%) over the period of training (p < 0.05). Although the group A scores were significantly better than the group B scores throughout training (p < 0.05), on final testing at the easy level, group B surpassed group A for all the tasks except TransferPlace (p = 0.054).Virtual simulation is an effective laparoscopic training method for the novice, providing significant improvement in skill levels over a relatively short period. More challenging training seems to predict greater improvement over time and better final skill levels.