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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Randomized trial to examine procedure-to-procedure transfer in laparoscopic simulator training.

F Bjerrum1, J L Sorensen1, L Konge2

  • 1Department of Obstetrics and Gynaecology, The Juliane Marie Centre for Children, Women and Reproduction, Copenhagen, Denmark.

The British Journal of Surgery
|October 30, 2015
PubMed
Summary

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Practicing two laparoscopic procedures on a simulator, compared to one, significantly improved surgical novices

Area of Science:

  • Medical Education
  • Surgical Simulation
  • Skills Transfer

Background:

  • Laparoscopic simulation is integral to surgical training.
  • Limited data exists on skills transfer between procedural tasks in simulation.
  • Investigating the specificity of procedural simulator training is crucial.

Purpose of the Study:

  • To investigate the specificity of procedural simulator training.
  • To determine if practicing multiple procedures enhances skills transfer.
  • To compare proficiency acquisition time and repetitions for a second procedure.

Main Methods:

  • Randomized single-centre educational superiority trial.
  • Surgical novices trained on a virtual reality laparoscopic simulator.
  • Intervention group practiced two procedures (appendicectomy, salpingectomy); control group practiced one (salpingectomy).

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Main Results:

  • Intervention group required 24.1% fewer attempts to reach proficiency in the second procedure (P=0.004).
  • Intervention group reached proficiency significantly faster (31.1 min difference, P=0.001).
  • Median attempts: 22 vs 32; Median time: 88 min vs 131 min.

Conclusions:

  • Practicing two procedures enhances skills transfer in laparoscopic simulation.
  • Reduced attempts and time to proficiency observed when training on multiple procedures.
  • Task specificity remains a factor in laparoscopic simulator training.