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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
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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
Summary
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).
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.

