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Surgical Cross-Training With Surgery Naive Learners: Implications for Resident Training.
Charles W Ashley1, Katelyn Donaldson2, Katherine M Evans3
1Department of Surgery, Gynecology Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Journal of Surgical Education
|July 16, 2019
Summary
Surgical skills practiced on one simulator did not improve performance on the other. This study found no evidence of skill transferability between robotic surgical simulation and simulated traditional laparoscopy.
Area of Science:
- Medical Education
- Surgical Simulation
- Minimally Invasive Surgery
Background:
- Current literature examines skill transfer from laparoscopy to robotic surgery.
- This study investigates skill transfer from robotic to laparoscopic simulation.
Purpose of the Study:
- To determine if surgical skills learned on a robotic surgical simulator (RoSS) transfer to a laparoscopic simulator (LS).
- To assess skill transferability between robotic and laparoscopic surgical simulation modalities.
Main Methods:
- 31 medical students with limited experience participated.
- Participants performed standardized tasks on both RoSS and LS simulators.
- Skills were assessed before and after a practice period on one modality, with reassessment on the other.
Main Results:
- No significant differences in initial performance or demographics between groups.
- Practice on one simulator modality yielded the greatest improvement.
- Improvement on the unpracticed modality was not statistically different between groups.
Conclusions:
- Both groups improved skills on the unpracticed modality with practice.
- The degree of improvement was equal, indicating no significant skill transferability.
- Findings suggest distinct skill sets are required for robotic and laparoscopic simulation.
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