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Training simulator efficacy in developing thoracic and general surgical skills in a residency programme: a pilot
Sarah Grossi1, Maria Cattoni1, Luca Filipponi1
1Center for Thoracic Surgery, Department of Medicine and Surgery (DMC), University of Insubria, Varese, Italy.
Summary
An intensive virtual training program, conducted at least twice weekly, significantly improved surgical residents' precision in minimally invasive procedures. This focused training path enhances essential skills for professional development in surgery.
Area of Science:
- Surgical Education
- Medical Simulation
- Minimally Invasive Surgery
Background:
- Virtual training simulators are increasingly used to enhance surgical residents' skills.
- Effective learning paths are crucial for mastering minimally invasive thoracic and general surgery techniques.
Purpose of the Study:
- To plan an effective virtual training learning path for surgical residents.
- To evaluate the impact of different frequencies of virtual training on skill acquisition.
Main Methods:
- First and second-year surgical residents were randomized into two groups: intensive (twice-weekly) and non-intensive (once-weekly) virtual training.
- The LapSim® simulator was used for basic surgical exercises over 12-week modules.
- Surgical maneuver data (time, instrument path length, angular path length) were collected and compared between groups.
Main Results:
- Both groups showed improvement, but the intensive group (Group A) demonstrated statistically significant reductions in total time, instrument path lengths, and angular path lengths.
- These results indicate enhanced precision in surgical maneuvers for residents in the intensive training group.
- No significant differences were observed at the initial session, confirming baseline skill parity.
Conclusions:
- A virtual simulator training program conducted at least twice a week is effective for developing fundamental surgical skills.
- This intensive training approach supports trainees' professional growth in minimally invasive surgery.
- Further research with more complex exercises is planned to validate these preliminary findings.

