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Colonoscopy Training on Virtual-Reality Simulators or Physical Model Simulators: A Randomized Controlled Trial.

Yifei Mu¹, Xinyi Yang², Feng Guo¹

¹Department of Gastrointestinal Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China; Simulation Centre, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Journal of Surgical Education

|August 17, 2024

Summary

This summary is machine-generated.

Virtual-reality (VR) simulators and physical model simulators both enhance colonoscopy training for novice residents. VR simulators demonstrated superior effectiveness compared to physical models, making them highly recommended for foundational colonoscopy skills development.

Keywords:

Colonoscopy training physical model simulator simulation based training the ACGME assessment virtual-reality simulator

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Area of Science:

Medical Education
Surgical Simulation
Gastroenterology

Background:

Colonoscopy is a critical diagnostic and therapeutic procedure.
Effective training for novice endoscopists is essential for patient safety and procedural success.
Simulation-based training offers a controlled environment to acquire colonoscopy skills.

Purpose of the Study:

To compare the efficacy of virtual-reality (VR) simulators versus physical model simulators for colonoscopy training.
To identify the optimal simulation method for novice residents.
To provide evidence-based recommendations for colonoscopy simulation training.

Main Methods:

A randomized controlled trial involving 40 surgical residents with no prior colonoscopy experience.
Participants were allocated to either a VR simulator group or a physical model simulator group.
Performance was assessed using baseline and post-training porcine colonoscopy tests, evaluated by blinded physicians using the GAGES-C scoring system.

Main Results:

Both VR and physical model simulators led to significant improvements in colonoscopy performance from baseline.
The VR simulator group showed significantly better outcomes compared to the physical model simulator group (p=0.042).
High levels of participant satisfaction were reported for both simulation methods.

Conclusions:

Novice residents benefit from both VR and physical model simulators for colonoscopy training.
VR simulators are more effective than physical models for foundational colonoscopy training.
VR simulators are recommended for novice residents learning basic colonoscopy procedures.