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Enhancing Thoracic Robotic Surgery Education in the Digital Realm: A Learner Analysis
Kunal Bhakhri1, Davide Patrini1, David Lawrence1
1Department of Thoracic Surgery, University College London Hospitals, University College Hospital at Westmoreland Street, London, UK.
Annals of Thoracic Surgery Short Reports
|June 17, 2025
Summary
Virtual learning environments (VLEs) effectively teach thoracic robotic surgery skills. An e-module improved trainee scores and aligned with adult learning principles, enhancing surgical education.
Area of Science:
- Medical Education
- Surgical Training
- Virtual Learning Environments
Background:
- Virtual learning environments (VLEs) are increasingly utilized in medical education.
- This study specifically examines VLEs for teaching thoracic robotic surgery skills.
- An e-module developed by the Royal College of Surgeons of England is the focus of skill acquisition.
Purpose of the Study:
- To evaluate the effectiveness of a VLE e-module in teaching thoracic robotic surgery skills.
- To assess the alignment of the e-module with adult learning principles (andragogy).
- To understand the impact of VLEs on surgical trainees' self-directed learning and motivation.
Main Methods:
- A mixed-method approach was employed, combining qualitative interviews and questionnaires with quantitative statistical analysis.
- 360 participants, including surgical trainees and consultants, engaged with the e-module.
- The study was grounded in Knowles' theory of andragogy to assess adult learning characteristics.
Main Results:
- Participant scores on multiple-choice questions significantly improved from 60% pre-module to 75% post-module (P < .001).
- A strong positive correlation (r = 0.7) was found between virtual training frequency and alignment with trainees' educational needs.
- Significant differences in outcomes were observed based on prior surgical experience (P = .013).
Conclusions:
- VLEs demonstrate transformative potential in adult education, especially for specialized surgical training.
- The e-module successfully addressed learner needs, promoted self-directed learning, and fostered intrinsic motivation.
- Continued research and development of VLEs are essential for advancing surgical education and adult learning experiences.

