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Face and Content Validity Between DaVinci and CMR Robotic Simulator among General Surgical Faculty
Shahriyar Ghazanfar1,2, Yumnah Safdar3, Erum Kazim1,2
1Department of General Surgery, Dow University of Health Sciences, Karachi, Pakistan.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 17, 2025
Summary
The DaVinci Skills Simulator (dVSS) offers superior realism and skill assessment compared to the CMR Versius Simulator. However, the CMR simulator shows acceptable validity for training novice surgeons in robotic surgery.
Area of Science:
- Surgical Education and Training
- Medical Simulation Technology
- Robotic Surgery
Background:
- Robotic surgery is increasingly adopted, necessitating effective simulation-based training.
- Evaluating the validity of surgical simulators is crucial for optimizing training programs.
- Two prominent simulators, DaVinci Skills Simulator (dVSS) and CMR Versius, require comparative assessment.
Purpose of the Study:
- To compare the face and content validity of the dVSS and CMR Versius simulators.
- To assess simulator performance across surgeons with varying experience levels.
- To inform the development of simulation-based robotic surgical training programs.
Main Methods:
- A cross-over study involving 26 surgical faculty members.
- Standardized tasks performed on both dVSS and CMR simulators.
- Face and content validity assessed using a 5-point Likert scale questionnaire and statistical analysis (Wilcoxon signed-rank test, Cronbach's α).
Main Results:
- The dVSS demonstrated significantly higher face and content validity compared to the CMR simulator (p <0.001 for both).
- The overall reliability of the assessment was good (Cronbach's α = 0.835).
- Most participants (80.8%) were novices with no prior exposure to either simulator.
Conclusions:
- The dVSS excels in realism and skill assessment for robotic surgery simulation.
- The CMR simulator offers acceptable validity for training, especially for novice surgeons.
- Further research with longitudinal data and expert cohorts is recommended to fully evaluate the CMR simulator's training potential.

