108. Goal Directed Laparoscopic Training Leads to Better Laparoscopic Skill Acquisition

2008 ◽  
Vol 144 (2) ◽  
pp. 225-226
Author(s):  
Atul K. Madan ◽  
Jason L. Harper ◽  
Raymond J. Taddeucci ◽  
David S. Tichansky
2008 ◽  
Vol 144 (2) ◽  
pp. 448
Author(s):  
Atul K. Madan ◽  
Jason L. Harper ◽  
Raymond J. Taddeucci ◽  
David S. Tichansky

Surgery ◽  
2008 ◽  
Vol 144 (2) ◽  
pp. 345-350 ◽  
Author(s):  
Atul K. Madan ◽  
Jason L. Harper ◽  
Raymond J. Taddeucci ◽  
David S. Tichansky

2005 ◽  
Vol 71 (1) ◽  
pp. 29-35 ◽  
Author(s):  
William C. Brunner ◽  
James R. Korndorffer ◽  
Rafael Sierra ◽  
J. Bruce Dunne ◽  
C. Lillian Yau ◽  
...  

Laparoscopic training using virtual reality has proven effective, but rates of skill acquisition vary widely. We hypothesize that training to predetermined expert levels may more efficiently establish proficiency. Our purpose was to determine expert levels for performance-based training. Four surgeons established as laparoscopic experts performed 11 repetitions of 12 tasks. One surgeon (EXP-1) had extensive Minimally Invasive Surgical Trainer–Virtual Reality (MIST VR) exposure and formal laparoscopic fellowship training. Trimmed mean scores for each were determined as expert levels. A composite score (EXP-C) was defined as the average of all four expert levels. Thirty-seven surgery residents without prior MIST VR exposure and two research residents with extensive MIST VR exposure completed three repetitions of each task to determine baseline performance. Scores for EXP-1 and EXP-C were plotted against the best score of each participant. On average, the EXP-C level was reached or exceeded by 7 of the 37 (19%) residents. In contrast, the EXP-1 level was reached or exceeded by 1 of 37 (3%) residents and both research residents on all tasks. These data suggest the EXP-C level may be too lenient, whereas the EXP-1 level is more challenging and should result in adequate skill acquisition. Such standards should be further developed and integrated into surgical education.


2015 ◽  
Vol 72 (6) ◽  
pp. 1224-1232 ◽  
Author(s):  
Marleen Groenier ◽  
Klaas H. Groenier ◽  
Heleen A.T. Miedema ◽  
Ivo A.M.J. Broeders

2008 ◽  
Vol 179 (4S) ◽  
pp. 661-662
Author(s):  
Sashi S Kommu ◽  
Kiran K Kommu ◽  
Rajiv Pillai ◽  
Aby Valliattu ◽  
Rama C Kannanchery ◽  
...  

2021 ◽  
Vol 15 ◽  
Author(s):  
Adamantini Hatzipanayioti ◽  
Sebastian Bodenstedt ◽  
Felix von Bechtolsheim ◽  
Isabel Funke ◽  
Florian Oehme ◽  
...  

The ability to perceive differences in depth is important in many daily life situations. It is also of relevance in laparoscopic surgical procedures that require the extrapolation of three-dimensional visual information from two-dimensional planar images. Besides visual-motor coordination, laparoscopic skills and binocular depth perception are demanding visual tasks for which learning is important. This study explored potential relations between binocular depth perception and individual variations in performance gains during laparoscopic skill acquisition in medical students naïve of such procedures. Individual differences in perceptual learning of binocular depth discrimination when performing a random dot stereogram (RDS) task were measured as variations in the slope changes of the logistic disparity psychometric curves from the first to the last blocks of the experiment. The results showed that not only did the individuals differ in their depth discrimination; the extent with which this performance changed across blocks also differed substantially between individuals. Of note, individual differences in perceptual learning of depth discrimination are associated with performance gains from laparoscopic skill training, both with respect to movement speed and an efficiency score that considered both speed and precision. These results indicate that learning-related benefits for enhancing demanding visual processes are, in part, shared between these two tasks. Future studies that include a broader selection of task-varying monocular and binocular cues as well as visual-motor coordination are needed to further investigate potential mechanistic relations between depth perceptual learning and laparoscopic skill acquisition. A deeper understanding of these mechanisms would be important for applied research that aims at designing behavioral interventions for enhancing technology-assisted laparoscopic skills.


2013 ◽  
Vol 257 (6) ◽  
pp. 1025-1031 ◽  
Author(s):  
Anthony G. Gallagher ◽  
Neal E. Seymour ◽  
Julie-Anne Jordan-Black ◽  
Brendan P. Bunting ◽  
Kieran McGlade ◽  
...  

2005 ◽  
Author(s):  
Sara L. Waxberg ◽  
Steven D. Schwaitzberg ◽  
Caroline G. L. Cao

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