Impact of video games on ultrasound-guided regional anesthesia skills

BackgroundThere is an association between video game practice and laparoscopic expertize in trainee surgeons. Ultrasound-guided regional anesthesia has many parallels with laparoscopic surgery. The aim of this study was to explore whether video game experience is associated with enhanced performance in a simulated ultrasound-guided task in novice operators.MethodsIn this prospective observational study, 60 medical student volunteers were recruited. Following characterization of video game experience, they underwent an assessment of visuospatial abilities. Following standardized teaching, the recruits’ technical performance of an ultrasound-guided needle task was assessed for overall quality by global rating scale (GRS).ResultsOut of a total possible GRS score of 35, gamers compared with non-gamers demonstrated 5.2 (95% CI 1.9 to 8.4) units of better performance. Gamers also performed better in mental rotation test scores (difference 4.1, 95% CI 1.2 to 7.0) .ConclusionVideo game practice is associated with increased mental rotation ability and enhanced technical performance in a simulated ultrasound-guided task.

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Ultrasound-guided regional anesthesia: feasibility and effectiveness of teaching via telesimulation in Ethiopia

Regional Anesthesia and Pain Medicine ◽

10.1136/rapm-2020-102394 ◽

2021 ◽

pp. rapm-2020-102394

Author(s):

Monica Liu ◽

Margaret Salmon ◽

Rene Zaidi ◽

Arun Nagdev ◽

Finot Debebe ◽

...

Keyword(s):

Regional Anesthesia ◽

Nerve Block ◽

Rating Scale ◽

Femoral Nerve Block ◽

Femoral Nerve ◽

House Staff ◽

Global Rating Scale ◽

Global Rating ◽

Ultrasound Guided ◽

Post Test

BackgroundAcute pain management in resource-poor countries remains a challenge. Ultrasound-guided regional anesthesia is a cost-effective way of delivering analgesia in these settings. However, for financial and logistical reasons, educational workshops are inaccessible to many physicians in these environments. Telesimulation provides a way of teaching across distance by using simulators and video-conferencing software to connect instructors and students worldwide. We conducted a prospective study to determine the feasibility of ultrasound-guided regional anesthesia teaching via telesimulation in Ethiopia.MethodsEighteen Ethiopian orthopedic and emergency medicine house staff participated in telesimulation teaching of ultrasound-guided femoral nerve block. This consisted of four 90-min sessions, once per week. Week 1 consisted of a precourse test and a presentation on aspects of performing a femoral nerve block, weeks 2 and 3 were live teaching sessions on scanning and needling techniques, and in week 4, the house staff undertook a postcourse test. All participants were assessed using a validated Global Rating Scale and Checklist.ResultsParticipants were provided with a validated checklist and global rating scale as a pretest and post-test. The participants showed significant improvement in their test scores, from a total mean of 51% in the pretest to 84% in their post-test.ConclusionsTeaching ultrasound-guided regional anesthesia of the femoral nerve remotely via telesimulation is feasible. Telesimulation can greatly improve the accessibility of ultrasound-guided regional anesthesia teaching to physicians in remote areas.

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Visuospatial Ability as a Predictor of Novice Performance in Ultrasound-guided Regional Anesthesia

Anesthesiology ◽

10.1097/aln.0000000000000870 ◽

2015 ◽

Vol 123 (5) ◽

pp. 1188-1197 ◽

Cited By ~ 17

Author(s):

Atif Shafqat ◽

Eamonn Ferguson ◽

Vishal Thanawala ◽

Nigel M. Bedforth ◽

Jonathan G. Hardman ◽

...

Keyword(s):

Regional Anesthesia ◽

Rating Scale ◽

Emotional State ◽

Fear Of Failure ◽

Global Rating Scale ◽

Instructional Video ◽

Global Rating ◽

Ultrasound Guided ◽

Visuospatial Ability ◽

Ability Test

Abstract Background Visuospatial ability correlates positively with novice performance of simple laparoscopic tasks. The aims of this study were to identify whether visuospatial ability could predict technical performance of an ultrasound-guided needle task by novice operators and to describe how emotional state, intelligence, and fear of failure impact on this. Methods Sixty medical student volunteers enrolled in this observational study. The authors used an instructional video to standardize training for ultrasound-guided needle advancement in a turkey breast model and assessed volunteers’ performance independently by two assessors using composite error score (CES) and global rating scale (GRS). The authors assessed their “visuospatial ability” with mental rotation test (MRT), group embedded figures test, and Alice Heim group ability test. Emotional state was judged with UWIST Mood Adjective Checklist (UMACL), and fear of failure and general cognitive ability were judged with numerical reasoning test. Results High CES scores (high error rate) were associated with low MRT scores (ρ = −0.54; P < 0.001). Better GRS scores were associated with better MRT scores (ρ = 0.47; P < 0.001). Regarding emotions, GRS scores were low when anxiety levels were high (ρ = −0.35; P = 0.005) and CES scores (errors) were low when individuals reported feeling vigorous and active (ρ = −0.30; P = 0.01). Conclusions An MRT predicts novice performance of an ultrasound-guided needling task on a turkey model and as a trait measure could be used as a tool to focus training resources on less-able individuals. Anxiety adversely affects performance. Therefore, both may prove useful in directing targeted training in ultrasound-guided regional anesthesia.

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Evaluation of a Task-Specific Checklist and Global Rating Scale for Ultrasound-Guided Regional Anesthesia

Regional Anesthesia and Pain Medicine ◽

10.1097/aap.0000000000000126 ◽

2014 ◽

Vol 39 (5) ◽

pp. 399-408 ◽

Cited By ~ 18

Author(s):

Daniel M. Wong ◽

Mathew J. Watson ◽

Roman Kluger ◽

Alwin Chuan ◽

Michael D. Herrick ◽

...

Keyword(s):

Regional Anesthesia ◽

Rating Scale ◽

Global Rating Scale ◽

Global Rating ◽

Ultrasound Guided

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Development and Evaluation of a Simulation-based Curriculum for Ultrasound-guided Central Venous Catheterization

CJEM ◽

10.1017/cem.2016.329 ◽

2016 ◽

Vol 18 (6) ◽

pp. 405-413 ◽

Cited By ~ 13

Author(s):

Robert McGraw ◽

Tim Chaplin ◽

Conor McKaigney ◽

Louise Rang ◽

Melanie Jaeger ◽

...

Keyword(s):

Rating Scale ◽

Deliberate Practice ◽

Venous Catheter ◽

Global Rating Scale ◽

Global Rating ◽

Ultrasound Guided ◽

Central Venous ◽

Simulation Based ◽

Technical Proficiency ◽

The Mean

AbstractObjectiveTo develop a simulation-based curriculum for residents to learn ultrasound-guided (USG) central venous catheter (CVC) insertion, and to study the volume and type of practice that leads to technical proficiency.MethodsTen post-graduate year two residents from the Departments of Emergency Medicine and Anesthesiology completed four training sessions of two hours each, at two week intervals, where they engaged in a structured program of deliberate practice of the fundamental skills of USG CVC insertion on a simulator. Progress during training was monitored using regular hand motion analysis (HMA) and performance benchmarks were determined by HMA of local experts. Blinded assessment of video recordings was done at the end of training to assess technical competence using a global rating scale.ResultsNone of the residents met any of the expert benchmarks at baseline. Over the course of training, the HMA metrics of the residents revealed steady and significant improvement in technical proficiency. By the end of the fourth session six of 10 residents had faster procedure times than the mean expert benchmark, and nine of 10 residents had more efficient left and right hand motions than the mean expert benchmarks. Nine residents achieved mean GRS scores rating them competent to perform independently.ConclusionWe successfully developed a simulation-based curriculum for residents learning the skills of USG CVC insertion. Our results suggest that engaging residents in three to four distributed sessions of deliberate practice of the fundamental skills of USG CVC insertion leads to steady and marked improvement in technical proficiency with individuals approaching or exceeding expert level benchmarks.

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Assessing Performance in Simulated Cleft Palate Repair Using a Novel Video Recording Setup

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665620913178 ◽

2020 ◽

Vol 57 (6) ◽

pp. 687-693

Author(s):

Dale J. Podolsky ◽

David M. Fisher ◽

Karen W. Wong Riff ◽

Ronald M. Zuker ◽

James M. Drake ◽

...

Keyword(s):

Cleft Palate ◽

Rating Scale ◽

Intraclass Correlation ◽

Video Recording ◽

Global Rating Scale ◽

Global Rating ◽

Global Score ◽

Technical Performance ◽

Cleft Palate Repair ◽

Palate Repair

Objective: To test the feasibility of implementing a high-fidelity cleft palate simulator during a workshop in Santiago, Chile, using a novel video endoscope to assess technical performance. Design: Sixteen cleft surgeons from South America participated in a 2-day cleft training workshop. All 16 participants performed a simulated repair, and 13 of them performed a second simulated repair. The repairs were recorded using a low-cost video camera and a newly designed camera mouth retractor attachment. Twenty-nine videos were assessed by 3 cleft surgeons using a previously developed cleft palate objective structured assessment of technical skill (CLOSATS with embedded overall score assessment) and global rating scale. The reliability of the ratings and technical performance in relation to minimum acceptable scores and previous experience was assessed. Results: The video setup provided acceptable recording quality for the purpose of assessment. Average intraclass correlation coefficient for the CLOSATS, global, and overall performance score was 0.69, 0.75, and 0.82, respectively. None of the novice surgeons passed the CLOSATS and global score for both sessions. One participant in the intermediate group, and 2 participants in the advanced group passed the CLOSATS and global score for both sessions. There were highly experienced participants who failed to pass the CLOSATS and global score for both sessions. Conclusions: The cleft palate simulator can be practically implemented with video-recording capability to assess performance in cleft palate repair. This technology may be of assistance in assessing surgical competence in cleft palate repair.

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Otoskills training during covid-19 pandemic: a before-after study

BMC Medical Education ◽

10.1186/s12909-021-02706-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Maxime Fieux ◽

Antoine Gavoille ◽

Fabien Subtil ◽

Sophie Bartier ◽

Stéphane Tringali

Keyword(s):

Surgical Training ◽

Rating Scale ◽

Surgical Simulation ◽

Global Rating Scale ◽

Middle Ear Surgery ◽

Global Rating ◽

Training Requirements ◽

Significant Difference ◽

Before And After ◽

Total Performance

Abstract Background The ongoing COVID-19 pandemic has disrupted the surgical training of residents. There is a real concern that trainees will not be able to meet their training requirements. Low-fidelity surgical simulation appears to be an alternative for surgical training. The educational benefits of repeating ossiculoplasty simulations under a microscope have never been evaluated. With this study we aimed to evaluate the differences in performance scores and on a global rating scale before and after training on an ossiculoplasty simulator. Methods In this quasi-experimental, prospective, single-centre, before-after study with blinded rater evaluation, residents performed five microscopic ossiculoplasty tasks with a difficulty gradient (sliding beads onto rods, the insertion of a partial prosthesis, the insertion of a total prosthesis, and the insertion of a stapedotomy piston under microscopic or endoscopic surgery) before and after training on the same simulator. Performance scores were defined for each task, and total performance scores (score/min) were calculated. All data were collected prospectively. Results Six out of seven intermediate residents and 8/9 novices strongly agreed that the simulator was an effective training device and should be included in the ENT residency program. The mean effect of training was a significant increase in the total performance score (+ 0.52 points/min, [95 % CI, 0.40–0.64], p < 0.001), without a significant difference between novice and intermediate residents. Conclusions This preliminary study shows that techniques for middle-ear surgery can be acquired using a simulator, avoiding any risk for patients, even under lockdown measures.

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The ASSET Global Rating Scale is a Valid and Reliable Adjunct Measure of Performance on a Virtual Reality Simulator for Hip Arthroscopy.

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2021.01.046 ◽

2021 ◽

Author(s):

Meghan E. Bishop ◽

Gabriella E. Ode ◽

Daniel Hurwit ◽

Stephan Zmugg ◽

Ryan Rauck ◽

...

Keyword(s):

Virtual Reality ◽

Hip Arthroscopy ◽

Rating Scale ◽

Global Rating Scale ◽

Global Rating ◽

Virtual Reality Simulator ◽

Measure Of Performance

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Objective structured assessment of technical skill in temporal bone dissection: validation of a novel tool

The Journal of Laryngology & Otology ◽

10.1017/s0022215121001201 ◽

2021 ◽

pp. 1-11

Author(s):

M Stavrakas ◽

G Menexes ◽

S Triaridis ◽

P Bamidis ◽

J Constantinidis ◽

...

Keyword(s):

Temporal Bone ◽

Rating Scale ◽

Assessment Tool ◽

Three Dimensional ◽

Technical Skills ◽

Technical Skill ◽

Global Rating Scale ◽

Global Rating ◽

Validity And Reliability ◽

Cortical Mastoidectomy

Abstract Objective This study developed an assessment tool that was based on the objective structured assessment for technical skills principles, to be used for evaluation of surgical skills in cortical mastoidectomy. The objective structured assessment of technical skill is a well-established tool for evaluation of surgical ability. This study also aimed to identify the best material and printing method to make a three-dimensional printed temporal bone model. Methods Twenty-four otolaryngologists in training were asked to perform a cortical mastoidectomy on a three-dimensional printed temporal bone (selective laser sintering resin). They were scored according to the objective structured assessment of technical skill in temporal bone dissection tool developed in this study and an already validated global rating scale. Results Two external assessors scored the candidates, and it was concluded that the objective structured assessment of technical skill in temporal bone dissection tool demonstrated some main aspects of validity and reliability that can be used in training and performance evaluation of technical skills in mastoid surgery. Conclusion Apart from validating the new tool for temporal bone dissection training, the study showed that evolving three-dimensional printing technologies is of high value in simulation training with several advantages over traditional teaching methods.

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