Pretraining of basic skills on a virtual reality vitreoretinal simulator : A waste of time

© 2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd..

PURPOSE: To investigate whether pretraining of basic skills in virtual vitreoretinal surgery affected the performance curve when proceeding to procedure-specific modules.

METHODS: This study was a prospective, randomized, controlled, two-centre study. Medical students were randomized into two groups: Group 1 pretrained basic psycho-motor skills (Navigation Training level 2 and Bimanual Training level 3) until they reached their performance curve plateau. Hereafter, both groups trained on the procedure-specific modules (Posterior Hyaloid level 3 and ILM Peeling level 3) until they reached their performance curve plateau. Plateau was defined as three consecutive sessions with the same score with an acceptable variation. The primary outcome was time used to reach performance curve plateau in the procedure-specific modules.

RESULTS: A total of 68 medical students were included, and equally randomized into two groups. The participants in Group 1 used a median time of 88 minutes to reach plateau in the basic skills modules but did not differ from Group 2 in time to reach plateau on the procedure-specific modules (183 min versus 210 min, p = 0.40) or in the amplitude of plateau. Group 1 and 2 differed significantly in the starting score of ILM peeling level 3 (0 (0-0) versus 3.5 (0-75), p = 0.03).

CONCLUSION: We were not able to show positive skill transfer from basic skills training to the procedure-specific modules in time, starting score or amplitude of plateau. Thus, we recommend that aspiring vitreoretinal surgeons proceed directly to simulation-based training of procedures instead of spending valuable training time on basic skills training.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:100

Enthalten in:

Acta ophthalmologica - 100(2022), 5 vom: 01. Aug., Seite e1074-e1079

Sprache:

Englisch

Beteiligte Personen:

Petersen, Sarah Bjørn [VerfasserIn]
Vestergaard, Anders Højslet [VerfasserIn]
Thomsen, Ann Sofia Skou [VerfasserIn]
Konge, Lars [VerfasserIn]
Cour, Morten La [VerfasserIn]
Grauslund, Jakob [VerfasserIn]
Vergmann, Anna Stage [VerfasserIn]

Links:

Volltext

Themen:

Assessment
Basic skills training
Journal Article
Procedural training
Randomized Controlled Trial
Simulation-based training
Transfer of skill
Virtual reality
Vitreoretinal surgery

Anmerkungen:

Date Completed 08.07.2022

Date Revised 08.07.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/aos.15039

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM331502941