Does laparoscopic simulation predict intraoperative performance? A comparison between the Fundamentals of Laparoscopic Surgery and LapVR evaluation metrics - 09/12/14
Abstract |
Background |
Considerable resources have been invested in low- and high-fidelity simulators in surgical training. To our knowledge, no investigation has compared the 2 head to head for operative assessment purposes. The purpose of this study was to assess the Fundamentals of Laparoscopic Surgery (FLS) low-fidelity video trainer and LapVR (high-fidelity virtual-reality simulator) for (1) construct and (2) predictive validity using a human cholecystectomy model.
Methods |
Twenty-six participants performed tasks from the FLS program and the LapVR simulator as well as a human laparoscopic cholecystectomy. Performance was evaluated using FLS and LapVR metrics and the Objective Structured Assessment of Technical Skills previously validated rating scale.
Results |
Construct and predictive validity were strongly demonstrated for FLS tasks but only incompletely for LapVR.
Conclusions |
Efforts should be focused on using the well-validated lower-cost FLS video trainer for assessment of laparoscopic skills. The high-cost LapVR remains experimental in resource-constrained training programs.
Le texte complet de cet article est disponible en PDF.Keywords : Surgery, Laparoscopic, Education, Simulation, Assessment
Plan
| This work was supported by a research grant from the faculty members of the Department of Surgery at the University of Manitoba. |
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| Ashley Vergis receives grants from Covidien ($170,000 per year). Covidien sponsors the MIS fellowship of the University of Manitoba. He is the program director of the fellowship. The other authors declare no conflicts of interest. |
Vol 209 - N° 1
P. 34-39 - janvier 2015 Retour au numéro
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