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Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology.

Alwaal A, Al-Qaoud TM, Haddad RL, Alzahrani TM, Delisle J, Anidjar M - Urol Ann (2015 Apr-Jun)

Bottom Line: The last residents' LapSim performance was compared with their first performance of radical nephrectomy on anesthetized porcine models in their 4(th) year of training.The kappa results demonstrated acceptable agreement between the two observers among all domains of the rating scale of performance except for confidence of movement and efficiency.Predictive validity was not demonstrated for the LapSim simulator in the context of a urology residency training program.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, Quebec, Canada ; Department of Urology, King Abdul Aziz University, Jeddah, Saudi Arabia.

ABSTRACT

Objective: Assessing the predictive validity of the LapSim simulator within a urology residency program.

Materials and methods: Twelve urology residents at McGill University were enrolled in the study between June 2008 and December 2011. The residents had weekly training on the LapSim that consisted of 3 tasks (cutting, clip-applying, and lifting and grasping). They underwent monthly assessment of their LapSim performance using total time, tissue damage and path length among other parameters as surrogates for their economy of movement and respect for tissue. The last residents' LapSim performance was compared with their first performance of radical nephrectomy on anesthetized porcine models in their 4(th) year of training. Two independent urologic surgeons rated the resident performance on the porcine models, and kappa test with standardized weight function was used to assess for inter-observer bias. Nonparametric spearman correlation test was used to compare each rater's cumulative score with the cumulative score obtained on the porcine models in order to test the predictive validity of the LapSim simulator.

Results: The kappa results demonstrated acceptable agreement between the two observers among all domains of the rating scale of performance except for confidence of movement and efficiency. In addition, poor predictive validity of the LapSim simulator was demonstrated.

Conclusions: Predictive validity was not demonstrated for the LapSim simulator in the context of a urology residency training program.

No MeSH data available.


Related in: MedlinePlus

Box plots for unnecessary movement and confidence of movement
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Figure 1: Box plots for unnecessary movement and confidence of movement

Mentions: As previously stated, data on 12 residents was analyzed. The kappa results demonstrated acceptable agreement between the two observers amongst all domains of the rating scale of performance except for confidence of movement and efficiency [Table 3]. Highest kappa values on agreement were observed on bimanual dexterity and tissue handling. Box whisker plots are shown in Figure 1.


Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology.

Alwaal A, Al-Qaoud TM, Haddad RL, Alzahrani TM, Delisle J, Anidjar M - Urol Ann (2015 Apr-Jun)

Box plots for unnecessary movement and confidence of movement
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374254&req=5

Figure 1: Box plots for unnecessary movement and confidence of movement
Mentions: As previously stated, data on 12 residents was analyzed. The kappa results demonstrated acceptable agreement between the two observers amongst all domains of the rating scale of performance except for confidence of movement and efficiency [Table 3]. Highest kappa values on agreement were observed on bimanual dexterity and tissue handling. Box whisker plots are shown in Figure 1.

Bottom Line: The last residents' LapSim performance was compared with their first performance of radical nephrectomy on anesthetized porcine models in their 4(th) year of training.The kappa results demonstrated acceptable agreement between the two observers among all domains of the rating scale of performance except for confidence of movement and efficiency.Predictive validity was not demonstrated for the LapSim simulator in the context of a urology residency training program.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, Quebec, Canada ; Department of Urology, King Abdul Aziz University, Jeddah, Saudi Arabia.

ABSTRACT

Objective: Assessing the predictive validity of the LapSim simulator within a urology residency program.

Materials and methods: Twelve urology residents at McGill University were enrolled in the study between June 2008 and December 2011. The residents had weekly training on the LapSim that consisted of 3 tasks (cutting, clip-applying, and lifting and grasping). They underwent monthly assessment of their LapSim performance using total time, tissue damage and path length among other parameters as surrogates for their economy of movement and respect for tissue. The last residents' LapSim performance was compared with their first performance of radical nephrectomy on anesthetized porcine models in their 4(th) year of training. Two independent urologic surgeons rated the resident performance on the porcine models, and kappa test with standardized weight function was used to assess for inter-observer bias. Nonparametric spearman correlation test was used to compare each rater's cumulative score with the cumulative score obtained on the porcine models in order to test the predictive validity of the LapSim simulator.

Results: The kappa results demonstrated acceptable agreement between the two observers among all domains of the rating scale of performance except for confidence of movement and efficiency. In addition, poor predictive validity of the LapSim simulator was demonstrated.

Conclusions: Predictive validity was not demonstrated for the LapSim simulator in the context of a urology residency training program.

No MeSH data available.


Related in: MedlinePlus