Madan Atul K, Harper Jason L, Frantzides Constantine T, Tichansky David S
Minimally Invasive Surgery Section, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Surg Endosc. 2008 Jul;22(7):1686-9. doi: 10.1007/s00464-007-9691-0. Epub 2007 Dec 11.
Laparoscopic basic skills are best trained in the nonclinical setting. Box trainers and virtual-reality trainers have been shown to be useful in training laparoscopic skills. Certain nonsurgical skills may predict baseline skills in these trainers. This study tested the hypothesis that baseline scores could be predicted in inanimate box trainers and virtual-reality trainers by nonsurgical skills.
Only preclinical medical students were included in the study. All students were given a survey ascertaining if they played computer games, typed, sew, played a musical instrument, and utilized chopsticks. Students utilized a box trainer (BT) and/or virtual-reality trainer (VR). Nonparametric two-tailed Mann-Whitney tests were utilized to compare students that possessed certain nonsurgical skills versus those who did not.
There were 18 students in the VR group and 33 students in the BT group. In the VR group, students who played computer games, typed, utilized chopsticks, or played a musical instrument had better scores and fewer errors than those who did not but this did not reach statistical significance in any comparison (p = NS). In the BT group, none of the nonsurgical skills predicted times or errors. Males performed better than females in the VR group (p < 0.001); but this gender discrepancy was not seen in the BT group.
Nonsurgical skills do not predict baseline scores in either trainer. The gender differences in VR training need to be further explored.
腹腔镜基本技能最好在非临床环境中进行训练。箱式训练器和虚拟现实训练器已被证明在腹腔镜技能训练中很有用。某些非手术技能可能预示着在这些训练器中的基线技能。本研究检验了非手术技能能否预测无生命箱式训练器和虚拟现实训练器中的基线分数这一假设。
本研究仅纳入临床前医学生。所有学生都接受了一项调查,以确定他们是否玩电脑游戏、打字、缝纫、演奏乐器以及使用筷子。学生们使用了箱式训练器(BT)和/或虚拟现实训练器(VR)。采用非参数双尾曼-惠特尼检验来比较具备某些非手术技能的学生与不具备这些技能的学生。
VR组有18名学生,BT组有33名学生。在VR组中,玩电脑游戏、打字、使用筷子或演奏乐器的学生比不具备这些技能的学生得分更高且错误更少,但在任何比较中均未达到统计学显著性(p = 无显著性差异)。在BT组中,没有任何非手术技能能够预测时间或错误。在VR组中,男性表现优于女性(p < 0.001);但在BT组中未观察到这种性别差异。
非手术技能无法预测两种训练器中的基线分数。VR训练中的性别差异需要进一步探索。