Department of Surgery, Radboud Institute for Health Sciences, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands.
Radboud University Medical Center, PO Box 9101 (960), 6500 HB, Nijmegen, The Netherlands.
World J Surg. 2021 Jan;45(1):66-71. doi: 10.1007/s00268-020-05800-y. Epub 2020 Sep 28.
The availability of validated laparoscopic simulators has not resulted in sustainable high-volume training. We investigated whether the validated laparoscopic serious game Underground would increase voluntary training by residents. We hypothesized that by removing intrinsic barriers and extrinsic barriers, residents would spend more time on voluntary training with Underground compared to voluntary training with traditional simulators.
After 1 year, we compared amount of voluntary time spent on playing Underground to time spent on all other laparoscopic training modalities and to time spent on performing laparoscopic procedures in the OR for all surgical residents. These data were compared to resident' time spent on laparoscopic activities over the prior year before the introduction of Underground.
From March 2016 until March 2017, 63 residents spent on average 20 min on voluntary serious gaming, 17 min on voluntary simulator training, 2 h and 44 min on mandatory laparoscopic training courses, and 14 h and 49 min on laparoscopic procedures in the OR. Voluntary activities represented 3% of laparoscopic training activities which was similar in the prior year wherein fifty residents spent on average 33 min on voluntary simulator training, 3 h and 28 min on mandatory laparoscopic training courses, and 11 h and 19 min on laparoscopic procedures.
Serious gaming has not increased total voluntary training volume. Underground did not mitigate intrinsic and extrinsic barriers to voluntary training. Mandatory, scheduled training courses remain needed. Serious gaming is flexible and affordable and could be an important part of such training courses.
尽管有经过验证的腹腔镜模拟器，但并未实现可持续的高容量培训。我们研究了经过验证的腹腔镜严肃游戏 Underground 是否会增加住院医师的自愿培训。我们假设通过消除内在障碍和外在障碍，与传统模拟器相比，住院医师将花费更多的时间自愿使用 Underground 进行培训。
在 1 年之后，我们将自愿使用 Underground 进行游戏的时间与所有其他腹腔镜培训方式以及在手术室中进行腹腔镜手术的时间进行了比较，比较对象为所有外科住院医师。将这些数据与引入 Underground 之前的前一年中住院医师进行腹腔镜活动的时间进行了比较。
从 2016 年 3 月至 2017 年 3 月，63 名住院医师平均花 20 分钟进行自愿严肃游戏，17 分钟进行自愿模拟器培训，2 小时 44 分钟进行强制性腹腔镜培训课程，14 小时 49 分钟进行手术室中的腹腔镜手术。自愿活动占腹腔镜培训活动的 3%，与前一年的 50 名住院医师平均花费 33 分钟进行自愿模拟器培训，2 小时 28 分钟进行强制性腹腔镜培训课程，以及 11 小时 19 分钟进行手术室中的腹腔镜手术相似。
严肃游戏并未增加总自愿培训量。Underground 并未减轻自愿培训的内在和外在障碍。强制性、计划性的培训课程仍然是必要的。严肃游戏具有灵活性和可负担性，并且可以成为此类培训课程的重要组成部分。
