Endosurgery (Gynaecology) Department, Mercy Hospital for Women, Heidelberg, Melbourne, Victoria, Australia.
University of Melbourne, Department of Obstetrics & Gynaecology, Heidelberg, Melbourne, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 2022 Aug;62(4):581-588. doi: 10.1111/ajo.13521. Epub 2022 Apr 8.
Gynaecology trainees struggle to obtain adequate procedural experience. Training programs integrating virtual reality simulators (VRS) have been suggested as a solution.
The study aimed to assess if a VRS training program (LapSim , Surgical Sciences, Göteborg, 2017) improved live operating performance at six months for novice and experienced trainees. Additional outcomes included the association between LapSim logged time and live operating performance at six months, LapSim scores and live operating performance at zero and sixmonths and the difference in benefit for novice and experienced gynaecology trainees.
A prospective intervention study was conducted. Novice and experienced trainees were enrolled, and comparisons made at zero- and six-month time points. The intervention groups were provided with a laparoscopic gynaecology curriculum incorporating VRS. Controls underwent routine training only. Assessment of live operating performance was conducted after six months training.
Thirty-five trainees participated, and 25 had access to the VRS curriculum (17 novice and eight experienced trainees). Access to the VRS curriculum and time spent training on the LapSim made no difference to live operating ability for either intervention group (P > 0.05). The median (interquartile range) hours of VRS usage were 7.9 (4.5-10.8) and 6.0 (4.0-6.8) for novice and experienced trainees respectively. The intervention group provided positive feedback on the utility of VRS in their laparoscopic skill development.
Optimal utilisation of VRS in Australian training paradigms remains incompletely understood. Further research is required to establish the most effective integration of VRS into training models to ensure uptake and transferability to the operating theatre.
妇科培训生很难获得足够的手术经验。整合虚拟现实模拟器（VRS）的培训计划被认为是一种解决方案。
本研究旨在评估 VRS 培训计划（LapSim， Surgical Sciences，哥德堡，2017 年）是否可以提高新手和有经验的受训者在六个月时的现场操作表现。其他结果包括 LapSim 记录时间与六个月时的现场操作表现之间的关联、LapSim 分数与零和六个月时的现场操作表现之间的关联，以及新手和有经验的妇科培训生之间的受益差异。
进行了一项前瞻性干预研究。招募了新手和有经验的受训者，并在零和六个月时进行比较。干预组接受了包含 VRS 的腹腔镜妇科课程。对照组仅接受常规培训。六个月培训后进行现场操作表现评估。
35 名受训者参与了研究，其中 25 名受训者可以使用 VRS 课程（17 名新手和 8 名有经验的受训者）。无论是新手组还是有经验组，VRS 课程的使用和在 LapSim 上的培训时间都对现场操作能力没有影响（P>0.05）。新手和有经验的受训者使用 VRS 的中位数（四分位距）小时数分别为 7.9（4.5-10.8）和 6.0（4.0-6.8）。干预组对 VRS 在腹腔镜技能发展中的实用性给予了积极的反馈。
在澳大利亚培训模式中，最佳利用 VRS 仍不完全清楚。需要进一步研究以确定将 VRS 最有效地整合到培训模型中，以确保其被采用并能转移到手术室。
