State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, China.
Department of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
BMC Med Educ. 2024 Oct 9;24(1):1111. doi: 10.1186/s12909-024-06066-x.
To develop a laparoscopic training course that combines a smartphone application (APP) and virtual reality (VR), and initially evaluate the feasibility and effectiveness of its implementation.
The Exploring Laparoscopy (Ex-Lap) app was developed to meet training demands. The course was designed by integrating the app with a VR simulator (LapSim) and animal organ perfusion simulators. From January 2021 to December 2023, 91 participants were enrolled in the study and then divided into 5 separate batches to undergo the first stage of the course. The performance of the participants was evaluated by rating scale, the overall Training and Assessment of Basic Laparoscopic Techniques (TABLT) scores, and pass rates. Statistical analyses were conducted using SPSS 26.0, employing Kruskal-Wallis tests, Chi-squared analysis, and Fisher's exact test, depending on the data type.
The Staged Training and Assessment of Laparoscopic Skills (STALS) course was developed, consisting of three stages. The overall pass rates for the first stage across the five batches ranged from 85 to 100%, with no significant difference (P = 0.387). No significant differences were found in the scale scores or TABLT scores for the training tasks among students from different batches (all P > 0.05).
The STALS course is applicable in residency training, demonstrating satisfactory teaching effectiveness and replicability.
开发一种结合智能手机应用程序（APP）和虚拟现实（VR）的腹腔镜培训课程，并初步评估其实施的可行性和效果。
为满足培训需求，开发了探索腹腔镜（Ex-Lap）应用程序。该课程通过将 APP 与 VR 模拟器（LapSim）和动物器官灌注模拟器相结合来设计。2021 年 1 月至 2023 年 12 月，共有 91 名参与者参与了这项研究，并被分为 5 个单独的批次，接受课程的第一阶段。参与者的表现通过评分量表、总体基础腹腔镜技术培训和评估（TABLT）评分和通过率进行评估。使用 SPSS 26.0 进行统计分析，根据数据类型采用 Kruskal-Wallis 检验、卡方分析和 Fisher 精确检验。
开发了分级腹腔镜技能培训和评估（STALS）课程，包括三个阶段。五个批次中第一阶段的总体通过率为 85%至 100%，差异无统计学意义（P=0.387）。不同批次学生的培训任务量表评分或 TABLT 评分无显著差异（均 P>0.05）。
STALS 课程适用于住院医师培训，具有令人满意的教学效果和可重复性。
