Nwankwo Anthony K, Twardus Shaina W, Dupre Abigail R, Chandrabhatla Anirudha S, Shaikh Zuhayr, Lange Moritz J, Schenkman Noah S
University of Virginia Health University Hospital, University of Virginia School of Medicine, Charlottesville, VA, 22903, USA.
University of Virginia School of Medicine, Inova Fairfax Campus, Falls Church, VA, USA.
J Robot Surg. 2025 Mar 3;19(1):94. doi: 10.1007/s11701-025-02240-5.
Robotic surgery has expanded significantly over the last decade. To help train learners, many institutions have implemented various training methods. Studies have shown that simulation training is an effective tool to develop skills for both residents and attending physicians. However, its influence on medical student training is unclear. Medical students were asked to compete in a 4-month da Vinci robotic console simulation tournament. Participants were given unlimited attempts to achieve the highest score possible on four different modules. Questionnaires were completed before and after the tournament to assess baseline demographics, surgical confidence, and perceptions toward robotic surgery. Performance data from the simulator was collected for each participant. A total of 12 medical students completed the tournament. Paired T-test analysis of pre-survey and post-survey questionnaires demonstrated significant increases in reported interest in robotic surgery (p < 0.001) and surgery overall (p = 0.0028). Self-reported surgical confidence using the simulator also increased significantly (p = 0.0043). There was an increase in overall performance across all modules when comparing first and last attempts (p < 0.001), (p < 0.001), (p = 0.0031), and (p = 0.011). Spearman's rank correlation analyses showed an association between overall performance and number of attempts for two of four modules (p = 0.0063) and (p = 0.046). Tournament-style simulation training increased medical students' surgical skill dexterity, confidence and interest in robotic surgery. Additional research with larger sample sizes are necessary to fully characterize the effectiveness of robotic surgical training for medical students.
在过去十年中,机器人手术有了显著发展。为帮助培训学习者,许多机构实施了各种培训方法。研究表明,模拟训练是培养住院医师和主治医生技能的有效工具。然而,其对医学生培训的影响尚不清楚。医学生被要求参加为期4个月的达芬奇机器人控制台模拟竞赛。参与者可以无限制地尝试在四个不同模块上获得尽可能高的分数。在竞赛前后完成问卷调查,以评估基线人口统计学特征、手术信心以及对机器人手术的看法。收集了每位参与者模拟器的性能数据。共有12名医学生完成了竞赛。对调查前和调查后问卷的配对t检验分析表明,报告的对机器人手术的兴趣(p < 0.001)和总体手术兴趣(p = 0.0028)显著增加。使用模拟器自我报告的手术信心也显著增加(p = 0.0043)。比较首次和末次尝试时,所有模块的总体表现均有所提高(p < 0.001)、(p < 0.001)、(p = 0.0031)和(p = 0.011)。斯皮尔曼等级相关分析显示,四个模块中的两个模块的总体表现与尝试次数之间存在关联(p = 0.0063)和(p = 0.046)。竞赛式模拟训练提高了医学生的手术技能灵活性、信心以及对机器人手术的兴趣。需要进行更多样本量更大的研究,以全面描述机器人手术培训对医学生的有效性。
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