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变革外科手术教育:整合基于虚拟现实的模拟技术以提升初级外科医生的能力。

Revolutionizing Surgical Education: Integrating Virtual Reality-Based Simulation to Enhance Competency in Junior Surgeons.

作者信息

Tripathi Swapnil, Ray Avinash, Dhawan Tanya, Khan Mohammed Athif, Ahmad Roshaan

机构信息

General Surgery, Worcestershire Acute Hospital NHS Trust, Worcester, GBR.

Community Medicine, Army Medical Corps/Indian Air Force, Gwalior, IND.

出版信息

Cureus. 2025 Jun 18;17(6):e86289. doi: 10.7759/cureus.86289. eCollection 2025 Jun.

Abstract

BACKGROUND

The integration of technology into medical education has transformed traditional teaching paradigms, with virtual reality (VR)-based simulation emerging as a powerful tool for surgical training. This study evaluated the impact of a structured VR simulation curriculum on the technical proficiency, confidence, and clinical decision-making skills of junior surgical trainees.

METHODS

A prospective, multicenter study was conducted across three hospitals involving 60 junior surgical trainees (Core Surgical Trainees (CST1, CST2) or equivalent Junior Clinical Fellows). Participants were randomized into two groups: (i) VR-based simulation training cohort (n=30), which utilized high-fidelity VR modules for laparoscopic procedures, and (ii) traditional apprenticeship model cohort (n=30). Pre- and post-intervention assessments were conducted using validated global rating scales for technical skills (Objective Structured Assessment of Technical Skills (OSATS)), time-to-completion metrics, and confidence scores measured via a Likert scale. Data were analysed using paired t-tests and analysis of variance (ANOVA).

RESULTS

The VR-trained cohort demonstrated a statistically significant improvement in OSATS scores compared to the traditional training group (p<0.01). Participants also showed a 30% reduction in operative time for basic laparoscopic tasks. Confidence levels post-training were significantly higher in the VR cohort (mean Likert score: 4.5 vs. 3.2, p<0.05). Notably, trainees reported greater engagement and a reduced perceived learning curve with VR-enhanced training.

DISCUSSION

Our findings suggest that VR-based simulation is a valuable adjunct to conventional surgical education, offering a safe, controlled, and reproducible environment for skill acquisition. The study highlights the potential for widespread implementation of VR curricula to standardize competency assessment, ultimately improving patient safety and surgical outcomes.

CONCLUSION

VR-based simulation is an innovative and effective method for enhancing surgical education. Future studies should explore its integration into national training programs and long-term clinical impact.

摘要

背景

技术融入医学教育已经改变了传统教学模式,基于虚拟现实(VR)的模拟成为外科培训的有力工具。本研究评估了结构化VR模拟课程对初级外科受训人员技术熟练程度、信心和临床决策技能的影响。

方法

在三家医院进行了一项前瞻性多中心研究,涉及60名初级外科受训人员(核心外科受训人员(CST1、CST2)或同等水平的初级临床研究员)。参与者被随机分为两组:(i)基于VR的模拟训练组(n = 30),使用高保真VR模块进行腹腔镜手术训练;(ii)传统学徒模式组(n = 30)。干预前后使用经过验证的技术技能整体评分量表(客观结构化技术技能评估(OSATS))、完成时间指标和通过李克特量表测量的信心分数进行评估。使用配对t检验和方差分析(ANOVA)对数据进行分析。

结果

与传统训练组相比,VR训练组的OSATS分数有统计学显著提高(p < 0.01)。参与者在基本腹腔镜任务的手术时间上也减少了30%。VR组训练后的信心水平显著更高(平均李克特分数:4.5对3.2,p < 0.05)。值得注意的是,受训人员报告称,VR强化训练使他们参与度更高,且感觉学习曲线更平缓。

讨论

我们的研究结果表明,基于VR的模拟是传统外科教育的有价值辅助手段,为技能获取提供了一个安全、可控且可重复的环境。该研究凸显了广泛实施VR课程以规范能力评估的潜力,最终改善患者安全和手术结果。

结论

基于VR的模拟是加强外科教育的一种创新且有效方法。未来研究应探索将其纳入国家培训计划及其长期临床影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/116e/12275502/3182146bf7b8/cureus-0017-00000086289-i01.jpg

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