ArticleSurgical endoscopy2018
Can a virtual reality surgical simulation training provide a self-driven and mentor-free skills learning? Investigation of the practical influence of the performance metrics from the virtual reality robotic surgery simulator on the skill learning and associated cognitive workloads.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Measures of performance and proficiency in robotic assisted surgery: a systematic review.Journal of robotic surgery · 2024Pooled it
- A systematic review of robotic surgery curricula using a contemporary educational framework.Surgical endoscopy · 2023Pooled it
- Man or machine? Impact of tutor-guided versus simulator-guided short-time bronchoscopy training on students learning outcomes.BMC medical education · 2021Trial
- The Utility of Virtual Reality in Orthopedic Surgical Training.Journal of surgical educationTrial
- Mentorship in surgical training; a systematic scoping review to inform a mentorship framework for ophthalmology trainees.BMC medical education · 2025Article
- Article
- Cognitive ergonomics and robotic surgery.Journal of robotic surgery · 2024Review
- Modeling of Learning Processes Using Continuous-Time Markov Chain for Virtual-Reality-Based Surgical Training in Laparoscopic Surgery.IEEE transactions on learning technologies · 2024Article
- A low-cost unity-based virtual training simulator for laparoscopic partial nephrectomy using HTC Vive.PeerJ. Computer science · 2023Article
- An international consensus for mitigation of the detrimental effects of the COVID-19 pandemic on laparoscopic training.PloS one · 2022Article
- Non-Technical Skill Assessment and Mental Load Evaluation in Robot-Assisted Minimally Invasive Surgery.Sensors (Basel, Switzerland) · 2021Review
- Upper GI training of young surgeons: a reality full of hurdles. An international survey.Updates in surgery · 2021Article
- Impact of the SARS-CoV-2 (COVID-19) crisis on surgical training: global survey and a proposed framework for recovery.BJS open · 2021Article
- The Feasibility of Virtual Reality and Student-Led Simulation Training as Methods of Lumbar Puncture Instruction.Medical science educator · 2021Article
- Plastic Surgery Lockdown Learning during Coronavirus Disease 2019: Are Adaptations in Education Here to Stay?Plastic and reconstructive surgery. Global open · 2020Article
- Emotional Well-Being, Cognitive Load and Academic Attainment.MedEdPublish (2016) · 2020Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile it is often claimed that virtual reality (VR) training system can offer self-directed and mentor-free skill learning using the system's performance metrics (PM), no studies have yet provided evidence-based confirmation. This experimental study investigated what extent to which trainees achieved their self-learning with a current VR simulator and whether additional mentoring improved skill learning, skill transfer and cognitive workloads in robotic surgery simulation training.
methodsThirty-two surgical trainees were randomly assigned to either the Control-Group (CG) or Experiment-Group (EG). While the CG participants reviewed the PM at their discretion, the EG participants had explanations about PM and instructions on how to improve scores. Each subject completed a 5-week training using four simulation tasks. Pre- and post-training data were collected using both a simulator and robot. Peri-training data were collected after each session. Skill learning, time spent on PM (TPM), and cognitive workloads were compared between groups.
resultsAfter the simulation training, CG showed substantially lower simulation task scores (82.9 ± 6.0) compared with EG (93.2 ± 4.8). Both groups demonstrated improved physical model tasks performance with the actual robot, but the EG had a greater improvement in two tasks. The EG exhibited lower global mental workload/distress, higher engagement, and a better understanding regarding using PM to improve performance. The EG's TPM was initially long but substantially shortened as the group became familiar with PM.
conclusionOur study demonstrated that the current VR simulator offered limited self-skill learning and additional mentoring still played an important role in improving the robotic surgery simulation training.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.