ArticleSurgical endoscopy2018
Validity evidence for procedural competency in virtual reality robotic simulation, establishing a credible pass/fail standard for the vaginal cuff closure procedure.
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 11 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Objective assessment tools in laparoscopic or robotic-assisted gynecological surgery: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2024Pooled it
- Evaluation of objective tools and artificial intelligence in robotic surgery technical skills assessment: a systematic review.The British journal of surgery · 2024Pooled it
- Review of automated performance metrics to assess surgical technical skills in robot-assisted laparoscopy.Surgical endoscopy · 2022Pooled it
- Transferability of the robot assisted and laparoscopic suturing learning curves.Journal of robotic surgery · 2024Trial
- Objective Performance Indicators During Robotic Right Colectomy Differ According to Surgeon Skill.The Journal of surgical research · 2024Article
- Using a novel virtual-reality simulator to assess performance in lumbar puncture: a validation study.BMC medical education · 2023Article
- Using a 360° Virtual Reality or 2D Video to Learn History Taking and Physical Examination Skills for Undergraduate Medical Students: Pilot Randomized Controlled Trial.JMIR serious games · 2021Article
- Efficiency and Accuracy of Robotic Surgical Performance Decayed Among Urologists During COVID-19 Shutdown.Journal of endourology · 2021Article
- Training benchmarks based on validated composite scores for the RobotiX robot-assisted surgery simulator on basic tasks.Journal of robotic surgery · 2021Article
- Assessment of validity evidence for the RobotiX robot assisted surgery simulator on advanced suturing tasks.BMC surgery · 2020Article
- Robot assisted versus laparoscopic suturing learning curve in a simulated setting.Surgical endoscopy · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of robotic surgery for minimally invasive procedures has increased considerably over the last decade. Robotic surgery has potential advantages compared to laparoscopic surgery but also requires new skills. Using virtual reality (VR) simulation to facilitate the acquisition of these new skills could potentially benefit training of robotic surgical skills and also be a crucial step in developing a robotic surgical training curriculum. The study's objective was to establish validity evidence for a simulation-based test for procedural competency for the vaginal cuff closure procedure that can be used in a future simulation-based, mastery learning training curriculum.
methodsEleven novice gynaecological surgeons without prior robotic experience and 11 experienced gynaecological robotic surgeons (> 30 robotic procedures) were recruited. After familiarization with the VR simulator, participants completed the module 'Guided Vaginal Cuff Closure' six times. Validity evidence was investigated for 18 preselected simulator metrics. The internal consistency was assessed using Cronbach's alpha and a composite score was calculated based on metrics with significant discriminative ability between the two groups. Finally, a pass/fail standard was established using the contrasting groups' method.
resultsThe experienced surgeons significantly outperformed the novice surgeons on 6 of the 18 metrics. The internal consistency was 0.58 (Cronbach's alpha). The experienced surgeons' mean composite score for all six repetitions were significantly better than the novice surgeons' (76.1 vs. 63.0, respectively, p < 0.001). A pass/fail standard of 75/100 was established. Four novice surgeons passed this standard (false positives) and three experienced surgeons failed (false negatives).
conclusionOur study has gathered validity evidence for a simulation-based test for procedural robotic surgical competency in the vaginal cuff closure procedure and established a credible pass/fail standard for future proficiency-based 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.