ArticleSurgical endoscopy2023
Baseline performance in a robotic virtual reality platform predicts rate of skill acquisition in a proficiency-based curriculum: a cohort study of surgical trainees.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
9 citing papers in PubMed.
- Multi-perspective analysis of daVinci surgical virtual reality training: a prospective randomized controlled study.Journal of robotic surgery · 2025Trial
- Balancing the scales: predictors of performance and the long-term impact of a robotic surgery curriculum.Surgical endoscopy · 2026Article
- Global research landscape of robot-assisted surgical training: a 35-year bibliometric and visualization analysis.International journal of surgery (London, England) · 2026Article
- Comparative effectiveness of two simulation-based mastery learning robotic curricula in surgical education: a six-year experience.Surgical endoscopy · 2026Article
- The implementation of a robotic surgical platform for the treatment of patients with malignant or pre-malignant pancreatic tumors at the University Medical Center Ljubljana.Radiology and oncology · 2025Article
- Innate Versus Acquired: A Review of Predictive Technical Aptitude Assessments in Surgical Trainee Selection.Current urology reports · 2025Review
- From the simulation lab to the operating room: simulation performance predicts intraoperative performance in robotic gastrojejunostomy.Surgical endoscopy · 2024Article
- Skill progress during a dedicated societal robotic surgery training curriculum including several robotic surgery platforms.Surgical endoscopy · 2024Observational
- Development and validation of an objective virtual reality tool for assessing technical aptitude among potential candidates for surgical training.BMC medical education · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResidency programs must prepare to train the next generation of surgeons on the robotic platform. The purpose of this study was to determine if baseline skills of residents on a virtual reality (VR) robotic simulator before intern year predicted future performance in a proficiency-based curriculum.
methodsAcross two academic years, 21 general surgery PGY-1s underwent the robotic surgery boot camp at the University of Texas Southwestern. During boot camp, subjects completed five previously validated VR tasks, and their performance metrics (score, time, and economy of motion [EOM]) were extracted retrospectively from their Intuitive learning accounts. The same metrics were assessed during their residency until they reached previously validated proficiency benchmarks. Outcomes were defined as the score at proficiency, attempts to reach proficiency, and time to proficiency. Spearman's rho and Mann-Whitney U tests were used; median (IQR) was reported. Significance level was set at p < 0.05.
resultsTwenty-one residents completed at least three out of the five boot camp tasks and achieved proficiency in the former during residency. The median average score at boot camp was 12.3 (IQR: 5.14-18.5). The median average EOM at boot camp was 599.58 cm (IQR: 529.64-676.60). The average score at boot camp significantly correlated with lower time to achieve proficiency (p < 0.05). EOM at boot camp showed a significant correlation with attempts to proficiency and time to proficiency (p < 0.01). Residents with an average baseline EOM below the median showed a significant difference in attempts to proficiency (p < 0.05) and time to proficiency (p < 0.05) compared to those with EOMs above or equal to the median.
conclusionResidents with an innate ability to perform tasks with better EOM may acquire robotic surgery skills faster. Future investigators could explore how these innate differences impact performance throughout residency.
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