Evidence map›Paper›PMID 41065982›Full record

Trial reportInternational journal of computer assisted radiology and surgery2025

Effect of simulator fidelity on skill acquisition and trainee satisfaction in arthroscopic surgery training for novices: a prospective randomized comparative study.

Tatsuhiko Kutsuna, Tomofumi Kinoshita, Kazunori Hino, Kunihiko Watamori, Takashi Tsuda, Shintaro Yamaoka, Masaki Takao

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in International journal of computer assisted radiology and surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tatsuhiko KutsunaDepartment of Orthopaedic Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon, Ehime, 791-0295, Japan. kutsuna@m.ehime-u.ac.jp.ORCID http://orcid.org/0000-0002-1004-6315
Tomofumi KinoshitaDepartment of Orthopaedic Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon, Ehime, 791-0295, Japan.
Kazunori HinoDepartment of Joint Reconstruction, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon, Ehime, 791-0295, Japan.
Kunihiko WatamoriDepartment of Joint Reconstruction, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon, Ehime, 791-0295, Japan.
Takashi TsudaDepartment of Orthopaedic Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon, Ehime, 791-0295, Japan.
Shintaro YamaokaDepartment of Orthopaedic Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon, Ehime, 791-0295, Japan.
Masaki TakaoDepartment of Orthopaedic Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon, Ehime, 791-0295, Japan.

Funding

Terumo Foundation for Life Sciences and Arts 23-Ⅱ1013
6 · The paper itself

Abstract

purposeIn recent years, simulator-based training has gained attention as a safe and effective approach for surgical education. In orthopedic surgery, simulators for arthroscopic procedures, which require extensive practice to master, have been developed and shown to benefit clinical performance. This study aimed to evaluate the effectiveness of 2 types of arthroscopy simulators in medical education by assessing medical students without prior surgical training.

methodsWe prospectively and randomly evaluated the effectiveness and satisfaction of arthroscopy simulators using 2 devices: a high-fidelity virtual reality simulator (ArthroSim) and a low-fidelity simulator (AZBOTS). To assess simulator effectiveness, 28 first-year medical students received 90 min of training on either device. Their knee arthroscopy skills, including tasks such as visualizing and probing the medial compartment and cruciate ligaments, were assessed using ArthroSim. Skill acquisition was measured by procedure completion time and the Arthroscopic Surgery Skill Evaluation Tool Global Rating Scale. Additionally, to assess trainee satisfaction, 109 fifth-year medical students completed a 7-point Likert scale questionnaire evaluating spatial judgment, hand-eye coordination, camera navigation, instrument handling, and the overall knee arthroscopy training experience.

resultsNo significant differences in skill acquisition were observed between the 2 simulator groups. Likewise, there were no significant differences in total questionnaire scores or in spatial judgment, hand-eye coordination, and camera navigation. However, participants using the high-fidelity simulator reported significantly greater satisfaction with instrument handling (p = 0.024) and the overall knee arthroscopy training experience (p = 0.033).

conclusionsAlthough skill acquisition did not differ significantly between the high- and low-fidelity simulators after a single training session, the high-fidelity simulator markedly improved trainee satisfaction, especially in instrument handling and perceived quality of the training experience. These findings suggest that simulator fidelity enhances the educational value of the arthroscopic training for novices emphasizing the role of realistic simulation in early surgical education.

Indexed as

ArthroscopyClinical CompetenceComputer SimulationSimulation TrainingStudents, MedicalAdultEducational MeasurementFemaleHumansMaleProspective StudiesVirtual RealityArthroscopic surgeryFidelitySimulationSkill acquisitionTrainee satisfaction

Identifiers

PMID41065982
PMCPMC12689780

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Registered trials

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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.