Correlation between Perceptual, Visuo-spatial, and Psychomotor Aptitude to Duration of Training Required to Reach Performance Goals on the MIST-VR Surgical Simulator

Given the dynamic nature of modern surgical education, determining factors that may improve the efficiency of laparoscopic training is warranted. The objective of this study was to analyze whether perceptual, visuo-spatial, or psychomotor aptitude are related to the amount of training required to reach specific performance-based goals on a virtual reality surgical simulator. Sixteen MS4 medical students participated in an elective skills course intended to train laparoscopic skills. All were tested for perceptual, visuo-spatial, and psychomotor aptitude using previously validated psychological tests. Training involved as many instructor-guided 1-hour sessions as needed to reach performance goals on a custom designed MIST-VR manipulation-diathermy task (Mentice AB, Gothenberg, Sweden). Thirteen subjects reached performance goals by the end of the course. Two were excluded from analysis due to previous experience with the MIST-VR (total n = 11). Perceptual ability (r = -0.76, P = 0.007) and psychomotor skills (r = 0.62, P = 0.04) significantly correlated with the number of trials required. Visuo-spatial ability did not significantly correlate with training duration. The number of trials required to train subjects to performance goals on the MIST-VR manipulation diathermy task is significantly related to perceptual and psychomotor aptitude.

[1]  A. Gallagher,et al.  Experienced laparoscopic surgeons are automated to the "fulcrum effect": an ergonomic demonstration. , 1999, Endoscopy.

[2]  A. Gallagher,et al.  Objective Psychomotor Skills Assessment of Experienced, Junior, and Novice Laparoscopists with Virtual Reality , 2001, World Journal of Surgery.

[3]  R. Satava,et al.  A methodology for objective assessment of errors: an example using an endoscopic sinus surgery simulator. , 2002, Otolaryngologic clinics of North America.

[4]  A. Darzi,et al.  Skill transfer from virtual reality to a real laparoscopic task , 2001, Surgical Endoscopy.

[5]  R. Satava,et al.  Virtual Reality Training Improves Operating Room Performance: Results of a Randomized, Double-Blinded Study , 2002, Annals of surgery.

[6]  Daniel B. Jones,et al.  Comparison of video trainer and virtual reality training systems on acquisition of laparoscopic skills , 2002, Surgical Endoscopy And Other Interventional Techniques.

[7]  A Cuschieri,et al.  Assessment of innate ability and skills for endoscopic manipulations by the Advanced Dundee Endoscopic Psychomotor Tester: predictive and concurrent validity. , 1999, American journal of surgery.

[8]  S. Hamstra,et al.  Effect of visual-spatial ability on learning of spatially-complex surgical skills , 2002, The Lancet.

[9]  R. Satava,et al.  Virtual reality as a metric for the assessment of laparoscopic psychomotor skills , 2002, Surgical Endoscopy And Other Interventional Techniques.

[10]  C. D. Smith,et al.  A computer-based laparoscopic skills assessment device differentiates experienced from novice laparoscopic surgeons , 2001, Surgical Endoscopy.

[11]  R. Steele,et al.  Psychomotor testing and the ability to perform an anastomosis in junior surgical trainees , 1992, The British journal of surgery.

[12]  Debra A. DaRosa,et al.  Changing surgical education strategies in an environment of changing health care delivery systems , 1994, World Journal of Surgery.

[13]  A. Gallagher,et al.  A comparison between randomly alternating imaging, normal laparoscopic imaging, and virtual reality training in laparoscopic psychomotor skill acquisition. , 2000, American journal of surgery.

[14]  R. Cowie Measurement and Modelling of Perceived Slant in Surfaces Represented by Freely Viewed Line Drawings , 1998, Perception.

[15]  A Cuschieri,et al.  The performance of master surgeons on standard aptitude testing. , 2001, American journal of surgery.

[16]  A. Darzi,et al.  The role of the Basic Surgical Skills course in the acquisition and retention of laparoscopic skill , 2001, Surgical Endoscopy.

[17]  A. Gallagher,et al.  An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills. , 1998, Endoscopy.

[18]  G. Ahlberg,et al.  Does training in a virtual reality simulator improve surgical performance? , 2001, Surgical Endoscopy And Other Interventional Techniques.

[19]  A. L. Schueneman,et al.  Neuropsychologic predictors of operative skill among general surgery residents. , 1984, Surgery.

[20]  R. M. Satava,et al.  PicSOr: An objective test of perceptual skill that predicts laparoscopic technical skill in three initial studies of laparoscopopic performance , 2003, Surgical Endoscopy And Other Interventional Techniques.

[21]  J. Rosser,et al.  Surgeon-specific factors in the acquisition of laparoscopic surgical skills. , 2001, American journal of surgery.

[22]  J. Hamdorf,et al.  Acquiring surgical skills , 2000, The British journal of surgery.