Individualising Surgical Training in a Virtual Haptic Environment

Since safety and patient outcome are the most important criteria in surgery, training effectivity should be of primary importance when educating surgeons. Traditional surgical training focused on motor skills has today a number of limitations. Those can be overcome by using computer based training. Using a virtual environment and haptic force feedback, the training environment can be interactive looking like reality. This MSc thesis focuses on how to optimise the learning by individualising the training. To make the training as effective as possible, the teaching strategy must be best possible. Teaching strategy can be divided into a variable amount of demonstration, instruction and feedback and how this is presented for the user. Today there are no surgical training environment at the market providing individualised adjusted demonstration, instruction and feedback. Building on arguments from literature, discussions with experts and a product survey, the thesis present how to individualise surgical training in a virtual haptic environment. The thesis suggests and presents how teaching strategies can be designed to be flexible and support individuals. The demonstration, instruction and feedback are designed from knowledge about the trainee, previous result and actual performance. The thesis uses arguments that were found in literature and led to the design of teaching strategies. Further work should have been to include users as a next steep in the process.

[1]  Edwin A. Fleishman,et al.  On the relation between abilities, learning, and human performance. , 1972 .

[2]  R. M. Satava,et al.  Metrics for objective Assessment , 2003, Surgical Endoscopy And Other Interventional Techniques.

[3]  Candace L. Sidner,et al.  COLLAGEN: A Collaboration Manager for Software Interface Agents , 1998, User Modeling and User-Adapted Interaction.

[4]  Gwm Matthias Rauterberg,et al.  Human Information Processing in Man-Machine Interaction , 1994 .

[5]  Austin Henderson,et al.  Interaction design: beyond human-computer interaction , 2002, UBIQ.

[6]  Christian Müller-Tomfelde Interaction Sound Feedback in a Haptic Virtual Environment to Improve Motor Skill Acquisition , 2004, ICAD.

[7]  H. G. Stassen,et al.  Rasmussen’s model of human behavior in laparoscopy training , 2003, Surgical Endoscopy And Other Interventional Techniques.

[8]  A. Darzi,et al.  Assessing operative skill , 1999, BMJ.

[9]  J. G. Hollands,et al.  Engineering Psychology and Human Performance , 1984 .

[10]  Richard A. Magill,et al.  Motor Learning. Concepts and Applications , 1998 .

[11]  Maik Boltes,et al.  Adaptive Visuo-Haptic Rendering for Hybrid Modeling of Macromolecular Assemblies , 2004 .

[12]  Septimiu E. Salcudean,et al.  Needle insertion modelling and simulation , 2002, Proceedings 2002 IEEE International Conference on Robotics and Automation (Cat. No.02CH37292).

[13]  Christopher J. Martin,et al.  Virtual reality simulators: Current status in acquisition and assessment of surgical skills , 2002, ANZ journal of surgery.

[14]  Frank Tendick,et al.  Human-machine interfaces for minimally invasive surgery , 1997, Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136).

[15]  Frank Tendick,et al.  Development of virtual environments for training skills and reducing errors in laparoscopic surgery , 1998, Photonics West - Biomedical Optics.

[16]  Jack McLaughlin,et al.  Haptic Workbench: a multisensory virtual environment , 1999, Electronic Imaging.

[17]  Mark G. Core,et al.  Supporting Constructive Learning with a Feedback Planner , 2000 .

[18]  Cherri M. Pancake,et al.  "Humane" Interfaces to Improve the Usability of Data Clearinghouses , 2002, GIScience.

[19]  Cecile Paris,et al.  Task-Driven Information Presentation , 2003 .

[20]  T. Landauer,et al.  Handbook of Human-Computer Interaction , 1997 .

[21]  John A. Self,et al.  System Intelligence in Constructivist Learning , 2000 .

[22]  Christopher D. Wickens,et al.  An introduction to human factors engineering , 1997 .

[23]  N. Hodges,et al.  Modelling coaching practice: the role of instruction and demonstration , 2002, Journal of sports sciences.

[24]  Frank Tendick,et al.  Haptic guidance: experimental evaluation of a haptic training method for a perceptual motor skill , 2002, Proceedings 10th Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems. HAPTICS 2002.

[25]  Christopher Schmandt,et al.  Spatial input/display correspondence in a stereoscopic computer graphic work station , 1983, SIGGRAPH.

[26]  MariAnne Karlsson,et al.  Triangulation strategies in user requirements investigations: A case study on the development of an IT-mediated service , 1998, Behav. Inf. Technol..

[27]  Piet Kommers,et al.  A surgical Virtual Environment for navigating experience , 2003, SIGC.