ASSESSMENT OF LAPAROSCOPIC PSYCHOMOTOR SKILLS IN INTERNS USING THE MIST VIRTUAL REALITY SIMULATOR: A PREREQUISITE FOR THOSE CONSIDERING SURGICAL TRAINING?

Selection for surgical training in Australia is currently based on assessment of a structured curriculum vitae, referral reports from selected clinicians and an interview. The formal assessment of laparoscopic psychomotor skill and ability to attain skills is not currently a prerequisite for selection. The aim of this study was to assess the innate psychomotor skills of interns and also to compare interns with an interest in pursuing a surgical career to interns with those with no interest in pursuing a surgical career. Twenty‐two interns were given the opportunity to carry out tasks on the Minimal Invasive Surgical Trainer, Virtual Reality (Mentice, Gothenburg, Sweden) Simulator. The candidates were required to complete six tasks, repeated six times each. Scores for each task were calculated objectively by the simulator software. Demographic data were similar between the two groups. Although some candidates who were interested in pursuing a surgical career performed poorly on the simulator, there was no significant difference when comparing the two groups. The Minimal Invasive Surgical Trainer, Virtual Reality (Mentice) Simulator provides an objective and comparable assessment of laparoscopic psychomotor skills. We can conclude that interns have varying inherent ability as judged by the simulator and this does not seem to have an influence on their career selection. There was no significant difference in the scores between the two groups. Interns with and without inherent abilities have aspirations to pursue surgical careers and their aptitude does not seem to influence this decision. Surgical colleges could use psychomotor ability assessments to recruit candidates to pursue a career in surgery. Trainees needing closer monitoring and additional training could be identified early and guided to achieve competency.

[1]  C Sutton,et al.  Learning rate for laparoscopic surgical skills on MIST VR, a virtual reality simulator: quality of human-computer interface. , 1999, Annals of the Royal College of Surgeons of England.

[2]  G. Maddern,et al.  Surgical Simulation: A Systematic Review , 2006, Annals of surgery.

[3]  T. Grantcharov,et al.  Impact of hand dominance, gender, and experience with computer games on performance in virtual reality laparoscopy , 2003, Surgical Endoscopy And Other Interventional Techniques.

[4]  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.

[5]  James R Korndorffer,et al.  Psychomotor testing predicts rate of skill acquisition for proficiency-based laparoscopic skills training. , 2006, Surgery.

[6]  K. Moorthy,et al.  Validity and reliability of a virtual reality upper gastrointestinal simulator and cross validation using structured assessment of individual performance with video playback , 2004, Surgical Endoscopy And Other Interventional Techniques.

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

[8]  Kenneth Ogan,et al.  Assessment of basic human performance resources predicts the performance of virtual ureterorenoscopy. , 2004, The Journal of urology.

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

[10]  Teodor P Grantcharov,et al.  Learning curves and impact of previous operative experience on performance on a virtual reality simulator to test laparoscopic surgical skills. , 2003, American journal of surgery.

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

[12]  E. Pahle,et al.  Virtual reality computer simulation , 2001, Surgical Endoscopy.

[13]  A. Gallagher,et al.  Correlation between Perceptual, Visuo-spatial, and Psychomotor Aptitude to Duration of Training Required to Reach Performance Goals on the MIST-VR Surgical Simulator , 2005, The American surgeon.