کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4297474 1288322 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A Randomized Controlled Trial to Assess the Effects of Competition on the Development of Laparoscopic Surgical Skills
ترجمه فارسی عنوان
یک آزمایش محرمانه کنترل شده برای ارزیابی تاثیر رقابت در توسعه مهارت های جراحی لاپاروسکوپی یک؟
کلمات کلیدی
آموزش جراحی، شبیه سازی واقعیت مجازی، آموزش دانشجویی، آموزش رقابتی حداقل تهاجمی مراقبت پاتینا، دانش پزشکی، تمرین بر اساس یادگیری و بهبود
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundSerious games have demonstrated efficacy in improving participation in surgical training activities, but studies have not yet demonstrated the effect of serious gaming on performance. This study investigated whether competitive training (CT) affects laparoscopic surgical performance.MethodsA total of 20 novices were recruited, and 18 (2 dropouts) were randomized into control or CT groups to perform 10 virtual reality laparoscopic cholecystectomies (LCs). Competitiveness of each participant was assessed. The CT group members were informed they were competing to outperform one another for a prize; performance ranking was shown before each session. The control group did not compete. Performance was assessed on time, movements, and instrument path length. Quality of performance was assessed with a global rating scale score.ResultsThere were no significant intergroup differences in baseline skill or measured competitiveness. Time and global rating scale score, at final LC, were not significantly different between groups; however, the CT group was significantly more dexterous than control and had significantly lower variance in number of movements and instrument path length at the final LC (p = 0.019). Contentiousness was inversely related to time in the CT group.ConclusionThis was the first randomized controlled trial to investigate if CT can enhance performance in laparoscopic surgery. CT may lead to improved dexterity in laparoscopic surgery but yields otherwise similar performance to that of standard training in novices. Competition may have different effects on novices vs experienced surgeons, and subsequent research should investigate CT in experienced surgeons as well.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Surgical Education - Volume 72, Issue 6, November–December 2015, Pages 1077–1084
نویسندگان
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