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Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology

OBJECTIVE: Assessing the predictive validity of the LapSim simulator within a urology residency program. MATERIALS AND METHODS: Twelve urology residents at McGill University were enrolled in the study between June 2008 and December 2011. The residents had weekly training on the LapSim that consisted...

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Autores principales: Alwaal, Amjad, Al-Qaoud, Talal M., Haddad, Richard L., Alzahrani, Tarek M., Delisle, Josee, Anidjar, Maurice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4374254/
https://www.ncbi.nlm.nih.gov/pubmed/25838162
http://dx.doi.org/10.4103/0974-7796.150475
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author Alwaal, Amjad
Al-Qaoud, Talal M.
Haddad, Richard L.
Alzahrani, Tarek M.
Delisle, Josee
Anidjar, Maurice
author_facet Alwaal, Amjad
Al-Qaoud, Talal M.
Haddad, Richard L.
Alzahrani, Tarek M.
Delisle, Josee
Anidjar, Maurice
author_sort Alwaal, Amjad
collection PubMed
description OBJECTIVE: Assessing the predictive validity of the LapSim simulator within a urology residency program. MATERIALS AND METHODS: Twelve urology residents at McGill University were enrolled in the study between June 2008 and December 2011. The residents had weekly training on the LapSim that consisted of 3 tasks (cutting, clip-applying, and lifting and grasping). They underwent monthly assessment of their LapSim performance using total time, tissue damage and path length among other parameters as surrogates for their economy of movement and respect for tissue. The last residents’ LapSim performance was compared with their first performance of radical nephrectomy on anesthetized porcine models in their 4(th) year of training. Two independent urologic surgeons rated the resident performance on the porcine models, and kappa test with standardized weight function was used to assess for inter-observer bias. Nonparametric spearman correlation test was used to compare each rater's cumulative score with the cumulative score obtained on the porcine models in order to test the predictive validity of the LapSim simulator. RESULTS: The kappa results demonstrated acceptable agreement between the two observers among all domains of the rating scale of performance except for confidence of movement and efficiency. In addition, poor predictive validity of the LapSim simulator was demonstrated. CONCLUSIONS: Predictive validity was not demonstrated for the LapSim simulator in the context of a urology residency training program.
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spelling pubmed-43742542015-04-01 Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology Alwaal, Amjad Al-Qaoud, Talal M. Haddad, Richard L. Alzahrani, Tarek M. Delisle, Josee Anidjar, Maurice Urol Ann Original Article OBJECTIVE: Assessing the predictive validity of the LapSim simulator within a urology residency program. MATERIALS AND METHODS: Twelve urology residents at McGill University were enrolled in the study between June 2008 and December 2011. The residents had weekly training on the LapSim that consisted of 3 tasks (cutting, clip-applying, and lifting and grasping). They underwent monthly assessment of their LapSim performance using total time, tissue damage and path length among other parameters as surrogates for their economy of movement and respect for tissue. The last residents’ LapSim performance was compared with their first performance of radical nephrectomy on anesthetized porcine models in their 4(th) year of training. Two independent urologic surgeons rated the resident performance on the porcine models, and kappa test with standardized weight function was used to assess for inter-observer bias. Nonparametric spearman correlation test was used to compare each rater's cumulative score with the cumulative score obtained on the porcine models in order to test the predictive validity of the LapSim simulator. RESULTS: The kappa results demonstrated acceptable agreement between the two observers among all domains of the rating scale of performance except for confidence of movement and efficiency. In addition, poor predictive validity of the LapSim simulator was demonstrated. CONCLUSIONS: Predictive validity was not demonstrated for the LapSim simulator in the context of a urology residency training program. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4374254/ /pubmed/25838162 http://dx.doi.org/10.4103/0974-7796.150475 Text en Copyright: © Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Alwaal, Amjad
Al-Qaoud, Talal M.
Haddad, Richard L.
Alzahrani, Tarek M.
Delisle, Josee
Anidjar, Maurice
Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology
title Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology
title_full Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology
title_fullStr Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology
title_full_unstemmed Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology
title_short Transfer of skills on LapSim virtual reality laparoscopic simulator into the operating room in urology
title_sort transfer of skills on lapsim virtual reality laparoscopic simulator into the operating room in urology
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4374254/
https://www.ncbi.nlm.nih.gov/pubmed/25838162
http://dx.doi.org/10.4103/0974-7796.150475
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