Education Clinical Trial
Official title:
A National, Prospective,Randomised, Single Blinded Controlled Trial of Proficiency- Based Simulation Training for General Surgical Trainees
The hypothesis of this trial is to demonstrate that training junior surgeons on a virtual
reality (VR) simulator in addition to didactic teaching will improve their intraoperative
performance compared to those trainees who receive the traditional teaching paradigm (i.e,
operating under the guidance and instruction of a consultant general surgeon).
We anticipate that the VR trained group will make less critical intraoperative errors and
will perform faster than their traditionally trained colleagues.
Other study questions include:
1. Does objective assessment of fundamental abilities (FA) such as visuo-spatial ability
predict intra-operative performance?
2. Do FA predict rate of learning to reach proficiency?
Status | Active, not recruiting |
Enrollment | 24 |
Est. completion date | July 2009 |
Est. primary completion date | July 2009 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 27 Years to 45 Years |
Eligibility |
Inclusion Criteria: - Consultant general surgeons who have performed > 100 laparoscopic cholecystectomies. - General Surgical Trainees either (a) < Year 3 Higher Surgical Training (HST) , (b) < Year 3 Irish Surgical Residency Programme (ISRP) or (c) in a 'stand alone' registrar position awaiting entry to HST or ISRP. Exclusion Criteria: - Trainees > Year 3 HST or ISRP |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor)
Country | Name | City | State |
---|---|---|---|
Ireland | Portiuncula Hospital | Ballinasloe | Galway |
Ireland | Cavan General Hospital | Cavan | |
Ireland | South Tipperary General Hospital | Clonmel | |
Ireland | Cork University Hospital | Cork | |
Ireland | South Infirmary Victoria University Hospital | Cork | |
Ireland | Beaumont Hospital | Dublin | |
Ireland | James Connolly Memorial Hospital, Blanchardstown | Dublin | |
Ireland | St Columcilles Hospital, Loughlinstown | Dublin | |
Ireland | St James Hospital | Dublin | |
Ireland | University College Hospital | Galway | |
Ireland | St Lukes Hospital | Kilkenny | |
Ireland | Midland Regional Hospital | Port Laoise | |
Ireland | Waterford General Hospital | Waterford | |
Ireland | Wexford General Hospital | Wexford |
Lead Sponsor | Collaborator |
---|---|
Royal College of Surgeons, Ireland | Health Service Executive |
Ireland,
Ahlberg G, Enochsson L, Gallagher AG, Hedman L, Hogman C, McClusky DA 3rd, Ramel S, Smith CD, Arvidsson D. Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. — View Citation
Gallagher AG, Lederman AB, McGlade K, Satava RM, Smith CD. Discriminative validity of the Minimally Invasive Surgical Trainer in Virtual Reality (MIST-VR) using criteria levels based on expert performance. Surg Endosc. 2004 Apr;18(4):660-5. Epub 2004 Mar — View Citation
Seymour NE, Gallagher AG, Roman SA, O'Brien MK, Bansal VK, Andersen DK, Satava RM. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg. 2002 Oct;236(4):458-63; discussion 463-4. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | All predefined intraoperative errors committed by Group A and B while performing a supervised laparoscopic cholecystectomy | 1 year | No |
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