Virtual reality simulation for the operating room: Proficiency-based training as a paradigm shift in surgical skills training

Anthony G. Gallagher, E. Matt Ritter, Howard Champion, Gerald Higgins, Marvin P. Fried, Gerald Moses, C. Daniel Smith, Richard M. Satava

Research output: Contribution to journalReview article

611 Scopus citations

Abstract

Summary Background Data: To inform surgeons about the practical issues to be considered for successful integration of virtual reality simulation into a surgical training program. The learning and practice of minimally invasive surgery (MIS) makes unique demands on surgical training programs. A decade ago Satava proposed virtual reality (VR) surgical simulation as a solution for this problem. Only recently have robust scientific studies supported that vision Methods: A review of the surgical education, human-factor, and psychology literature to identify important factors which will impinge on the successful integration of VR training into a surgical training program. Results: VR is more likely to be successful if it is systematically integrated into a well-thought-out education and training program which objectively assesses technical skills improvement proximate to the learning experience. Validated performance metrics should be relevant to the surgical task being trained but in general will require trainees to reach an objectively determined proficiency criterion, based on tightly defined metrics and perform at this level consistently. VR training is more likely to be successful if the training schedule takes place on an interval basis rather than massed into a short period of extensive practice. High-fidelity VR simulations will confer the greatest skills transfer to the in vivo surgical situation, but less expensive VR trainers will also lead to considerably improved skills generalizations. Conduisions: VR for improved performance of MIS is now a reality. However, VR is only a training tool that must be thoughtfully introduced into a surgical training curriculum for it to successfully improve surgical technical skills.

Original languageEnglish (US)
Pages (from-to)364-372
Number of pages9
JournalAnnals of surgery
Volume241
Issue number2
DOIs
StatePublished - Feb 1 2005

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ASJC Scopus subject areas

  • Surgery

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