An Effective Repetitive Training Schedule to Achieve Skill Proficiency Using a Novel Robotic Virtual Reality Simulator

    Authors

    S. G. Kang; B. J. Ryu; K. S. Yang; Y. H. Ko; S. Cho; S. H. Kang; V. R. Patel;J. Cheon

    Comments

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    Abbreviated Journal Title

    J. Surg. Educ.

    Keywords

    education; simulator; learning curve; robotics; LONG-TERM POTENTIATION; CUMULATIVE SUM CHARTS; PERFORMANCE; VALIDATION; SURGERY; ADAPTATION; PRINCIPLES; EXPERIENCE; EDUCATION; EXERCISE; Education, Scientific Disciplines; Surgery

    Abstract

    PURPOSE: A robotic virtual reality simulator (Mimic dV-Trainer) can be a useful training method for the da Vinci surgical system. Herein, we investigate several repetitive training schedules and determine which is the most effective. METHODS: A total of 30 medical students were enrolled and were divided into 3 groups according to the training schedule. Group 1 performed the task 1 hour daily for 4 consecutive days, group II performed the task on once per week for 1 hour for 4 consecutive weeks, and group III performed the task for 4 consecutive hours in 1 day. The effects of training were investigated by analyzing the number of repetitions and the time required to complete the "Tube 2" simulation task when the learning curve plateau was reached. The point at which participants reached a stable score was evaluated using the cumulative sum control graph. RESULTS: The average time to complete the task at the learning curve plateau was 150.3 seconds in group I, 171.9 seconds in group II, and 188.5 seconds in group III. The number of task repetitions required to reach the learning curve plateau was 45 repetitions in group I, 36 repetitions in group II, and 39 repetitions in group III. Therefore, there was continuous improvement in the time required to perform the task after 40 repetitions in group I only. There was a significant correlation between improvement in each trial interval and attempt, and the correlation coefficient (0.924) in group I was higher than that in group 11 (0.899) and group III (0.838). CONCLUSION: Daily 1-hour practice sessions performed for 4 consecutive days resulted in the best final score, continuous score improvement, and effective training while minimizing fatigue. This repetition schedule can be used for effectively training novices in future. (C) 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

    Journal Title

    Journal of Surgical Education

    Volume

    72

    Issue/Number

    3

    Publication Date

    1-1-2015

    Document Type

    Article

    Language

    English

    First Page

    369

    Last Page

    376

    WOS Identifier

    WOS:000353311400002

    ISSN

    1931-7204

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