Literature DB >> 24442679

Distribution of innate ability for surgery amongst medical students assessed by an advanced virtual reality surgical simulator.

Andrea Moglia1, Vincenzo Ferrari, Luca Morelli, Franca Melfi, Mauro Ferrari, Franco Mosca, Alfred Cuschieri.   

Abstract

BACKGROUND: Surgery is a craft profession requiring individuals with specific, well-documented innate aptitude for manipulative skills. Yet in most countries, the current selection process of surgical trainees does not include aptitude testing for the psychomotor and manipulative skills of candidates.
METHODS: A total of 125 participants (121 medical students and four expert surgeons) performed all 26 exercises of the da Vinci Skills Simulator, with six exercises being identified as metrics of aptitude for manipulative and psychomotor skills. The expert surgeons were enrolled as the control group to validate the performance of the most talented students.
RESULTS: Eight students (6.6%) significantly outperformed the remaining 113, obtaining a median value of the sum of weighted overall score on the six selected exercises of 52.7% versus 21.0% (p < 0.001). In contrast, 14 students (11.6%) performed significantly worse and well below the performance of the other 107, with a median value of overall score of 8.7% versus 24.1 (p < 0.001). There was no statistically significant difference between expert surgeons (control group) and the eight talented students (62.1% vs. 52.7%, respectively; p = 0.368). No significant correlation between exposure to video games and overall score (ρ = 0.330) was observed.
CONCLUSIONS: In terms of innate aptitude for manipulative and psychomotor abilities, the present investigation has documented two subpopulations that fall outside the norm for the group of medical students recruited for the study: (i) a small group (6.6%) with a high level and (ii) a larger cohort (11.6%) with low level (significantly below the norm) innate aptitude for surgery. Exposure to video game experience did not appear to influence performances on the da Vinci Skills Simulator.

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Mesh:

Year:  2014        PMID: 24442679     DOI: 10.1007/s00464-013-3393-6

Source DB:  PubMed          Journal:  Surg Endosc        ISSN: 0930-2794            Impact factor:   4.584


  30 in total

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Review 2.  Metrics for objective Assessment.

Authors:  R M Satava; A Cuschieri; J Hamdorf
Journal:  Surg Endosc       Date:  2002-11-20       Impact factor: 4.584

3.  Objective psychomotor skills assessment of experienced and novice flexible endoscopists with a virtual reality simulator.

Authors:  E Matt Ritter; David A McClusky; Andrew B Lederman; Anthony G Gallagher; C Daniel Smith
Journal:  J Gastrointest Surg       Date:  2003-11       Impact factor: 3.452

4.  Objective assessment of surgical performance and its impact on a national selection programme of candidates for higher surgical training in plastic surgery.

Authors:  Sean M Carroll; A M Kennedy; Oscar Traynor; Anthony G Gallagher
Journal:  J Plast Reconstr Aesthet Surg       Date:  2008-10-19       Impact factor: 2.740

5.  Surgeons and astronauts: so close, yet so far apart.

Authors:  Chad G Ball; Andrew W Kirkpatrick; David V Feliciano; Richard Reznick; Norman E McSwain
Journal:  Can J Surg       Date:  2008-08       Impact factor: 2.089

Review 6.  Trait complexes and academic achievement: old and new ways of examining personality in educational contexts.

Authors:  Phillip L Ackerman; Tomas Chamorro-Premuzic; Adrian Furnham
Journal:  Br J Educ Psychol       Date:  2011-03

Review 7.  Systematic review of predictors of surgical performance.

Authors:  Z N Maan; I N Maan; A W Darzi; R Aggarwal
Journal:  Br J Surg       Date:  2012-10-03       Impact factor: 6.939

8.  Whither minimal access surgery: tribulations and expectations.

Authors:  A Cuschieri
Journal:  Am J Surg       Date:  1995-01       Impact factor: 2.565

9.  The impact of video games on training surgeons in the 21st century.

Authors:  James C Rosser; Paul J Lynch; Laurie Cuddihy; Douglas A Gentile; Jonathan Klonsky; Ronald Merrell
Journal:  Arch Surg       Date:  2007-02

10.  Assessment of laparoscopic psychomotor skills in interns using the MIST Virtual Reality Simulator: a prerequisite for those considering surgical training?

Authors:  Daron H Cope; Douglas Fenton-Lee
Journal:  ANZ J Surg       Date:  2008-04       Impact factor: 1.872

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  12 in total

1.  Alternative uses of virtual simulators for laparoscopy and robot-assisted surgery for medical students.

Authors:  Gregorio Di Franco; Desirée Gianardi; Raffaella Berchiolli
Journal:  Updates Surg       Date:  2019-01-08

2.  Should we use virtual simulators for surgical resident selection?

Authors:  Luca Morelli; Gregorio Di Franco; Andrea Moglia; Alfred Cuschieri
Journal:  J Robot Surg       Date:  2019-01-03

3.  Distribution of innate psychomotor skills recognized as important for surgical specialization in unconditioned medical undergraduates.

Authors:  Andrea Moglia; Luca Morelli; Vincenzo Ferrari; Mauro Ferrari; Franco Mosca; Alfred Cuschieri
Journal:  Surg Endosc       Date:  2018-03-14       Impact factor: 4.584

4.  European otorhinolaryngology training programs: results of a European survey about training satisfaction, work environment and conditions in six countries.

Authors:  N Oker; Naif H Alotaibi; A C Reichelt; P Herman; M Bernal-Sprekelsen; Andreas E Albers
Journal:  Eur Arch Otorhinolaryngol       Date:  2017-09-11       Impact factor: 2.503

5.  Usefulness of virtual three-dimensional image analysis in inguinal hernia as an educational tool.

Authors:  Yuma Wada; Masaaki Nishi; Kozo Yoshikawa; Jun Higashijima; Tomohiko Miyatani; Takuya Tokunaga; Chie Takasu; Hideya Kashihara; Daichi Ishikawa; Toshiaki Yoshimoto; Mitsuo Shimada
Journal:  Surg Endosc       Date:  2019-07-16       Impact factor: 4.584

6.  Training or non-surgical factors-what determines a good surgical performance? A randomised controlled trial.

Authors:  Cornelia Lindlohr; R Lefering; S Saad; M M Heiss; C Pape-Köhler
Journal:  Langenbecks Arch Surg       Date:  2017-02-25       Impact factor: 3.445

7.  Simulation of childbirth improves clinical management capacity and self-confidence in medical students.

Authors:  Paolo Mannella; Rachele Antonelli; María Magdalena Montt-Guevara; Marta Caretto; Giulia Palla; Andrea Giannini; Federica Pancetti; Armando Cuttano; Tommaso Simoncini
Journal:  BMJ Simul Technol Enhanc Learn       Date:  2018-10-04

8.  A prospective study of the effect of video games on robotic surgery skills using the high-fidelity virtual reality RobotiX simulator.

Authors:  Andreas Pierre Hvolbek; Philip Mørkeberg Nilsson; Francesco Sanguedolce; Lars Lund
Journal:  Adv Med Educ Pract       Date:  2019-08-14

Review 9.  A Framework for the Testing and Validation of Simulated Environments in Experimentation and Training.

Authors:  David J Harris; Jonathan M Bird; Philip A Smart; Mark R Wilson; Samuel J Vine
Journal:  Front Psychol       Date:  2020-03-31

Review 10.  The innate aptitude's effect on the surgical task performance: a systematic review.

Authors:  Michael El Boghdady; Beatrice Marianne Ewalds-Kvist
Journal:  Updates Surg       Date:  2021-09-25
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