Sung Gu Kang1, Byung Ju Ryu2, Kyung Sook Yang3, Young Hwii Ko4, Seok Cho1, Seok Ho Kang1, Vipul R Patel5, Jun Cheon6. 1. Department of Urology, Korea University School of Medicine, Seoul, Republic of Korea. 2. Department of Rehabilitation Medicine, SahmYook Medical Center, Seoul, Republic of Korea. 3. Department of Biostatistics, Korea University College of Medicine, Seoul, Republic of Korea. 4. Department of Urology, Yeungnam University College of Medicine, Daegu, Republic of Korea. 5. Department of Urology, The Global Robotics Institute, Florida Hospital Celebration Health, Celebration, Florida; University of Central Florida School of Medicine, Orlando, Florida. 6. Department of Urology, Korea University School of Medicine, Seoul, Republic of Korea. Electronic address: jcheon@korea.ac.kr.
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 II (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.
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 II (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.
Authors: Michael I Hanzly; Tareq Al-Tartir; Syed Johar Raza; Atif Khan; Mohammad Manan Durrani; Thomas Fiorica; Phillip Ginsberg; James L Mohler; Boris Kuvshinoff; Khurshid A Guru Journal: Curr Urol Rep Date: 2015-06 Impact factor: 3.092
Authors: Jae Yoon Kim; Seung Bin Kim; Jong Hyun Pyun; Hyung Keun Kim; Seok Cho; Jeong Gu Lee; Je Jong Kim; Jun Cheon; Seok Ho Kang; Sung Gu Kang Journal: Korean J Urol Date: 2015-11-03
Authors: Jose Carlos Manuel-Palazuelos; María Riaño-Molleda; José Luis Ruiz-Gómez; Jose Ignacio Martín-Parra; Carlos Redondo-Figuero; José María Maestre Journal: Adv Simul (Lond) Date: 2016-05-25