Thiago Bozzi de Araujo1, Filipe Rodrigues Silveira2, Dante Lucas Santos Souza2, Yuri Thomé Machado Strey2, Cecilia Dias Flores3, Ronaldo Scholze Webster4. 1. School of Medicine, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil. Electronic address: thiagoa@ufcspa.edu.br. 2. School of Medicine, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil. 3. School of Medicine, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil; Department of Information and Education in Health, Irmandade Santa Casa de Misericórida de Porto Alegre, Porto Alegre, Brazil. 4. School of Medicine, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil; Department of Surgery, Irmandade Santa Casa de Misericórida de Porto Alegre, Porto Alegre, Brazil; Department of Plastic and Reconstructive Microsurgery, Irmandade Santa Casa de Misericórida de Porto Alegre, Porto Alegre, Brazil.
Abstract
BACKGROUND: The playing of video games (VGs) was previously shown to improve surgical skills. This is the first randomized, controlled study to assess the impact of VG genre on the development of basic surgical skills. MATERIALS AND METHODS:Twenty first-year, surgically inexperienced medical students attended a practical course on surgical knots, suturing, and skin-flap technique. Later, they were randomized into four groups: control and/or nongaming (ContG), first-person-shooter game (ShotG), racing game (RaceG), and surgery game (SurgG). All participants had 3 wk of Nintendo Wii training. Surgical and VG performances were assessed by two independent, blinded surgeons who evaluated basal performance (time 0) and performance after 1 wk (time 1) and 3 wk (time 2) of training. RESULTS: The training time of RaceG was longer than that of ShotG and SurgG (P = 0.045). Compared to SurgG and RaceG, VG scores for ShotG improved less between times 0 and 1 (P = 0.010) but more between times 1 and 2 (P = 0.004). Improvement in mean surgical performance scores versus time differed in each VG group (P = 0.011). At time 2, surgical performance scores were significantly higher in ShotG (P = 0.002) and SurgG (P = 0.022) than in ContG. The surgical performance scores of RaceG were not significantly different from the score achieved by ContG (P = 0.279). CONCLUSIONS: Different VG genres may differentially impact the development of surgical skills by medical students. More complex games seem to improve performance even if played less. Although further studies are needed, surgery-related VGs with sufficient complexity and playability could be a feasible adjuvant to improving surgical skills.
RCT Entities:
BACKGROUND: The playing of video games (VGs) was previously shown to improve surgical skills. This is the first randomized, controlled study to assess the impact of VG genre on the development of basic surgical skills. MATERIALS AND METHODS: Twenty first-year, surgically inexperienced medical students attended a practical course on surgical knots, suturing, and skin-flap technique. Later, they were randomized into four groups: control and/or nongaming (ContG), first-person-shooter game (ShotG), racing game (RaceG), and surgery game (SurgG). All participants had 3 wk of Nintendo Wii training. Surgical and VG performances were assessed by two independent, blinded surgeons who evaluated basal performance (time 0) and performance after 1 wk (time 1) and 3 wk (time 2) of training. RESULTS: The training time of RaceG was longer than that of ShotG and SurgG (P = 0.045). Compared to SurgG and RaceG, VG scores for ShotG improved less between times 0 and 1 (P = 0.010) but more between times 1 and 2 (P = 0.004). Improvement in mean surgical performance scores versus time differed in each VG group (P = 0.011). At time 2, surgical performance scores were significantly higher in ShotG (P = 0.002) and SurgG (P = 0.022) than in ContG. The surgical performance scores of RaceG were not significantly different from the score achieved by ContG (P = 0.279). CONCLUSIONS: Different VG genres may differentially impact the development of surgical skills by medical students. More complex games seem to improve performance even if played less. Although further studies are needed, surgery-related VGs with sufficient complexity and playability could be a feasible adjuvant to improving surgical skills.
Authors: Aviv Segev; Mitchell Rovner; David Ian Appel; Aaron W Abrams; Michal Rotem; Yuval Bloch Journal: J Med Internet Res Date: 2016-07-18 Impact factor: 5.428
Authors: Sarah Victoria Gentry; Andrea Gauthier; Beatrice L'Estrade Ehrstrom; David Wortley; Anneliese Lilienthal; Lorainne Tudor Car; Shoko Dauwels-Okutsu; Charoula K Nikolaou; Nabil Zary; James Campbell; Josip Car Journal: J Med Internet Res Date: 2019-03-28 Impact factor: 5.428
Authors: Christopher Mallow; Majid Shafiq; Jeffrey Thiboutot; Diana H Yu; Hitesh Batra; Daniel Lunz; David J Feller-Kopman; Lonny B Yarmus; Hans J Lee Journal: ATS Sch Date: 2020-04-13