Learning Curves of Virtual Mastoidectomy in Distributed and Massed Practice

JAMA Otolaryngology-- Head & Neck Surgery
Steven A W AndersenMads S Sørensen

Abstract

Repeated and deliberate practice is crucial in surgical skills training, and virtual reality (VR) simulation can provide self-directed training of basic surgical skills to meet the individual needs of the trainee. Assessment of the learning curves of surgical procedures is pivotal in understanding skills acquisition and best-practice implementation and organization of training. To explore the learning curves of VR simulation training of mastoidectomy and the effects of different practice sequences with the aim of proposing the optimal organization of training. A prospective trial with a 2 × 2 design was conducted at an academic teaching hospital. Participants included 43 novice medical students. Of these, 21 students completed time-distributed practice from October 14 to November 29, 2013, and a separate group of 19 students completed massed practice on May 16, 17, or 18, 2014. Data analysis was performed from June 6, 2014, to March 3, 2015. Participants performed 12 repeated virtual mastoidectomies using a temporal bone surgical simulator in either a distributed (practice blocks spaced in time) or massed (all practice in 1 day) training program with randomization for simulator-integrated tutoring during the first 5 sessions. P...Continue Reading

Citations

Jan 23, 2016·Perspectives on Medical Education·L Konge, L Lonn
Apr 15, 2016·The Laryngoscope·Steven A W AndersenMads Sølvsten Sørensen
Oct 11, 2015·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·M F Bhutta
Mar 17, 2017·World Neurosurgery·Tasneem ShikaryLee A Zimmer
Aug 29, 2018·The Laryngoscope·Jacob E KuperstockMichael P Platt
Jan 11, 2019·The Laryngoscope·Steven Arild Wuyts AndersenMads Sølvsten Sørensen
Sep 22, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Steven Arild Wuyts AndersenMads Sølvsten Sørensen
Dec 21, 2019·Medical Education·Marjolein VersteegPaul Steendijk
Feb 12, 2020·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Steven Arild Wuyts AndersenMads Sølvsten Sørensen
Dec 1, 2017·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Andreas FrithioffSteven Arild Wuyts Andersen
Jul 28, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Martin FrendøSteven A W Andersen
Sep 5, 2020·HNO·Hans-Georg FischerStefan K Plontke
Feb 20, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Martin FrendøSteven Arild Wuyts Andersen
Nov 6, 2018·Respiration; International Review of Thoracic Diseases·Kristoffer Mazanti ColdLeizl Joy Nayahangan

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