Virtual reality simulation for the operating room - Proficiency-based training as a paradigm shift in surgical skills training
Virtual reality simulation for the operating room - Proficiency-based training as a paradigm shift in surgical skills training
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DOI：
10.1097/01.sla.0000151982.85062.80
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发表时间：
2005-02-01
影响因子：
9
通讯作者：
Satava, RM
中科院分区：
文献类型：
--
作者：
Gallagher, AG;Ritter, EM;Satava, RM
背景资料：告知外科医生将虚拟现实模拟成功集成到外科培训计划中所需考虑的实际问题。微创手术（MIS）的团队和实践对手术培训计划提出了独特的要求。十年前，Satava提出了虚拟现实（VR）手术模拟作为解决这个问题的方法。直到最近才有可靠的科学研究支持这一愿景方法：回顾外科教育、人为因素和心理学文献，以确定影响VR培训成功整合到外科培训计划中的重要因素。结果：VR更有可能成功，如果它被系统地整合到一个深思熟虑的-我们的教育和培训计划，客观地评估技术技能的提高接近学习经验。经确认的性能指标应与接受培训的手术任务相关，但通常要求受训者根据严格定义的指标达到客观确定的熟练度标准，并在该水平上始终如一地执行。如果培训计划是以间隔为基础而不是集中在短期的广泛实践中，VR培训更有可能成功。高保真VR模拟将赋予最大的技能转移到体内手术的情况下，但不太昂贵的VR教练也将导致大大提高技能generalization.Conclusions：VR的MIS的性能提高，现在是一个现实。然而，VR只是一种培训工具，必须深思熟虑地引入外科培训课程，才能成功提高外科技术技能。
Background Data: To inform surgeons about the practical issues to be considered for successful integration of virtual reality simulation into a surgical training program. The teaming and practice of minimally invasive surgery (MIS) makes unique demands on surgical training programs. A decade ago Satava proposed virtual reality (VR) surgical simulation as a solution for this problem. Only recently have robust scientific studies supported that visionMethods: A review of the surgical education, human-factor, and psychology literature to identify important factors which will impinge on the successful integration of VR training into a surgical training program.Results: VR is more likely to be successful if it is systematically integrated into a well -thought-out education and training program which objectively assesses technical skills improvement proximate to the learning experience. Validated performance metrics should be relevant to the surgical task being trained but in general will require trainees to reach an objectively determined proficiency criterion, based on tightly defined metrics and perform at this level consistently. VR training is more likely to be successful if the training schedule takes place on an interval basis rather than massed into a short period of extensive practice. High-fidelity VR simulations will confer the greatest skills transfer to the in vivo surgical situation, but less expensive VR trainers will also lead to considerably improved skills generalizations.Conclusions: VR for improved performance of MIS is now a reality. However, VR is only a training tool that must be thoughtfully introduced into a surgical training curriculum for it to successfully improve surgical technical skills.