Design and Evaluation of a Performance-based Adaptive Curriculum for Robotic Surgical Training: a Pilot Study
Design and Evaluation of a Performance-based Adaptive Curriculum for Robotic Surgical Training: a Pilot Study
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基于绩效的机器人手术培训自适应课程的设计和评估：试点研究
DOI：
10.1109/embc.2018.8512728
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
E. Momi
中科院分区：
文献类型：
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作者：
A. Mariani;Edoardo Pellegrini;Nima Enayati;P. Kazanzides;Marco Vidotto;E. Momi
使用模拟系统进行培训已成为学习机器人手术基本技能的主要选择。然而，对于标准的培训课程并没有达成共识：由专家培训师事先定义的课程或由受训者自行指导的课程缺乏一致性。这项研究提出了一种基于对受训者表现的客观评估来构建课程结构的适应性方法。这项工作包括一个有12名参与者参加的实验会议，他们使用达芬奇研究工具包手术控制台进行虚拟现实任务的培训。一半的受试者自我管理他们的训练课程，而其他的受试者则接受适应性训练。与前者相比，后者的最终表现被发现更高(p=0.002)，这表明基于结果的动态设计如何构成机器人外科培训的一个有希望的进步。
Training with simulation systems has become a primary alternative for learning the fundamental skills of robotic surgery. However, there exists no consensus regarding a standard training curriculum: sessions defined a priori by expert trainers or self-directed by the trainees feature lack of consistency. This study proposes an adaptive approach that structures the curriculum on the basis of an objective assessment of the trainee’s performance. The work comprised an experimental session with 12 participants performing training on virtual reality tasks with the da Vinci Research Kit surgical console. Half of the subjects self-managed their training session, while the others underwent the adaptive training. The final performance of the latter trainees was found to be higher compared to the former (p=0.002), showing how outcome-based, dynamic designs could constitute a promising advance in robotic surgical training.