Abstract
Background: Virtual reality surgical simulation of mastoidectomy is a promising training tool for novices. Final-product analysis for assessing novice mastoidectomy performance could be limited by a peak or ceiling effect. These may be countered by simulator-integrated tutoring. Methods: Twenty-two participants completed a single session of self-directed practice of the mastoidectomy procedure in a virtual reality simulator. Participants were randomised for additional simulator-integrated tutoring. Performances were assessed at 10-minute intervals using final-product analysis. Results: In all, 45.5 per cent of participants peaked before the 60-minute time limit. None of the participants achieved the maximum score, suggesting a ceiling effect. The tutored group performed better than the non-tutored group but tutoring did not eliminate the peak or ceiling effects. Conclusion: Timing and adequate instruction is important when using final-product analysis to assess novice mastoidectomy performance. Improved real-time feedback and tutoring could address the limitations of final product based assessment.
| Original language | English |
|---|---|
| Journal | Journal of Laryngology and Otology |
| Volume | 129 |
| Issue number | 11 |
| Pages (from-to) | 1091-6 |
| Number of pages | 6 |
| ISSN | 0022-2151 |
| DOIs | |
| Publication status | Published - 22 Sept 2015 |
Keywords
- Computer Simulation
- Educational Measurement
- Feedback
- Humans
- Learning Curve
- Mastoid
- Osteotomy
- Simulation Training
- User-Computer Interface