The effect of self-directed virtual reality simulation on dissection training performance in mastoidectomy

TY - JOUR

T1 - The effect of self-directed virtual reality simulation on dissection training performance in mastoidectomy

AU - Andersen, Steven Arild Wuyts

AU - Foghsgaard, Søren

AU - Konge, Lars

AU - Cayé-Thomasen, Per

AU - Sørensen, Mads Sølvsten

N1 - © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Objectives/Hypothesis: To establish the effect of self-directed virtual reality (VR) simulation training on cadaveric dissection training performance in mastoidectomy and the transferability of skills acquired in VR simulation training to the cadaveric dissection training setting. Study Design: Prospective study. Methods: Two cohorts of 20 novice otorhinolaryngology residents received either self-directed VR simulation training before cadaveric dissection training or vice versa. Cadaveric and VR simulation performances were assessed using final-product analysis with three blinded expert raters. Results: The group receiving VR simulation training before cadaveric dissection had a mean final-product score of 14.9 (95 % confidence interval [CI] [12.9–16.9]) compared with 9.8 (95% CI [8.4–11.1]) in the group not receiving VR simulation training before cadaveric dissection. This 52% increase in performance was statistically significantly (P < 0.0001). A single dissection mastoidectomy did not increase VR simulation performance (P = 0.22). Conclusions: Two hours of self-directed VR simulation training was effective in increasing cadaveric dissection mastoidectomy performance and suggests that mastoidectomy skills are transferable from VR simulation to the traditional dissection setting. Virtual reality simulation training can therefore be employed to optimize training, and can spare the use of donated material and instructional resources for more advanced training after basic competencies have been acquired in the VR simulation environment. Level of Evidence: NA. Laryngoscope, 126:1883–1888, 2016.

AB - Objectives/Hypothesis: To establish the effect of self-directed virtual reality (VR) simulation training on cadaveric dissection training performance in mastoidectomy and the transferability of skills acquired in VR simulation training to the cadaveric dissection training setting. Study Design: Prospective study. Methods: Two cohorts of 20 novice otorhinolaryngology residents received either self-directed VR simulation training before cadaveric dissection training or vice versa. Cadaveric and VR simulation performances were assessed using final-product analysis with three blinded expert raters. Results: The group receiving VR simulation training before cadaveric dissection had a mean final-product score of 14.9 (95 % confidence interval [CI] [12.9–16.9]) compared with 9.8 (95% CI [8.4–11.1]) in the group not receiving VR simulation training before cadaveric dissection. This 52% increase in performance was statistically significantly (P < 0.0001). A single dissection mastoidectomy did not increase VR simulation performance (P = 0.22). Conclusions: Two hours of self-directed VR simulation training was effective in increasing cadaveric dissection mastoidectomy performance and suggests that mastoidectomy skills are transferable from VR simulation to the traditional dissection setting. Virtual reality simulation training can therefore be employed to optimize training, and can spare the use of donated material and instructional resources for more advanced training after basic competencies have been acquired in the VR simulation environment. Level of Evidence: NA. Laryngoscope, 126:1883–1888, 2016.

KW - Journal Article

U2 - 10.1002/lary.25710

DO - 10.1002/lary.25710

M3 - Journal article

C2 - 26452157

SN - 0023-852X

VL - 126

SP - 1883

EP - 1888

JO - The Laryngoscope

JF - The Laryngoscope

IS - 8

ER -