• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • COVID-19 Announcements
    • SAGES 2020 Meeting Information
    • 2021 Scientific Session Call For Abstracts
    • 2021 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2019
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • COVID-19 Annoucements
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • Troubleshooting Guides
  • Education
    • SAGES.TV Video Library
    • Virtual Hernia Clinic
    • The SAGES Safe Cholecystectomy Program
    • The Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Courses
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Educational Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
    • Fellowship Certification
  • Search
    • COVID-19 Announcements
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Blog
    • All Blog Posts
    • COVID-19
    • Notes from the Battlefield
    • A (Positive) Way Forward
    • President Posts
  • Log In

Defining a Proficiency-Based Virtual Reality Curriculum for Laparoscopic Colorectal Surgery

Vanessa N Palter, MD, Maurtis Graafland, MD, Marlies P Schijven, MD PhD, Teodor P Grantcharov, MD PhD. St. Michael’s Hospital, Toronto, On, Canada., Academic Medical Center Amsterdam, Amsterdam, The Netherlands

Introduction: Laparoscopic colorectal surgery is an advanced minimally invasive procedure with a long variable learning curve. Although task training on virtual reality simulators has been shown to transfer to the operating room, to date no virtual reality curricula have been described for advanced minimally invasive procedures such as laparoscopic colorectal surgery. The objective of this study is twofold. First, to determine the essential elements in a virtual reality technical skills curriculum for laparoscopic colorectal surgery using the Delphi consensus methodology. Second, to define expert benchmarks for the developed virtual reality technical skills curriculum.
Methods: The virtual reality system that will be utilized in the curriculum is the LapSim system (Surgical Science, Sweden). The LapSim offers a total of 27 tasks. The Delphi method was used to determine expert consensus on the tasks that are relevant to teaching the technical skills required to perform laparoscopic colorectal surgery. These tasks were compiled into an on-line survey. 20 international experts in surgical simulation were recruited to participate in the survey. The participants rated each identified LapSim task on a Likert scale from 1 to 5 detailing the degree to which they agreed or disagreed that a particular component should be included in a final technical skills curriculum. Results of the survey were sent back to participants with group averages and standard deviations until expert consensus (Cronbach’s Alpha >0.8) was reached. After consensus was reached, specific curricular tasks that over 80% of the experts rated as either “agree” or “strongly agree” on the Likert scale were included in the final curriculum. In order to define the expert benchmark scores for the identified curricular tasks, 10 experts (completed more than 100 laparoscopic colorectal procedures) were recruited. Each expert completed all curricular tasks on the “easy”, “medium” and “hard” setting of the simulator. Median expert benchmark scores relating to time and economy of movement were calculated for each curricular task on each of the 3 levels of difficulty.
Results: In the first round of the survey, Cronbach’s α was 0.715 and after the second round, consensus was reached at 0.865. Consensus was reached for 7 of the basic tasks (coordination, lifting and grasping, clipping, cutting, grasping, handling intestine and fine dissection) and for 1 advanced suturing task. Nine experts completed the curriculum in its entirety. Median expert scores were calculated for all curricular tasks. For example, for the easy level of the fine dissection task, the median expert scores were as follows: time 71.8s, right grasper path length 0.56m, left grasper path length 0.38m, left grasper angular path 116.68º, and right grasper angular path 82.45º.
Conclusions: The Delphi method allowed for expert consensus to be reached on the essential components of a virtual reality curriculum for laparoscopic colorectal surgery. Expert benchmarks were determined for all curricular tasks. Ultimately trainees will practice on the LapSim until they reach these identified expert levels of proficiency for all curricular tasks.


Session: SS16
Program Number: S094

Post Views: 65

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2011 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Daniel Herron, MD

An opportunity to slow down and appreciate the small joys in life

Dan Herron, MD shares insights with Dana Telem, MD on lessons learned from COVID-19 Fear, anxiety and uncertainty has dominated the first half of 2020. Never before have we, as healthcare providers, been asked to do so much with so little—whether it’s resources like personal protective equipment, dusting off skills related to critical care, or […]

covid testing stock

Notes from the Battlefield – May 14, 2020

Coronavirus Global Surgical Collaborative (CVGSC)* An initiative sponsored by SAGES in collaboration with EAES, AEC, KSELS, and ELSA A group of surgical leaders from affected countries have joined to discuss what they are learning during this Covid-19 Global crisis. The following is a brief summary of what they feel may be useful information to disseminate to the surgical […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2020 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

[footer_backtotop] · Log in

Copyright © 2021 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc