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Development of the simulator for laparoscopic eye hand coordination training for teaching oneself training.

Takashi Iwata, MD, PhD, FACS1, Masashi Akaike, MD, PhD2, Kozo Yoshikawa, MD, PhD, FACS1, Jun Higashijima, MD, PhD, FACS1, Masaaki Nishi, MD, PhD, FACS1, Shuya Kashihara, MD, PhD1, Chie Takasu, MD, PhD1, Daichi Ishikawa, MD, PhD1, Mitsuo Shimada, MD, PhD, FACS1. 1Department of Digestive Surgery, Institute of Biosciences, Tokushima University Graduate School, 2Research Center for Education of Health Bioscience, Institute of Biosciences, Tokushima University Graduate School

Background: In late years, with the spread of laparoscopic surgery, the basic laparoscopic maneuver training has been carried out for medical students.

Eye-hand coordination is one of the problems of the training of this special maneuver. Generally, the training of eye-hand coordination touches at the tip of a peg appointed optionally with a forceps, but this training requires a person appointing any peg, and there is a difficult point that teaching oneself self-study is not possible. In this study, we develop eye-hand coordination exercise simulator for teaching oneself self-study, and got some knowledge.

Materials and Methods: Twenty medical students in 5th grade of Tokushima Univ. were participated. They were divided into two groups; without new simulator group (without sim group: n=10) and with simulator group (with sim group: n=10). Twenty times of peg touch training with the forceps of right and left was held during clinical clerkship, and self-study period for one week. The number of failure of the peg touch and self-study period were investigated before and after one week self-study period of two groups.

Results: In the number of failure of the peg touch, without sim group showed average of 10 times, and with sim group showed average of 11 times at the point of before one week self-study. After one week, without sim group showed 8 times vice versa with sim group showed 3 times. In self-study period, without sim group spent 90 minutes, vice versa with sim group spent 150 minutes in one week.

With sim group studied much longer time and showed significant smaller times of failure of peg touch. The questionnaire results of without sim group showed that “Securing of staff indicating any peg was difficult”, “Exercise time was not enough”, “Perseverance did not continue”, and with sim group showed that “It was able to practice at favorite time”, “Because it was not necessary to ask a friend, it was comfortable”, “It was interesting”.

Conclusions: Newly developed the simulator for the eye-hand coordination reinforcement promoted the self-study of the student, and was useful for reinforcement of eye-hand coordination.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 79721

Program Number: P312

Presentation Session: Poster (Non CME)

Presentation Type: Poster

38

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