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Acquisition of flexible cystoscopy skills on a virtual reality simulator by experts and novices
Study Type – Therapy (case control) Level of Evidence 3b OBJECTIVE To assess the construct validity of the URO MentorTM (Simbionix Corp., Cleveland, OH, USA) virtual reality training model for several variables of skills training in cysto‐urethroscopy, addressing two research questions: (i) Does tra...
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| Published in: | BJU international 2010-01, Vol.105 (2), p.234-239 |
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| container_title | BJU international |
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| creator | Schout, Barbara M.A. Muijtjens, Arno M.M. Hendrikx, Ad J.M. Ananias, Hildo J.K. Dolmans, Valérie E.M.G. Scherpbier, Albert J.J.A. Bemelmans, Bart L.H. |
| description | Study Type – Therapy (case control)
Level of Evidence 3b
OBJECTIVE
To assess the construct validity of the URO MentorTM (Simbionix Corp., Cleveland, OH, USA) virtual reality training model for several variables of skills training in cysto‐urethroscopy, addressing two research questions: (i) Does training on the URO Mentor significantly improve novices’ performance in terms of time, trauma, areas inspected and Global Rating Scale (GRS) score?; (ii) is discrimination between different levels of expertise possible using the URO Mentor?
METHODS
Thirty experts and 50 novices performed seven tasks on the URO Mentor during one training session. The first, fourth and seventh tasks were ‘test tasks’ to evaluate participants’ performance. The simulator recorded procedure time and trauma; a supervisor scored which areas were inspected and gave scores on the GRS. A two‐way analysis of variance with repeated‐measures test was used to analyse experts’ and novices’ performances, with P |
| doi_str_mv | 10.1111/j.1464-410X.2009.08733.x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_734239055</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>734239055</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3983-1c89d3c2b1fc195f477598be54942baa45d205a1fcdeeb84d8099b4c71a1daa93</originalsourceid><addsrcrecordid>eNqNkE1v1DAQhi0EoqXwF5AviNMGfyWxDxxKBQVUiQuVuFkTx5G8eOOtJ2k3_x6nu5Qrvnjk95nx6CGEclbxcj5sK64atVGc_aoEY6ZiupWyOjwj50_B8781M80ZeYW4Zaw8NPVLcsZNrWUrzDmxl-5uDhimkEaaBjpEfwhd9NQtOCV0ab9Q_B1iRFoAoPchTzNEmj3EMJUs7OYIU8q0W6g_7H2ekMLY0zHdB-fxNXkxQET_5nRfkNsvn39efd3c_Lj-dnV5s3HSaLnhTpteOtHxwZXlBtW2tdGdr5VRogNQdS9YDSXtve-06jUzplOu5cB7ACMvyPvj3H1Od7PHye4COh8jjD7NaFuphDSsrgupj6TLCTH7we5z2EFeLGd2tWu3dhVnV4l2tWsf7dpDaX17-mTudr7_13jSWYB3JwDQQRwyjC7gEyeEaLRp2sJ9PHIPIfrlvxewn77frpX8A8Ksl-s</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>734239055</pqid></control><display><type>article</type><title>Acquisition of flexible cystoscopy skills on a virtual reality simulator by experts and novices</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Schout, Barbara M.A. ; Muijtjens, Arno M.M. ; Hendrikx, Ad J.M. ; Ananias, Hildo J.K. ; Dolmans, Valérie E.M.G. ; Scherpbier, Albert J.J.A. ; Bemelmans, Bart L.H.</creator><creatorcontrib>Schout, Barbara M.A. ; Muijtjens, Arno M.M. ; Hendrikx, Ad J.M. ; Ananias, Hildo J.K. ; Dolmans, Valérie E.M.G. ; Scherpbier, Albert J.J.A. ; Bemelmans, Bart L.H.</creatorcontrib><description>Study Type – Therapy (case control)
Level of Evidence 3b
OBJECTIVE
To assess the construct validity of the URO MentorTM (Simbionix Corp., Cleveland, OH, USA) virtual reality training model for several variables of skills training in cysto‐urethroscopy, addressing two research questions: (i) Does training on the URO Mentor significantly improve novices’ performance in terms of time, trauma, areas inspected and Global Rating Scale (GRS) score?; (ii) is discrimination between different levels of expertise possible using the URO Mentor?
METHODS
Thirty experts and 50 novices performed seven tasks on the URO Mentor during one training session. The first, fourth and seventh tasks were ‘test tasks’ to evaluate participants’ performance. The simulator recorded procedure time and trauma; a supervisor scored which areas were inspected and gave scores on the GRS. A two‐way analysis of variance with repeated‐measures test was used to analyse experts’ and novices’ performances, with P < 0.05 considered to indicate statistical significance. Effect sizes (ES) were calculated to quantify the practical significance of the results; ES of 0.10, 0.30, and 0.50 were considered small, medium and large, respectively.
RESULTS
Novices’ performances showed a significant improvement with large ES in time (linear trend of learning curve P < 0.001, ES 0.66) and mean GRS score (linear trend P < 0.001, ES 0.84, quadratic trend P = 0.018, ES 0.24). There was a medium improvement for trauma (linear trend P < 0.001, ES 0.40) and a small improvement in areas inspected (linear trend P = 0.032, ES 0.21). That the 95% confidence intervals of the measures on the first task of experts and novices did not coincide indicates that differentiation between experts and novices on the four variables measured can be achieved using the URO Mentor.
CONCLUSIONS
Training on the URO Mentor appears to result in a medium to large improvement of novices’ performances for time, trauma, areas inspected and GRS scores. Moreover, discrimination between different levels of expertise is possible using this simulator.</description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1111/j.1464-410X.2009.08733.x</identifier><identifier>PMID: 19583729</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Biological and medical sciences ; Clinical Competence - standards ; Computer Simulation ; Computer-Assisted Instruction - methods ; Computer-Assisted Instruction - standards ; construct validity ; Cystoscopy - methods ; Cystoscopy - standards ; cysto‐urethroscopy ; Education, Medical, Continuing - methods ; Educational Measurement ; Humans ; learning curve ; Medical sciences ; Medical Staff, Hospital - education ; Nephrology. Urinary tract diseases ; Pilot Projects ; simulation ; training model ; urology ; validation ; virtual reality</subject><ispartof>BJU international, 2010-01, Vol.105 (2), p.234-239</ispartof><rights>2009 THE AUTHORS. JOURNAL COMPILATION © 2009 BJU INTERNATIONAL</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3983-1c89d3c2b1fc195f477598be54942baa45d205a1fcdeeb84d8099b4c71a1daa93</citedby><cites>FETCH-LOGICAL-c3983-1c89d3c2b1fc195f477598be54942baa45d205a1fcdeeb84d8099b4c71a1daa93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22268967$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19583729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schout, Barbara M.A.</creatorcontrib><creatorcontrib>Muijtjens, Arno M.M.</creatorcontrib><creatorcontrib>Hendrikx, Ad J.M.</creatorcontrib><creatorcontrib>Ananias, Hildo J.K.</creatorcontrib><creatorcontrib>Dolmans, Valérie E.M.G.</creatorcontrib><creatorcontrib>Scherpbier, Albert J.J.A.</creatorcontrib><creatorcontrib>Bemelmans, Bart L.H.</creatorcontrib><title>Acquisition of flexible cystoscopy skills on a virtual reality simulator by experts and novices</title><title>BJU international</title><addtitle>BJU Int</addtitle><description>Study Type – Therapy (case control)
Level of Evidence 3b
OBJECTIVE
To assess the construct validity of the URO MentorTM (Simbionix Corp., Cleveland, OH, USA) virtual reality training model for several variables of skills training in cysto‐urethroscopy, addressing two research questions: (i) Does training on the URO Mentor significantly improve novices’ performance in terms of time, trauma, areas inspected and Global Rating Scale (GRS) score?; (ii) is discrimination between different levels of expertise possible using the URO Mentor?
METHODS
Thirty experts and 50 novices performed seven tasks on the URO Mentor during one training session. The first, fourth and seventh tasks were ‘test tasks’ to evaluate participants’ performance. The simulator recorded procedure time and trauma; a supervisor scored which areas were inspected and gave scores on the GRS. A two‐way analysis of variance with repeated‐measures test was used to analyse experts’ and novices’ performances, with P < 0.05 considered to indicate statistical significance. Effect sizes (ES) were calculated to quantify the practical significance of the results; ES of 0.10, 0.30, and 0.50 were considered small, medium and large, respectively.
RESULTS
Novices’ performances showed a significant improvement with large ES in time (linear trend of learning curve P < 0.001, ES 0.66) and mean GRS score (linear trend P < 0.001, ES 0.84, quadratic trend P = 0.018, ES 0.24). There was a medium improvement for trauma (linear trend P < 0.001, ES 0.40) and a small improvement in areas inspected (linear trend P = 0.032, ES 0.21). That the 95% confidence intervals of the measures on the first task of experts and novices did not coincide indicates that differentiation between experts and novices on the four variables measured can be achieved using the URO Mentor.
CONCLUSIONS
Training on the URO Mentor appears to result in a medium to large improvement of novices’ performances for time, trauma, areas inspected and GRS scores. Moreover, discrimination between different levels of expertise is possible using this simulator.</description><subject>Biological and medical sciences</subject><subject>Clinical Competence - standards</subject><subject>Computer Simulation</subject><subject>Computer-Assisted Instruction - methods</subject><subject>Computer-Assisted Instruction - standards</subject><subject>construct validity</subject><subject>Cystoscopy - methods</subject><subject>Cystoscopy - standards</subject><subject>cysto‐urethroscopy</subject><subject>Education, Medical, Continuing - methods</subject><subject>Educational Measurement</subject><subject>Humans</subject><subject>learning curve</subject><subject>Medical sciences</subject><subject>Medical Staff, Hospital - education</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Pilot Projects</subject><subject>simulation</subject><subject>training model</subject><subject>urology</subject><subject>validation</subject><subject>virtual reality</subject><issn>1464-4096</issn><issn>1464-410X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqNkE1v1DAQhi0EoqXwF5AviNMGfyWxDxxKBQVUiQuVuFkTx5G8eOOtJ2k3_x6nu5Qrvnjk95nx6CGEclbxcj5sK64atVGc_aoEY6ZiupWyOjwj50_B8781M80ZeYW4Zaw8NPVLcsZNrWUrzDmxl-5uDhimkEaaBjpEfwhd9NQtOCV0ab9Q_B1iRFoAoPchTzNEmj3EMJUs7OYIU8q0W6g_7H2ekMLY0zHdB-fxNXkxQET_5nRfkNsvn39efd3c_Lj-dnV5s3HSaLnhTpteOtHxwZXlBtW2tdGdr5VRogNQdS9YDSXtve-06jUzplOu5cB7ACMvyPvj3H1Od7PHye4COh8jjD7NaFuphDSsrgupj6TLCTH7we5z2EFeLGd2tWu3dhVnV4l2tWsf7dpDaX17-mTudr7_13jSWYB3JwDQQRwyjC7gEyeEaLRp2sJ9PHIPIfrlvxewn77frpX8A8Ksl-s</recordid><startdate>201001</startdate><enddate>201001</enddate><creator>Schout, Barbara M.A.</creator><creator>Muijtjens, Arno M.M.</creator><creator>Hendrikx, Ad J.M.</creator><creator>Ananias, Hildo J.K.</creator><creator>Dolmans, Valérie E.M.G.</creator><creator>Scherpbier, Albert J.J.A.</creator><creator>Bemelmans, Bart L.H.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201001</creationdate><title>Acquisition of flexible cystoscopy skills on a virtual reality simulator by experts and novices</title><author>Schout, Barbara M.A. ; Muijtjens, Arno M.M. ; Hendrikx, Ad J.M. ; Ananias, Hildo J.K. ; Dolmans, Valérie E.M.G. ; Scherpbier, Albert J.J.A. ; Bemelmans, Bart L.H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3983-1c89d3c2b1fc195f477598be54942baa45d205a1fcdeeb84d8099b4c71a1daa93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Clinical Competence - standards</topic><topic>Computer Simulation</topic><topic>Computer-Assisted Instruction - methods</topic><topic>Computer-Assisted Instruction - standards</topic><topic>construct validity</topic><topic>Cystoscopy - methods</topic><topic>Cystoscopy - standards</topic><topic>cysto‐urethroscopy</topic><topic>Education, Medical, Continuing - methods</topic><topic>Educational Measurement</topic><topic>Humans</topic><topic>learning curve</topic><topic>Medical sciences</topic><topic>Medical Staff, Hospital - education</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Pilot Projects</topic><topic>simulation</topic><topic>training model</topic><topic>urology</topic><topic>validation</topic><topic>virtual reality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schout, Barbara M.A.</creatorcontrib><creatorcontrib>Muijtjens, Arno M.M.</creatorcontrib><creatorcontrib>Hendrikx, Ad J.M.</creatorcontrib><creatorcontrib>Ananias, Hildo J.K.</creatorcontrib><creatorcontrib>Dolmans, Valérie E.M.G.</creatorcontrib><creatorcontrib>Scherpbier, Albert J.J.A.</creatorcontrib><creatorcontrib>Bemelmans, Bart L.H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schout, Barbara M.A.</au><au>Muijtjens, Arno M.M.</au><au>Hendrikx, Ad J.M.</au><au>Ananias, Hildo J.K.</au><au>Dolmans, Valérie E.M.G.</au><au>Scherpbier, Albert J.J.A.</au><au>Bemelmans, Bart L.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acquisition of flexible cystoscopy skills on a virtual reality simulator by experts and novices</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2010-01</date><risdate>2010</risdate><volume>105</volume><issue>2</issue><spage>234</spage><epage>239</epage><pages>234-239</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><abstract>Study Type – Therapy (case control)
Level of Evidence 3b
OBJECTIVE
To assess the construct validity of the URO MentorTM (Simbionix Corp., Cleveland, OH, USA) virtual reality training model for several variables of skills training in cysto‐urethroscopy, addressing two research questions: (i) Does training on the URO Mentor significantly improve novices’ performance in terms of time, trauma, areas inspected and Global Rating Scale (GRS) score?; (ii) is discrimination between different levels of expertise possible using the URO Mentor?
METHODS
Thirty experts and 50 novices performed seven tasks on the URO Mentor during one training session. The first, fourth and seventh tasks were ‘test tasks’ to evaluate participants’ performance. The simulator recorded procedure time and trauma; a supervisor scored which areas were inspected and gave scores on the GRS. A two‐way analysis of variance with repeated‐measures test was used to analyse experts’ and novices’ performances, with P < 0.05 considered to indicate statistical significance. Effect sizes (ES) were calculated to quantify the practical significance of the results; ES of 0.10, 0.30, and 0.50 were considered small, medium and large, respectively.
RESULTS
Novices’ performances showed a significant improvement with large ES in time (linear trend of learning curve P < 0.001, ES 0.66) and mean GRS score (linear trend P < 0.001, ES 0.84, quadratic trend P = 0.018, ES 0.24). There was a medium improvement for trauma (linear trend P < 0.001, ES 0.40) and a small improvement in areas inspected (linear trend P = 0.032, ES 0.21). That the 95% confidence intervals of the measures on the first task of experts and novices did not coincide indicates that differentiation between experts and novices on the four variables measured can be achieved using the URO Mentor.
CONCLUSIONS
Training on the URO Mentor appears to result in a medium to large improvement of novices’ performances for time, trauma, areas inspected and GRS scores. Moreover, discrimination between different levels of expertise is possible using this simulator.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19583729</pmid><doi>10.1111/j.1464-410X.2009.08733.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Biological and medical sciences Clinical Competence - standards Computer Simulation Computer-Assisted Instruction - methods Computer-Assisted Instruction - standards construct validity Cystoscopy - methods Cystoscopy - standards cysto‐urethroscopy Education, Medical, Continuing - methods Educational Measurement Humans learning curve Medical sciences Medical Staff, Hospital - education Nephrology. Urinary tract diseases Pilot Projects simulation training model urology validation virtual reality |
| title | Acquisition of flexible cystoscopy skills on a virtual reality simulator by experts and novices |
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