The Fun Factor: Does Serious Gaming Affect the Volume of Voluntary Laparoscopic Skills Training?
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ORIGINAL SCIENTIFIC REPORT
The Fun Factor: Does Serious Gaming Affect the Volume of Voluntary Laparoscopic Skills Training? Wouter Martijn IJgosse1,2
•
Harry van Goor1 • Camiel Rosman1 • Jan-Maarten Luursema1
Accepted: 15 September 2020 Ó The Author(s) 2020
Abstract Background The availability of validated laparoscopic simulators has not resulted in sustainable high-volume training. We investigated whether the validated laparoscopic serious game Underground would increase voluntary training by residents. We hypothesized that by removing intrinsic barriers and extrinsic barriers, residents would spend more time on voluntary training with Underground compared to voluntary training with traditional simulators. Methods After 1 year, we compared amount of voluntary time spent on playing Underground to time spent on all other laparoscopic training modalities and to time spent on performing laparoscopic procedures in the OR for all surgical residents. These data were compared to resident’ time spent on laparoscopic activities over the prior year before the introduction of Underground. Results From March 2016 until March 2017, 63 residents spent on average 20 min on voluntary serious gaming, 17 min on voluntary simulator training, 2 h and 44 min on mandatory laparoscopic training courses, and 14 h and 49 min on laparoscopic procedures in the OR. Voluntary activities represented 3% of laparoscopic training activities which was similar in the prior year wherein fifty residents spent on average 33 min on voluntary simulator training, 3 h and 28 min on mandatory laparoscopic training courses, and 11 h and 19 min on laparoscopic procedures. Conclusion Serious gaming has not increased total voluntary training volume. Underground did not mitigate intrinsic and extrinsic barriers to voluntary training. Mandatory, scheduled training courses remain needed. Serious gaming is flexible and affordable and could be an important part of such training courses.
Introduction Most surgical departments have invested in creating simulation-based skills training facilities. This is caused by the need for residents to master an increasing number of highly complex surgical procedures which cannot be done in the & Wouter Martijn IJgosse [email protected] 1
Department of Surgery, Radboud Institute for Health Sciences, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, The Netherlands
2
Radboud University Medical Center, PO Box 9101 (960), 6500 HB Nijmegen, The Netherlands
operating room (OR) due to legal and ethical concerns regarding patient safety, resident workweek restrictions, and costs of OR time [1–3]. Laparoscopic simulators have been successfully validated and skills transfer to the operating room has been established [4–8]. The availability of validated laparoscopic simulators, however, has not resulted in sustainable, high-volume voluntary simulator training [9, 10]. This may be caused by intrinsic and/or extrinsic factors. Intrinsic (motivational) factors include perceived utility and whe
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