The purpose of this study is to investigate the effect of virtual simulation training on mastoidectomy dissection performance of otorhinolaryngology trainees, to explore performance assessment using a final-product analysis approach and to explore the role of cognitive load.
Traditional dissection training in temporal bone surgery is not evidence-based yet gold standard. In the recent years the Visible Ear Simulator has been used as an introduction to mastoidectomy in the Danish temporal bone course curriculum before letting the participants move on to dissection training in order to maximize the yield from the dissection training. Instructors have the impression that participants perform better in dissection after the simulator training session has been introduced. Our pilot study suggests that participants perform better in the simulator compared to traditional dissection training. This could be due to a reduction of the cognitive load in the virtual simulator. These observations lead to the hypothesis that virtual simulation training of mastoidectomy provides an effect that improves performance in traditional dissection training.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
SINGLE
Enrollment
40
Virtual simulation training in the Visible Ear Simulator.
Rigshospitalet
Copenhagen, Denmark
Change in Final Product Assessment Score
Mastoidectomy final product assessment score using a modified Welling Scale for performance assessment
Time frame: 3 hours
Change in simulator metrics
Integrated simulator metrics including volume drilled (inside+outside target volumes), collisions with vital structures in simulation and time.
Time frame: 3 hours
Change in reaction time
Reaction time to a visual or auditory cue (in ms)
Time frame: 3 hours
Simulation experience
Background data from a questionnaire including questions on prior simulation training and experience
Time frame: At recruitment
Demographics
Background data from a questionnaire on participant demographics.
Time frame: At recruitment
Computer skills
Background data from a questionnaire on experience and interests in computers and IT
Time frame: At recruitment
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