Available online 2 November 2022
Highlights•Simulated pre-operative warm-up improves technical skill and performance in trainees.
•Optimized surgical performance was achieved through a preparatory priming approach.
•Both generic and specific simulated modules were effective in improving performance.
ObjectiveThe aim of this study was to evaluate the impact of a surgical warm-up using a virtual reality simulator on operative performance.
DesignThis was a single-blinded cross-over randomized control trial in a single tertiary Orthopedic training center.
ParticipantsOrthopedic trainees were recruited, and each morning participants rostered to theatre were randomized to either undergo a simulated surgical procedure on a virtual reality simulation system prior to their first case as primary operator (priming arm), or to perform their usual preparatory routine for surgery (control arm). Consultant orthopedic trainers were recruited within the orthopedic unit to carry out subjective surgical performance assessments using a validated global rating scale tool on the first case the participant performed on the list as primary operator.
ResultsOver 3 study periods a total of 151 data points were collected, with 49 matched data points across priming status and procedural level of difficulty. Subjective assessment tools consistently demonstrated improved operative performance by participants following surgical priming (p = 0.001).
ConclusionThis study highlights that introduction of preoperative priming to improve operative preparation, and optimizes operative performance. This has not only implications for improved resident training, but also signals towards beneficial downstream effects on patient outcomes, and theatre list planning.
KEY WORDSWarm-up
Priming
Performance
Surgical training
COMPETENCIESPractice-Based Learning and Improvement
Systems-Based Practice
Professionalism
© 2022 The Author(s). Published by Elsevier Inc. on behalf of Association of Program Directors in Surgery.
留言 (0)