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Training in tasks with different visual-spatial components does not improve virtual arthroscopy performance

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Abstract

Background: We earlier showed that training in the Procedicus KSA Simulator improves the performance of tasks done later in the same simulator. However, it is still unclear how performance in a specific visual-spatial simulator context may change after training in other simulators with different visual-spatial components. In particular, the aim of this study was to test whether performance in the Procedicus Virtual Arthroscopy (VA) Knee Simulator would remain unchanged after a training session in three other simulators with different visual-spatial components. Methods: Twenty-eight medical students participated in a quasi-transfer study. They were randomly allocated to an experimental group (n = 14) and a control group (n = 14). Results: Performance in the Procedicus VA Knee Simulator did not improve after training in other simulators with different visual-spatial components (t-test p = NS). No significant correlation was found between the Procedicus VA Knee and the Minimally Invasive Surgical Trainer (MIST) simulators. Conclusion: One hour of training in different visual-spatial contexts was not enough to improve the performance in virtual arthroscopy tasks. It cannot be excluded, however, that experienced trainees could improve their performance, because perceived similarity between different situations is influenced by many psychological factors, such as the knowledge or expertise of the person performing the transfer task.

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Acknowledgements

We thank Lars Särnå, BSci, and Kai Mäkinen, BSci, of the Department of Biomedical Engineering, for their excellent technical assistance.

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Authors and Affiliations

  1. Divisions of Orthopaedics, Center for Surgical Sciences and Center for Advanced Medical Simulation, Karolinska Institute at Huddinge University Hospital, SE-141 86 Stockholm, Sweden

    P. Ström, T. Wredmark & L. Felländer-Tsai

  2. Division of Surgery, Center for Surgical Sciences and Center for Advanced Medical Simulation, Karolinska Institutet at Huddinge University Hospital, SE-141 86 Stockholm, Sweden

    A. Kjellin

  3. Department of Psychology, Umeå University, SE-901 87 Umeå, Sweden

    L. Hedman

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  1. P. Ström
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Correspondence to L. Felländer-Tsai.

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Ström, P., Kjellin, A., Hedman, L. et al. Training in tasks with different visual-spatial components does not improve virtual arthroscopy performance. Surg Endosc 18, 115–120 (2004). https://doi.org/10.1007/s00464-003-9023-y

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