This abstract profiles the comparison of correlations between previously validated Super Monkey Ball (SMB) and recently introduced Underground (U) video game on the Nintendo Wii U to multiple validated tasks used for developing basic and advanced laparoscopic skills.
Sixty-eight participants, 53 residents and 15 attending surgeons, performed the Top Gun Pea Drop, FLS Peg Pass, intracorporeal suturing, and two video games (SMB and U). SMB is an over-the-counter game, and U was formulated for laparoscopic skill training.
Spearman’s rank correlations were performed looking at performance comparing the three validated laparoscopic training tasks, and SMB/U. The SMB score had a moderate correlation with intracorporeal suturing (ρ = 0.39, p < 0.01), and the final score involving all three tasks (ρ = 0.39, p < 0.01), but low correlations with Pea Drop Drill and FLS Peg Transfer (ρ = 0.11, 0.18, p < 0.01). The U score had a small correlation with intracorporeal suturing and final score (ρ = 0.09, 0.13, p < 0.01). However, there were correlations between U score and Pea Drop Drill, and FLS Peg Transfer (ρ = 0.24, 0.27, p < 0.01, respectively).
In this study, SMB had a very significant correlation with intracorporeal suturing. U demonstrated more of a correlation with basic skills. At this point, our conclusion would be that both are effective for laparoscopic skill training, and they should be used in tandem rather than alone.
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CoGM E. Physician Workforce Policy Guidelines for the U.S. for 2000–2020. U.S. Department of Health and Human Services. 2005
Lynge DC, Larson EH, Thompson MJ, Rosenblatt RA, Hart LG (2008) A longitudinal analysis of the general surgery workforce in the United States, 1981–2005. Archives of surgery (Chicago, Ill.:1960) 143(4):345–350 (discussion 351)
AAMC. Center for Workforce Studies, June 2010 Analysis. 2010
Iglehart JK (2013) The residency mismatch. N Engl J Med 369(4):297–299
Program NRM. Results and Data: 2014 Main Residency Match. 2014. http://www.nrmp.org/wp-content/uploads/2014/04/Main-Match-Results-and-Data-2014.pdf
Fonseca AL, Reddy V, Longo WE, Gusberg RJ (2014) Graduating general surgery resident operative confidence: perspective from a national survey. J Surg Res 190(2):419–428
Kothari SN, Ponce J (2014) Issues with “issues in general surgery residency training-2012”. Ann Surg 261(4):e113. doi:10.1097/SLA.0000000000000501
Shetty S, Zevin B, Grantcharov TP, Roberts KE, Duffy AJ (2014) Perceptions, training experiences, and preferences of surgical residents toward laparoscopic simulation training: a resident survey. J Surg Educ 71(5):727–733
Jalink MB, Goris J, Heineman E, Pierie JP, ten Cate Hoedemaker HO (2014) The effects of video games on laparoscopic simulator skills. Am J Surg 208(1):151–156
Rosser JC Jr, Lynch PJ, Cuddihy L, Gentile DA, Klonsky J, Merrell R (2007) The impact of video games on training surgeons in the 21st century. Arch Surg (Chicago, Ill.:1960) 142(2):181–186 (discussion 186)
Badurdeen S, Abdul-Samad O, Story G, Wilson C, Down S, Harris A (2010) Nintendo Wii video-gaming ability predicts laparoscopic skill. Surg Endosc 24(8):1824–1828
Schlickum MK, Hedman L, Enochsson L, Kjellin A, Fellander-Tsai L (2009) Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study. World J Surg 33(11):2360–2367
Rosser JC Jr, Gentile DA, Hanigan K, Danner OK (2012) The effect of video game “warm-up” on performance of laparoscopic surgery tasks. JSLS J Soc Laparoendosc Surg/Soc Laparoendosc Surg 16(1):3–9
Plerhoples TA, Zak Y, Hernandez-Boussard T, Lau J (2011) Another use of the mobile device: warm-up for laparoscopic surgery. J Surg Res 170(2):185–188
Boyle E, Kennedy AM, Traynor O, Hill AD (2011) Training surgical skills using nonsurgical tasks—Can Nintendo Wii improve surgical performance? J Surg Educ 68(2):148–154
Bokhari R, Bollman-McGregor J, Kahoi K, Smith M, Feinstein A, Ferrara J (2010) Design, development, and validation of a take-home simulator for fundamental laparoscopic skills: using Nintendo Wii for surgical training. Am Surg 76(6):583–586
Adams BJ, Margaron F, Kaplan BJ (2012) Comparing video games and laparoscopic simulators in the development of laparoscopic skills in surgical residents. J Surg Educ 69(6):714–717
Schlickum MK, Hedman L, Enochsson L, Kjellin A, Fellander-Tsai L (2008) Transfer of systematic computer game training in surgical novices on performance in virtual reality image guided surgical simulators. Stud Health Technol Inform 132:210–215
Sadandanan SDV, Sosnowski JP (2008) Video games and laparoscopic surgery. J Gynecol Surg 24:67–73
Goris J, Jalink MB, ten Cate Hoedemaker HO (2014) Training basic laparoscopic skills using a custom-made video game. Perspect Med Educ 3(4):314–318
Jalink MB, Goris J, Heineman E, Pierie JP, ten Cate Hoedemaker HO (2015) Face validity of a Wii U video game for training basic laparoscopic skills. Am J Surg 209(6):1102–1106
Jalink MB, Heineman E, Pierie JP, ten Cate Hoedemaker HO (2015) The effect of a preoperative warm-up with a custom-made Nintendo video game on the performance of laparoscopic surgeons. Surg Endosc 29(8):2284–2290
Cooper MA, Hutfless S, Segev DL, Ibrahim A, Lyu H, Makary MA (2014) Hospital level under-utilization of minimally invasive surgery in the United States: retrospective review. BMJ (Clin Res Ed) 349:g4198
Fader AN, Weise RM, Sinno AK et al (2016) Utilization of minimally invasive surgery in endometrial cancer care: a quality and cost disparity. Obstet Gynecol 127(1):91–100
Ghaderi I, Vaillancourt M, Sroka G et al (2011) Performance of simulated laparoscopic incisional hernia repair correlates with operating room performance. Am J Surg 201(1):40–45
Palter VN, Grantcharov TP (2012) Development and validation of a comprehensive curriculum to teach an advanced minimally invasive procedure: a randomized controlled trial. Ann Surg 256(1):25–32
James C. Rosser Jr., Xinwei Liu, Charles Jacobs, Katherine Mia Choi, Maarten B. Jalink, and Henk O. ten Cate Hoedemaker have no conflicts of interest or financial ties to disclose.
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Rosser, J.C., Liu, X., Jacobs, C. et al. Impact of Super Monkey Ball and Underground video games on basic and advanced laparoscopic skill training. Surg Endosc 31, 1544–1549 (2017). https://doi.org/10.1007/s00464-016-5059-7