Abstract
Background
Gaming is a growing industry, having met an exponential growth amid the pandemic context. Video games improve the allocation and speed of attention and provide better spatial orientation in visual processing. These same qualities are sought after in GI endoscopists. This study aimed to investigate whether individuals with a gaming history have superior fine motor and visual skills on a virtual reality (VR) endoscopy simulator and if gaming consoles could be added as a proficiency tool in acquiring endoscopic skills.
Methods
Firstly, subjects’ baseline psychomotor skills and hand–eye coordination were tested using a VR simulator. Secondly, subjects were assigned to either group C and asked to refrain from any gaming for 14 days, or group T, who were asked to play on a console for 14 days. All subjects were then retested.
Results
81 students were included in the study. Baseline VR simulator testing showed better scores in those with a higher number of previous gaming hours (0 h—1598, 0 to 30 h—1970, 30 to 50 h—2150, 50 to 100 h—2395, > 100 h—2519; p < 0.05), with males outperforming females (p < 0.01). After spending an average of 19 h gaming, all parameters showed noteworthy improvement for those in group T (p < 0.01). No improvement was seen in group C.
Conclusions
Subjects who engage in console gaming have superior psychomotor skills and perform better on VR simulators. Approximately 20 h of console gaming can improve one’s simulator skills. With consoles being accessible, entertaining, and cheap, they could be used as an additional training platform for GI endoscopy residents.
Similar content being viewed by others
References
ASGE Technology Committee, Adler DG, Bakis G, Coyle WJ, DeGregorio B, Dua KS, Lee LS, McHenry L Jr, Pais SA, Rajan E, Sedlack RE, Shami VM, Faulx AL (2012) Principles of training in GI endoscopy. Gastrointest Endosc. 75(2):231–5
ASGE Technology Committee, Goodman AJ, Melson J, Aslanian HR, Bhutani MS, Krishnan K, Lichtenstein DR, Navaneethan U, Pannala R, Parsi MA, Schulman AR, Sethi A, Sullivan SA, Thosani N, Trikudanathan G, Trindade AJ, Watson RR, Maple JT (2019) Endoscopic simulators. Gastrointest Endosc. 90(1):1–12
Triantafyllou K (2014) Virtual reality simulators for gastrointestinal endoscopy training. World J Gastrointest Endosc 6:6
Granic I, Lobel A, Engels RCME (2014) The benefits of playing video games. Am Psychol 69:66–78
Bavelier D, Achtman RL, Mani M, Föcker J (2012) Neural bases of selective attention in action video game players. Vision Res 61:132–143
Wai J, Lubinski D, Benbow CP, Steiger JH (2010) Accomplishment in Science, Technology, Engineering, and Mathematics (STEM) and Its Relation to STEM Educational Dose: A 25-Year Longitudinal Study. J Educ Psychol 102:860–871
Buzink SN, Koch AD, Heemskerk J, Botden SM, Goossens RH, de Ridder H, Schoon EJ, Jakimowicz JJ (2007) Acquiring basic endoscopy skills by training on the GI Mentor II. Surg Endosc 21(11):1996–2003
Koch AD, Ekkelenkamp VE, Haringsma J, Schoon EJ, De Man RA, Kuipers EJ (2015) Simulated colonoscopy training leads to improved performance during patient-based assessment. Gastrointest Endosc 81:630–636
Grantcharov TP, Carstensen L, Schulze S (2005) Objective assessment of gastrointestinal endoscopy skills using a virtual reality simulator. JSLS J Soc Laparoendosc Surg 9:130–133
Ekkelenkamp VE, Koch AD, De Man RA, Kuipers EJ (2016) Training and competence assessment in GI endoscopy: a systematic review. Gut 65:607–615
Khan R, Plahouras J, Johnston BC, Scaffidi MA, Grover SC, Walsh CM (2019) Virtual reality simulation training in endoscopy: a Cochrane review and meta-analysis. Endoscopy 51:653–664
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):714–7
Harrington CM, Chaitanya V, Dicker P, Traynor O, Kavanagh DO (2018) Playing to your skills: a randomised controlled trial evaluating a dedicated video game for minimally invasive surgery. Surg Endosc 32:3813–3821
Van Dongen KW, Verleisdonk E-JJMM, Schijven MP, Broeders IAMJ (2011) Will the playstation generation become better endoscopic surgeons? Surg Endosc 25:2275–80
Badurdeen S, Abdul-Samad O, Story G, Wilson C, Down S, Harris A (2010) Nintendo Wii video-gaming ability predicts laparoscopic skill. Surg Endosc 24:1824–1828
Paschold M, Schröder M, Kauff DW, Gorbauch T, Herzer M, Lang H, Kneist W (2011) Virtual reality laparoscopy: which potential trainee starts with a higher proficiency level? Int J Comput Assist Radiol Surg 6(5):653–662
Glassman D, Yiasemidou M, Ishii H, Somani BK, Ahmed K, Biyani CS (2016) Effect of playing video games on laparoscopic skills performance: a systematic review. J Endourol 30:146–152
Kulkarni S, Kulkarni Y, Bates-Powell J, Kulkarni MS, Sule M (2020) Evaluation of the console in acquiring laparoscopic skills through video gaming. J Minim Invas Gynecol 27:875–882
Funding
No funding was received for this study.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by RG and CT. The first draft of the manuscript was written by CT and PF and all authors commented on previous versions of the manuscript. MT provided the necessary conditions for the study. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Disclosures
Drs Radu Gugura, Petra Fischer, Marcel Tanțău and Cristian Tefas have no conflicts of interest or financial ties to disclose.
Consent for publication
All authors consent for the publication of this study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
464_2023_10167_MOESM1_ESM.jpg
Picture showing one of the Simbionix VR simulators available in our department, with a participant training on the Endobubble level 1 module. Electronic supplementary material 1 (JPG 188 kb)
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Gugura, R., Fischer, P., Tanțău, M. et al. Just five more minutes, mom: why video games could make you a better endoscopist. Surg Endosc 37, 6901–6907 (2023). https://doi.org/10.1007/s00464-023-10167-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-023-10167-x