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Competency Assessment in Virtual Reality-Based Simulation in Neurosurgical Training

Part of the Comprehensive Healthcare Simulation book series (CHS)

Abstract

As the development of virtual reality (VR) and simulation technologies have progressed, so has their incorporation into graduate medical education, especially within surgical specialties. The attention on duty-hour restrictions, the emphasis on patient safety, as well as the advancement of complex surgical techniques, all contribute to the increasing use and utility of virtual reality simulation in neurosurgical training. Additionally, residency programs have sought quantitative measures of competency to achieve the ACGME milestones, and simulation software generally provides detailed proficiency and performance reports for the user, which could be implemented as an evaluative tool throughout training. This brief chapter will overview developments in virtual reality simulation within neurosurgery and their competency-directed use in graduate medical education. Other chapters within this textbook will review specific technologies in more detail.

Keywords

  • Virtual reality
  • Virtual reality simulation
  • Neurosurgery
  • Patient safety

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References

  1. Carter FJ, Schijven MP, Aggarwal R, Grantcharov T, Francis NK, Hanna GB, Jakimowicz JJ. Consensus guidelines for validation of virtual reality surgical simulators. Simul Healthc. 2006;1(3):171–9.

    CAS  CrossRef  PubMed  Google Scholar 

  2. Lim S, Parsa AT, Kim BD, Rosenow JM, Kim JY. Impact of resident involvement in neurosurgery: an analysis of 8748 patients from the 2011 American College of Surgeons National Surgical Quality Improvement Program database. J Neurosurg. 2015;122(4):962–70.

    CrossRef  PubMed  Google Scholar 

  3. Kim DH, Dacey RG, Zipfel GJ, Berger MS, McDermott M, Barbaro NM, Shapiro SA, Solomon RA, Harbaugh R, Day AL. Neurosurgical education in a changing healthcare and regulatory environment: a consensus statement from 6 programs. Neurosurgery. 2017;80(4S):S75–82.

    CrossRef  PubMed  Google Scholar 

  4. Konakondla S, Fong R, Schirmer CM. Simulation training in neurosurgery: advances in education and practice. Adv Med Educ Pract. 2017;8:465–73.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  5. Harrop J, Lobel DA, Bendok B, Sharan A, Rezai AR. Developing a neurosurgical simulation-based educational curriculum: an overview. Neurosurgery. 2013;73(Suppl 1):25–9.

    CrossRef  PubMed  Google Scholar 

  6. Ray WZ, Ganju A, Harrop JS, Hoh DJ. Developing an anterior cervical diskectomy and fusion simulator for neurosurgical resident training. Neurosurgery. 2013;73(Suppl 1):100–6.

    CrossRef  PubMed  Google Scholar 

  7. Harrop J, Rezai AR, Hoh DJ, Ghobrial GM, Sharan A. Neurosurgical training with a novel cervical spine simulator: posterior foraminotomy and laminectomy. Neurosurgery. 2013;73(Suppl 1):94–9.

    CrossRef  PubMed  Google Scholar 

  8. Ghobrial GM, Anderson PA, Chitale R, Campbell PG, Lobel DA, Harrop J. Simulated spinal cerebrospinal fluid leak repair: an educational model with didactic and technical components. Neurosurgery. 2013;73(Suppl 1):111–5.

    CrossRef  PubMed  Google Scholar 

  9. Ghobrial GM, Balsara K, Maulucci CM, Resnick DK, Selden NR, Sharan AD, Harrop JS. Simulation training curricula for neurosurgical residents: cervical foraminotomy and durotomy repair modules. World Neurosurg. 2015;84(3):751-5.e1–7.

    CrossRef  Google Scholar 

  10. Fargen KM, Arthur AS, Bendok BR, Levy EI, Ringer A, Siddiqui AH, Veznedaroglu E, Mocco J. Experience with a simulator-based angiography course for neurosurgical residents: beyond a pilot program. Neurosurgery. 2013;73(Suppl 1):46–50.

    CrossRef  PubMed  Google Scholar 

  11. Spiotta AM, Rasmussen PA, Masaryk TJ, Benzel EC, Schlenk R. Simulated diagnostic cerebral angiography in neurosurgical training: a pilot program. J Neurointerv Surg. 2013;5(4):376–81.

    CrossRef  PubMed  Google Scholar 

  12. Saratzis A, Calderbank T, Sidloff D, Bown MJ, Davies RS. Role of simulation in endovascular aneurysm repair (EVAR) training: a preliminary study. Eur J Vasc Endovasc Surg. 2017;53(2):193–8.

    CAS  CrossRef  PubMed  Google Scholar 

  13. Gosling AF, Kendrick DE, Kim AH, Nagavalli A, Kimball ES, Liu NT, Kashyap VS, Wang JC. Simulation of carotid artery stenting reduces training procedure and fluoroscopy times. J Vasc Surg. 2017;66(1):298–306.

    CrossRef  PubMed  Google Scholar 

  14. Pannell JS, Santiago-Dieppa DR, Wali AR, Hirshman BR, Steinberg JA, Cheung VJ, Oveisi D, Hallstrom J, Khalessi AA. Simulator-based angiography and endovascular neurosurgery curriculum: a longitudinal evaluation of performance following simulator-based angiography training. Cureus. 2016;8(8):e756.

    PubMed  PubMed Central  Google Scholar 

  15. Schirmer CM, Elder JB, Roitberg B, Lobel DA. Virtual reality-based simulation training for ventriculostomy: an evidence-based approach. Neurosurgery. 2013;73(Suppl 1):66–73.

    CrossRef  PubMed  Google Scholar 

  16. Lobel DA, Elder JB, Schirmer CM, Bowyer MW, Rezai AR. A novel craniotomy simulator provides a validated method to enhance education in the management of traumatic brain injury. Neurosurgery. 2013;73(Suppl 1):57–65.

    CrossRef  PubMed  Google Scholar 

  17. Yudkowsky R, Luciano C, Banerjee P, Schwartz A, Alaraj A, Lemole GM Jr, Charbel F, Smith K, Rizzi S, Byrne R, Bendok B, Frim D. Practice on an augmented reality/haptic simulator and library of virtual brains improves residents’ ability to perform a ventriculostomy. Simul Healthc. 2013;8(1):25–31.

    CrossRef  PubMed  Google Scholar 

  18. Hooten KG, Lister JR, Lombard G, Lizdas DE, Lampotang S, Rajon DA, Bova F, Murad GJ. Mixed reality ventriculostomy simulation: experience in neurosurgical residency. Neurosurgery. 2014;10(Suppl 4):576–81; discussion 581.

    CrossRef  PubMed  Google Scholar 

  19. Alaraj A, Luciano CJ, Bailey DP, Elsenousi A, Roitberg BZ, Bernardo A, Banerjee PP, Charbel FT. Virtual reality cerebral aneurysm clipping simulation with real-time haptic feedback. Neurosurgery. 2015;11(Suppl 2):52–8.

    PubMed  Google Scholar 

  20. Rosseau G, Bailes J, del Maestro R, Cabral A, Choudhury N, Comas O, Debergue P, De Luca G, Hovdebo J, Jiang D, Laroche D, Neubauer A, Pazos V, Thibault F, Diraddo R. The development of a virtual simulator for training neurosurgeons to perform and perfect endoscopic endonasal transsphenoidal surgery. Neurosurgery. 2013;73(Suppl 1):85–93.

    CrossRef  PubMed  Google Scholar 

  21. Thawani JP, Ramayya AG, Abdullah KG, Hudgins E, Vaughan K, Piazza M, Madsen PJ, Buch V, Sean Grady M. Resident simulation training in endoscopic endonasal surgery utilizing haptic feedback technology. J Clin Neurosci. 2016;34:112–6.

    CrossRef  PubMed  Google Scholar 

  22. Gélinas-Phaneuf N, Choudhury N, Al-Habib AR, Cabral A, Nadeau E, Mora V, Pazos V, Debergue P, DiRaddo R, Del Maestro RF. Assessing performance in brain tumor resection using a novel virtual reality simulator. Int J Comput Assist Radiol Surg. 2014;9(1):1–9.

    CrossRef  PubMed  Google Scholar 

  23. Alotaibi FE, AlZhrani GA, Mullah MA, Sabbagh AJ, Azarnoush H, Winkler-Schwartz A, Del Maestro RF. Assessing bimanual performance in brain tumor resection with NeuroTouch, a virtual reality simulator. Neurosurgery. 2015;11(Suppl 2):89–98; discussion 98.

    Google Scholar 

  24. Azarnoush H, Alzhrani G, Winkler-Schwartz A, Alotaibi F, Gelinas-Phaneuf N, Pazos V, Choudhury N, Fares J, DiRaddo R, Del Maestro RF. Neurosurgical virtual reality simulation metrics to assess psychomotor skills during brain tumor resection. Int J Comput Assist Radiol Surg. 2015;10(5):603–18.

    CrossRef  PubMed  Google Scholar 

  25. Choudhury N, Gélinas-Phaneuf N, Delorme S, Del Maestro R. Fundamentals of neurosurgery: virtual reality tasks for training and evaluation of technical skills. World Neurosurg. 2013;80(5):e9–19.

    CrossRef  PubMed  Google Scholar 

  26. Alotaibi FE, AlZhrani GA, Sabbagh AJ, Azarnoush H, Winkler-Schwartz A, Del Maestro RF. Neurosurgical assessment of metrics including judgment and dexterity using the virtual reality simulator NeuroTouch (NAJD Metrics). Surg Innov. 2015;22(6):636–42.

    CrossRef  PubMed  Google Scholar 

  27. AlZhrani G, Alotaibi F, Azarnoush H, Winkler-Schwartz A, Sabbagh A, Bajunaid K, Lajoie SP, Del Maestro RF. Proficiency performance benchmarks for removal of simulated brain tumors using a virtual reality simulator NeuroTouch. J Surg Educ. 2015;72(4):685–96.

    CrossRef  PubMed  Google Scholar 

  28. Shakur SF, Luciano CJ, Kania P, Roitberg BZ, Banerjee PP, Slavin KV, Sorenson J, Charbel FT, Alaraj A. Usefulness of a virtual reality percutaneous trigeminal rhizotomy simulator in neurosurgical training. Neurosurgery. 2015;11(Suppl 3):420–5; discussion 425.

    CrossRef  PubMed  Google Scholar 

  29. Weisz G, Smilowitz NR, Parise H, Devaud J, Moussa I, Ramee S, Reisman M, White CJ, Gray WA. Objective simulator-based evaluation of carotid artery stenting proficiency (from assessment of operator performance by the carotid stenting simulator study [ASSESS]). Am J Cardiol. 2013;112(2):299–306.

    CrossRef  PubMed  Google Scholar 

  30. Gasco J, Holbrook TJ, Patel A, Smith A, Paulson D, Muns A, Desai S, Moisi M, Kuo YF, Macdonald B, Ortega-Barnett J, Patterson JT. Neurosurgery simulation in residency training: feasibility, cost, and educational benefit. Neurosurgery. 2013;73(Suppl 1):39–45.

    CrossRef  PubMed  Google Scholar 

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Correspondence to Ali Alaraj .

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McGuire, L.S., Alaraj, A. (2018). Competency Assessment in Virtual Reality-Based Simulation in Neurosurgical Training. In: Alaraj, A. (eds) Comprehensive Healthcare Simulation: Neurosurgery. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-319-75583-0_12

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  • DOI: https://doi.org/10.1007/978-3-319-75583-0_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-75582-3

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