Traditional Versus Virtual Reality for Surgical Skills for ObGyn Residents

Study Overview
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Brief Summary
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This study will verify if a comprehensive laparoscopic curriculum using virtual reality demonstrates skills transfer to the operating room, compared to the traditional teaching method.

Detailed Description
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Second-year residents from different programs of residency in obstetrics and gynecology in Porto Alegre, RS, Brazil, will be invited to participate in this study. they will be randomized to receive a comprehensive training in laparoscopy using modern virtual reality program or the traditional method of training according to their residency program. After 12 weeks of training, they will finish their training and they will perform advanced laparoscopic surgery in the simulator according to their specific needs, for example, salpingectomy, oophorectomy advanced laparoscopic suture or hysterectomy. Data generated from the simulator program will be compared between groups.

Official Title
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Comparison Between Exclusive Surgical Training Versus Virtual Reality Plus Traditional Training in Surgical Skills of Residents of Obstetrics and Gynecology

Conditions
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Gynecologic Disease

Intervention / Treatment
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* Behavioral: Conventional training
* Behavioral: Virtual Reality+conventional training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: residents in obstetrics and gynecology that are about to finish their second-year program Exclusion Criteria: refuse to participate

Ages Eligible for Study
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Minimum Age: 24 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Two groups will be compared according to their surgical skills.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Conventional training<br>Residents will receive the traditional training for laparoscopic surgery according to their residency program. | Behavioral: Conventional training<br>* traditional training according to residency program<br>|
| Experimental: Virtual Reality+conventional training<br>Residents will receive 12 weeks of virtual training for laparoscopy and their traditional training for laparoscopic surgery according to their residency program. | Behavioral: Virtual Reality+conventional training<br>* virtual reality training+traditional training using virtual reality<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Efficiency of technical skills (%) | The software analyzes the percentage of time the needle-holders' ends are kept outside the operative field (%); total number of entrance and exit points through which the needle has passed; total aggressive tissue handling; total amount of strain applied to tissue during needle passages; total needle loading time; total number of completed knots; total number of needle loadings; total number of needle passages; total number of stitches; total time the needle-holders' ends are kept outside the predefined operative field; total time to accomplish the suture; Total time to form a knot. For salpingectomy: efficiency of cautery (%); number of non-cauterized bleeding; number of serious complications: possible damage to vital structures; safe cautery (%); the time cautery is applied without appropriate contact with adhesions; total number of applied clips. | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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competency-based education, gynecology, laparoscopy, resident education, simulation, surgical curriculum