Operating Room Outcomes After Resident Training on a Virtual Reality Simulator

Study Overview
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Brief Summary
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The purpose of this study is to compare outcomes of patients undergoing laparoscopic cholecystectomy before and after a laparoscopic training curriculum was implemented.

Detailed Description
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All general surgery interns and PGY-2's AND PGY 3's will be enrolled in a laparoscopic surgery training curriculum that includes practicing surgical skills on a laparoscopic simulator. The PI has constructed an examination on the simulator that will document a significant level of laparoscopic skill. Each general surgery intern, second, AND THIRD year general surgery resident will be required to pass this examination on the simulator prior to being given more responsibility during cases of laparoscopic cholecystectomy. Specifically, interns, second, AND THIRD year residents must pass the examination on the simulator before they are allowed to function as primary surgeon in a supervised setting during laparoscopic cholecystectomy. These interns, PGY-2's, AND PGY 3'S would then be allowed to function as primary surgeon under the supervision of an attending surgery for laparoscopic cholecystectomy cases. The outcomes of these cases would be compared to a matched group of laparoscopic cholecystectomy cases performed by second year general surgery residents in the same supervised environment (but without having trained on the simulator) one year prior.

Official Title
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Operating Room Outcomes After Resident Training on a Virtual Reality Simulator

Conditions
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Gall Bladder Disease

Intervention / Treatment
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* Behavioral: laparoscopic training curriculum


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: General Surgery residents at NewYork Hospital/Columbia in PGY 1, 2, or 3. Exclusion Criteria: persons who are not General Surgery residents at NewYork Hospital/Columbia in PGY 1, 2, or 3.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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

Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Training<br>laparoscopic training curriculum: all general surgery interns and PGY-2-5's already participate in a surgery training curriculum that includes lectures, surgery, laparoscopic training, attending surgeons evaluating performance of residents at the end of surgical procedures, written tests, and skills tests. | Behavioral: laparoscopic training curriculum<br>* All general surgery interns and PGY-2-5's already participate in a surgery training curriculum that includes lectures, surgery, laparoscopic training, attending surgeons evaluating performance of residents at the end of surgical procedures, written tests, and skills tests.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Operative time |  | 1 year | 
| Prevalence of complications (such as bile duct injuries, bilomas, infections, bleeding) |  | 1 year | 
| Mortality rate |  | 30 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Average days of hospital stay |  | 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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laparoscopy, resident training, virtual reality, surgical education