Individualized Deliberate Practice on a Virtual Reality Simulator

NCT ID: NCT01753947

Last Updated: 2012-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2011-01-31

Brief Summary

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Training on simulated models in a surgical skills laboratory has been shown to improve technical performance in the operating room. Currently described simulation-based curricula consist of trainees practicing the same tasks until expert proficiency is reached. It has yet to be investigated whether individualized deliberate practice, where curricula tasks vary depending on prior levels of technical proficiency, would translate to the operating room.

This randomized controlled trial effectively demonstrates that deliberate practice on a virtual reality simulator results in an improvement in technical skills in a real clinical situation. This enhances the feasibility of implementing simulation-based curricula into residency training programs, and consequently has the potential to improve patient safety.

Detailed Description

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Conditions

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Education General Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

SINGLE

Participants

Study Groups

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Deliberate Practice

Residents in the deliberate practice group received individualized feedback at the end of the initial assessment case. The staff surgeon supervising the case completed 3 previously validated technical skills assessment forms.

Group Type EXPERIMENTAL

Deliberate Practice

Intervention Type OTHER

Conventional Feedback

Residents in the control group received informal feedback as they performed the initial laparoscopic cholecystectomy in the operating room. This was left up to the discretion of the staff surgeon supervising the operation. This corresponds to the routine teaching and feedback practices that occur during conventional surgical residency training

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Deliberate Practice

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* post graduate year 1 and 2 surgical residents
* performed less than 10 laparoscopic cholecystectomies as the primary surgeon

Exclusion Criteria

* n/a
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Royal College of Physicians and Surgeons of Canada

OTHER

Sponsor Role collaborator

Unity Health Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Toronto

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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Deliberate Practice

Identifier Type: -

Identifier Source: org_study_id