Mapping the plateau of novices in virtual reality simulation training of mastoidectomy
Objectives/Hypothesis To explore why novices' performance plateau in directed, self‐regulated virtual reality (VR) simulation training and how performance can be improved. Study Design Prospective study. Methods Data on the performances of 40 novices who had completed repeated, directed, self‐r...
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| Veröffentlicht in: | The Laryngoscope 2017-04, Vol.127 (4), p.907-914 |
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| container_title | The Laryngoscope |
| container_volume | 127 |
| creator | Andersen, Steven A. W. Konge, Lars Mikkelsen, Peter Trier Cayé‐Thomasen, Per Sørensen, Mads Sølvsten |
| description | Objectives/Hypothesis
To explore why novices' performance plateau in directed, self‐regulated virtual reality (VR) simulation training and how performance can be improved.
Study Design
Prospective study.
Methods
Data on the performances of 40 novices who had completed repeated, directed, self‐regulated VR simulation training of mastoidectomy were included. Data were analyzed to identify key areas of difficulty as well as the procedures terminated without using all the time allowed.
Results
Novices had difficulty in avoiding drilling holes in the outer anatomical boundaries of the mastoidectomy and frequently made injuries to vital structures such as the lateral semicircular canal, the ossicles, and the facial nerve. The simulator‐integrated tutor function improved performance on many of these items, but overreliance on tutoring was observed. Novices also demonstrated poor self‐assessment skills and often did not make use of the allowed time, lacking knowledge on when to stop or how to excel.
Conclusion
Directed, self‐regulated VR simulation training of mastoidectomy needs a strong instructional design with specific process goals to support deliberate practice because cognitive effort is needed for novices to improve beyond an initial plateau.
Level of Evidence
N/A. Laryngoscope, 127:907–914, 2017 |
| doi_str_mv | 10.1002/lary.26000 |
| format | Article |
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To explore why novices' performance plateau in directed, self‐regulated virtual reality (VR) simulation training and how performance can be improved.
Study Design
Prospective study.
Methods
Data on the performances of 40 novices who had completed repeated, directed, self‐regulated VR simulation training of mastoidectomy were included. Data were analyzed to identify key areas of difficulty as well as the procedures terminated without using all the time allowed.
Results
Novices had difficulty in avoiding drilling holes in the outer anatomical boundaries of the mastoidectomy and frequently made injuries to vital structures such as the lateral semicircular canal, the ossicles, and the facial nerve. The simulator‐integrated tutor function improved performance on many of these items, but overreliance on tutoring was observed. Novices also demonstrated poor self‐assessment skills and often did not make use of the allowed time, lacking knowledge on when to stop or how to excel.
Conclusion
Directed, self‐regulated VR simulation training of mastoidectomy needs a strong instructional design with specific process goals to support deliberate practice because cognitive effort is needed for novices to improve beyond an initial plateau.
Level of Evidence
N/A. Laryngoscope, 127:907–914, 2017</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.26000</identifier><identifier>PMID: 27075936</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Analysis of Variance ; Chi-Square Distribution ; Clinical Competence ; Cohort Studies ; Computer Simulation ; directed self‐regulated learning ; Education, Medical, Graduate - methods ; Female ; Humans ; Internship and Residency ; Learning Curve ; Male ; Mastoid - surgery ; Military training ; Otolaryngology - education ; Prospective Studies ; Self-Assessment ; Simulation ; Simulation Training - methods ; surgical training ; temporal bone surgery ; User-Computer Interface ; Virtual reality ; Virtual reality simulation</subject><ispartof>The Laryngoscope, 2017-04, Vol.127 (4), p.907-914</ispartof><rights>2016 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2017 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3220-45b10510a78462b70510d380a0fd2a68af870c81bac3c4595accf68683c4afdd3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.26000$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.26000$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27075936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Andersen, Steven A. W.</creatorcontrib><creatorcontrib>Konge, Lars</creatorcontrib><creatorcontrib>Mikkelsen, Peter Trier</creatorcontrib><creatorcontrib>Cayé‐Thomasen, Per</creatorcontrib><creatorcontrib>Sørensen, Mads Sølvsten</creatorcontrib><title>Mapping the plateau of novices in virtual reality simulation training of mastoidectomy</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis
To explore why novices' performance plateau in directed, self‐regulated virtual reality (VR) simulation training and how performance can be improved.
Study Design
Prospective study.
Methods
Data on the performances of 40 novices who had completed repeated, directed, self‐regulated VR simulation training of mastoidectomy were included. Data were analyzed to identify key areas of difficulty as well as the procedures terminated without using all the time allowed.
Results
Novices had difficulty in avoiding drilling holes in the outer anatomical boundaries of the mastoidectomy and frequently made injuries to vital structures such as the lateral semicircular canal, the ossicles, and the facial nerve. The simulator‐integrated tutor function improved performance on many of these items, but overreliance on tutoring was observed. Novices also demonstrated poor self‐assessment skills and often did not make use of the allowed time, lacking knowledge on when to stop or how to excel.
Conclusion
Directed, self‐regulated VR simulation training of mastoidectomy needs a strong instructional design with specific process goals to support deliberate practice because cognitive effort is needed for novices to improve beyond an initial plateau.
Level of Evidence
N/A. Laryngoscope, 127:907–914, 2017</description><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Chi-Square Distribution</subject><subject>Clinical Competence</subject><subject>Cohort Studies</subject><subject>Computer Simulation</subject><subject>directed self‐regulated learning</subject><subject>Education, Medical, Graduate - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Learning Curve</subject><subject>Male</subject><subject>Mastoid - surgery</subject><subject>Military training</subject><subject>Otolaryngology - education</subject><subject>Prospective Studies</subject><subject>Self-Assessment</subject><subject>Simulation</subject><subject>Simulation Training - methods</subject><subject>surgical training</subject><subject>temporal bone surgery</subject><subject>User-Computer Interface</subject><subject>Virtual reality</subject><subject>Virtual reality simulation</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0UtLAzEQAOAgitbHxR8gAS9etk6SJps9luILKoKo6GmZZrMayT7c7Fb67021evCUCfPNMMwQcsxgzAD4ucduNeYKALbIiEnBkkmWyW0yikmRaMmf98h-CO8ALBUSdskeTyGVmVAj8nSLbevqV9q_Wdp67C0OtClp3SydsYG6mi5d1w_oaWfRu35Fg6uGCF1T075DV6-rY0WFoW9cYU3fVKtDslOiD_Zo8x6Qx8uLh9l1Mr-7uplN54kRnEMykQsGkgGmeqL4Il3HhdCAUBYclcZSp2A0W6ARZiIzicaUSisdf1gWhTggZz992675GGzo88oFY73H2jZDyJnmSqk0y9JIT__R92bo6jhdVBqU0JnOojrZqGFR2SJvO1fF9ea_G4uA_YBP5-3qL88gX98i9994fYt8Pr1_-Y7EF2Z2fD8</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Andersen, Steven A. W.</creator><creator>Konge, Lars</creator><creator>Mikkelsen, Peter Trier</creator><creator>Cayé‐Thomasen, Per</creator><creator>Sørensen, Mads Sølvsten</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Mapping the plateau of novices in virtual reality simulation training of mastoidectomy</title><author>Andersen, Steven A. W. ; Konge, Lars ; Mikkelsen, Peter Trier ; Cayé‐Thomasen, Per ; Sørensen, Mads Sølvsten</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3220-45b10510a78462b70510d380a0fd2a68af870c81bac3c4595accf68683c4afdd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Chi-Square Distribution</topic><topic>Clinical Competence</topic><topic>Cohort Studies</topic><topic>Computer Simulation</topic><topic>directed self‐regulated learning</topic><topic>Education, Medical, Graduate - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Learning Curve</topic><topic>Male</topic><topic>Mastoid - surgery</topic><topic>Military training</topic><topic>Otolaryngology - education</topic><topic>Prospective Studies</topic><topic>Self-Assessment</topic><topic>Simulation</topic><topic>Simulation Training - methods</topic><topic>surgical training</topic><topic>temporal bone surgery</topic><topic>User-Computer Interface</topic><topic>Virtual reality</topic><topic>Virtual reality simulation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andersen, Steven A. W.</creatorcontrib><creatorcontrib>Konge, Lars</creatorcontrib><creatorcontrib>Mikkelsen, Peter Trier</creatorcontrib><creatorcontrib>Cayé‐Thomasen, Per</creatorcontrib><creatorcontrib>Sørensen, Mads Sølvsten</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andersen, Steven A. W.</au><au>Konge, Lars</au><au>Mikkelsen, Peter Trier</au><au>Cayé‐Thomasen, Per</au><au>Sørensen, Mads Sølvsten</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mapping the plateau of novices in virtual reality simulation training of mastoidectomy</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2017-04</date><risdate>2017</risdate><volume>127</volume><issue>4</issue><spage>907</spage><epage>914</epage><pages>907-914</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
To explore why novices' performance plateau in directed, self‐regulated virtual reality (VR) simulation training and how performance can be improved.
Study Design
Prospective study.
Methods
Data on the performances of 40 novices who had completed repeated, directed, self‐regulated VR simulation training of mastoidectomy were included. Data were analyzed to identify key areas of difficulty as well as the procedures terminated without using all the time allowed.
Results
Novices had difficulty in avoiding drilling holes in the outer anatomical boundaries of the mastoidectomy and frequently made injuries to vital structures such as the lateral semicircular canal, the ossicles, and the facial nerve. The simulator‐integrated tutor function improved performance on many of these items, but overreliance on tutoring was observed. Novices also demonstrated poor self‐assessment skills and often did not make use of the allowed time, lacking knowledge on when to stop or how to excel.
Conclusion
Directed, self‐regulated VR simulation training of mastoidectomy needs a strong instructional design with specific process goals to support deliberate practice because cognitive effort is needed for novices to improve beyond an initial plateau.
Level of Evidence
N/A. Laryngoscope, 127:907–914, 2017</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27075936</pmid><doi>10.1002/lary.26000</doi><tpages>8</tpages></addata></record> |
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| ispartof | The Laryngoscope, 2017-04, Vol.127 (4), p.907-914 |
| issn | 0023-852X 1531-4995 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Analysis of Variance Chi-Square Distribution Clinical Competence Cohort Studies Computer Simulation directed self‐regulated learning Education, Medical, Graduate - methods Female Humans Internship and Residency Learning Curve Male Mastoid - surgery Military training Otolaryngology - education Prospective Studies Self-Assessment Simulation Simulation Training - methods surgical training temporal bone surgery User-Computer Interface Virtual reality Virtual reality simulation |
| title | Mapping the plateau of novices in virtual reality simulation training of mastoidectomy |
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