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Mixed reality ventriculostomy simulation: experience in neurosurgical residency.

Identifieur interne : 000587 ( PubMed/Checkpoint ); précédent : 000586; suivant : 000588

Mixed reality ventriculostomy simulation: experience in neurosurgical residency.

Auteurs : Kristopher G. Hooten [États-Unis] ; J Richard Lister ; Gwen Lombard ; David E. Lizdas ; Samsun Lampotang ; Didier A. Rajon ; Frank Bova ; Gregory J A. Murad

Source :

RBID : pubmed:25050577

English descriptors

Abstract

Medicine and surgery are turning toward simulation to improve on limited patient interaction during residency training. Many simulators today use virtual reality with augmented haptic feedback with little to no physical elements. In a collaborative effort, the University of Florida Department of Neurosurgery and the Center for Safety, Simulation & Advanced Learning Technologies created a novel "mixed" physical and virtual simulator to mimic the ventriculostomy procedure. The simulator contains all the physical components encountered for the procedure with superimposed 3-D virtual elements for the neuroanatomical structures.

DOI: 10.1227/NEU.0000000000000503
PubMed: 25050577


Affiliations:


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pubmed:25050577

Le document en format XML

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<title xml:lang="en">Mixed reality ventriculostomy simulation: experience in neurosurgical residency.</title>
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<name sortKey="Hooten, Kristopher G" sort="Hooten, Kristopher G" uniqKey="Hooten K" first="Kristopher G" last="Hooten">Kristopher G. Hooten</name>
<affiliation wicri:level="2">
<nlm:affiliation>*Department of Neurological Surgery, University of Florida, Gainesville, Florida; ‡Department of Anesthesiology, Center for Safety, Simulation & Advanced Learning Technologies, University of Florida, Gainesville, Florida.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Floride</region>
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<wicri:cityArea>*Department of Neurological Surgery, University of Florida, Gainesville, Florida; ‡Department of Anesthesiology, Center for Safety, Simulation & Advanced Learning Technologies, University of Florida, Gainesville</wicri:cityArea>
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<name sortKey="Lister, J Richard" sort="Lister, J Richard" uniqKey="Lister J" first="J Richard" last="Lister">J Richard Lister</name>
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<name sortKey="Lombard, Gwen" sort="Lombard, Gwen" uniqKey="Lombard G" first="Gwen" last="Lombard">Gwen Lombard</name>
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<name sortKey="Lizdas, David E" sort="Lizdas, David E" uniqKey="Lizdas D" first="David E" last="Lizdas">David E. Lizdas</name>
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<name sortKey="Lampotang, Samsun" sort="Lampotang, Samsun" uniqKey="Lampotang S" first="Samsun" last="Lampotang">Samsun Lampotang</name>
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<name sortKey="Rajon, Didier A" sort="Rajon, Didier A" uniqKey="Rajon D" first="Didier A" last="Rajon">Didier A. Rajon</name>
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<name sortKey="Bova, Frank" sort="Bova, Frank" uniqKey="Bova F" first="Frank" last="Bova">Frank Bova</name>
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<name sortKey="Murad, Gregory J A" sort="Murad, Gregory J A" uniqKey="Murad G" first="Gregory J A" last="Murad">Gregory J A. Murad</name>
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<title level="j">Neurosurgery</title>
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<term>Clinical Competence</term>
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<term>Feedback</term>
<term>Humans</term>
<term>Internship and Residency</term>
<term>Models, Neurological</term>
<term>Neurosurgery (education)</term>
<term>Practice (Psychology)</term>
<term>User-Computer Interface</term>
<term>Ventriculostomy (education)</term>
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<term>Neurosurgery</term>
<term>Ventriculostomy</term>
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<div type="abstract" xml:lang="en">Medicine and surgery are turning toward simulation to improve on limited patient interaction during residency training. Many simulators today use virtual reality with augmented haptic feedback with little to no physical elements. In a collaborative effort, the University of Florida Department of Neurosurgery and the Center for Safety, Simulation & Advanced Learning Technologies created a novel "mixed" physical and virtual simulator to mimic the ventriculostomy procedure. The simulator contains all the physical components encountered for the procedure with superimposed 3-D virtual elements for the neuroanatomical structures.</div>
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<Year>2015</Year>
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<Title>Neurosurgery</Title>
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<ArticleTitle>Mixed reality ventriculostomy simulation: experience in neurosurgical residency.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Medicine and surgery are turning toward simulation to improve on limited patient interaction during residency training. Many simulators today use virtual reality with augmented haptic feedback with little to no physical elements. In a collaborative effort, the University of Florida Department of Neurosurgery and the Center for Safety, Simulation & Advanced Learning Technologies created a novel "mixed" physical and virtual simulator to mimic the ventriculostomy procedure. The simulator contains all the physical components encountered for the procedure with superimposed 3-D virtual elements for the neuroanatomical structures.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To introduce the ventriculostomy simulator and its validation as a necessary training tool in neurosurgical residency.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We tested the simulator in more than 260 residents. An algorithm combining time and accuracy was used to grade performance. Voluntary postperformance surveys were used to evaluate the experience.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Results demonstrate that more experienced residents have statistically significant better scores and completed the procedure in less time than inexperienced residents. Survey results revealed that most residents agreed that practice on the simulator would help with future ventriculostomies.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This mixed reality simulator provides a real-life experience, and will be an instrumental tool in training the next generation of neurosurgeons. We have now implemented a standard where incoming residents must prove efficiency and skill on the simulator before their first interaction with a patient.</AbstractText>
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