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Recently, virtual reality computer simulators have been used to enhance traditional endoscopy teaching.
Previous studies have demonstrated construct validity of these systems and transfer of virtual skills to the operating room.
However, to date no simulator-training curricula have been designed, and there is very little evidence on the impact of external feedback on acquisition of endoscopic skills.
Dr Irina Kruglikova and colleagues from Denmark assessed the impact of external feedback on the learning curves on a virtual reality colonoscopy simulator using inexperienced trainees.
 | | There were no perforations in the feedback group | | Gut |
The team randomized 22 trainees, without colonoscopy experience to a group which received structured feedback provided by an experienced supervisor and a controlled group.
All participants performed 15 repetitions of task 3 from the Introduction colonoscopy module of the Accu Touch Endoscopy simulator.
Retention/transfer tests on simulator were performed 4–6 weeks after the last repetition.
The research team performed the proficiency levels were based on the performance of 8 experienced colonoscopists.
All subjects were able to complete the procedure on the simulator.
There were no perforations in the feedback group versus 7 in the non-feedback group.
Subjects in the feedback group reached expert proficiency levels in percentage of mucosa visualised and time to reach the caecum significantly faster compared with the control group.
None of the groups demonstrated significant degradation of performance in simulator retention/transfer tests.
Dr Kruglikova's team concludes, "Concurrent feedback given by supervisor concur an advantage in acquisition of basic colonoscopy skills and achieving of proficiency level as compared to independent training."
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