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dc.contributor.authorAwal, Wasim
dc.contributor.authorDissabandara, Lakal
dc.contributor.authorKhan, Zain
dc.contributor.authorJeyakumar, Arunan
dc.contributor.authorHabib, Malak
dc.contributor.authorByfield, Bianca
dc.date.accessioned2021-02-23T22:30:41Z
dc.date.available2021-02-23T22:30:41Z
dc.date.issued2021
dc.identifier.issn0022-4804
dc.identifier.doi10.1016/j.jss.2021.01.003
dc.identifier.urihttp://hdl.handle.net/10072/402498
dc.description.abstractBACKGROUND: This study aims to investigate if a smartphone laparoscopy simulator, SimuSurg, is effective in improving laparoscopic skills in surgically inexperienced medical students. METHODS: This is a single-blinded randomized controlled trial featuring 30 preclinical medical students without prior laparoscopic simulation experience. The students were randomly allocated to a control or intervention group (n = 15 each) and 28 students completed the study (n = 14 each). All participants performed three validated exercises in a laparoscopic box trainer and repeated them after 1 week. The intervention group spent the intervening time completing all levels in SimuSurg, whereas the control group refrained from any laparoscopic activity. A prestudy questionnaire was used to collect data on age, sex, handedness, and experience with gaming. RESULTS: The total score improved significantly between the two testing sessions for the intervention group (n = 14, median change [MC] = 182.00, P = 0.009) but not for the control group (n = 14, MC = 161.50, P = 0.08). Scores for the nondominant hand improved significantly in the intervention group (MC = 66.50, P = 0.008) but not in the control group (MC = 9.00, P = 0.98). There was no improvement in dominant hand scores for either the intervention (MC = 62.00, P = 0.08) or control (MC = 26.00, P = 0.32) groups. Interest in surgery (β = -234.30, P = 0.02) was positively correlated with the baseline total scores; however, age, sex, and experience with video games were not. CONCLUSIONS: The results suggest that smartphone applications improve laparoscopic skills in medical students, especially for the nondominant hand. These simulators may be a cost-effective and accessible adjunct for laparoscopic training among surgically inexperienced students and clinicians.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherElsevier BV
dc.relation.ispartofpagefrom159
dc.relation.ispartofpageto164
dc.relation.ispartofjournalJournal of Surgical Research
dc.relation.ispartofvolume262
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3202
dc.subject.keywordsLaparoscopy
dc.subject.keywordsSimulation
dc.subject.keywordsSmartphone application
dc.subject.keywordsSurgery
dc.subject.keywordsSurgical education
dc.titleEffect of Smartphone Laparoscopy Simulator on Laparoscopic Performance in Medical Students
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationAwal, W; Dissabandara, L; Khan, Z; Jeyakumar, A; Habib, M; Byfield, B, Effect of Smartphone Laparoscopy Simulator on Laparoscopic Performance in Medical Students, Journal of Surgical Research, 2021, 262, pp. 159-164
dcterms.dateAccepted2021-01-06
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2021-02-23T01:47:12Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2021 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorDissabandara, Dissa L.


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