SlideShare a Scribd company logo
Safe Surgery–Start Gaming! 
Maurits Graafland 
Willem Bemelman 
Marlies Schijven 
The effect of a seriousgame on the surgeon’sabilitytosolveequipment-relatedproblemsin the OR
Defense: November 19th, 12.00 a.m. 
Agnietenkapel, University of Amsterdam
Games for Health - Maurits graafland - Serious Games in Surgical Education
Introduction 
Methods 
Results 
Discussion 
Equipment-relatedproblemsduring(laparoscopic) surgeryare common 
0,9 problemsper procedure (median; IQR 0.3 –3.6)1 
1,9 per laparoscopicprocedure2 
Potentiallyseriousconsequences 
Delays, adverse events 
20% of major surgicalerrorsassociatedwithequipment failure 1 
1.Weerakkoodyet al.BMJ QualSaf2013;22(9):710-8 
2.Verdaasdonk et al. SurgEndosc2007;21(2):275-9
Introduction 
Methods 
Results 
Discussion 
Surgeonmust divideattention betweensurgery, OR team & environment 
Human brainhas limitedabilitytorecognizeunexpectedevents3 
Training problem-solvingabilityis limited 
Basic laparoscopycourse 
Knowledge-retentionregardinglaparoscopicequipment is poor4 
3. Drew T et al. PsycholScience 2013;24(9):1848-53 
4. Menezeset al. J SurgEduc2011;68(1):3-5
Introduction 
Methods 
Results 
Discussion 
SeriousGame trainssurgeonsin recognizingandsolvingequipment-relatedproblems 
SeriousGame 
WeirdbeardB.V. 
Fun, challengingandmotivating 
Learning occurseffortlessly 
Stealthlearning
Games for Health - Maurits graafland - Serious Games in Surgical Education
Games for Health - Maurits graafland - Serious Games in Surgical Education
Games for Health - Maurits graafland - Serious Games in Surgical Education
Games for Health - Maurits graafland - Serious Games in Surgical Education
Games for Health - Maurits graafland - Serious Games in Surgical Education
Introduction 
Methods 
Results 
Discussion 
Aim: 
Objectifyeffect of seriousgame on howsurgicaltrainees deal withequipment-relatedproblemsduringsurgery 
Hypothesis: 
Trainees whocompleteda game-enhancedcurriculum are betterin recognizingandsolvingequipment-relatedproblemsthantrainees trainedthe regularway
Introduction 
Methods 
Results 
Discussion 
Randomizedcontrolledtrial 
Inclusion: 
Residentsin surgicaltraining 
No laparoscopicexperienceas primarysurgeon 
Basic laparoscopycourse 
AcademicMedicalCentre (single centre) 
May 2013 -April 2014
Theorylaparoscopy 
Laparoscopicbox trainer 
Randomisation 
‘closedenveloppe’ 
Intervention–THE GAME 
-2x30 min seriousgame 
Control group 
Practical sessions 
-Animalmodel 
Practical sessions 
-Animalmodel 
Test 
-Animalmodel 
Test 
-Animalmodel 
Basic laparoscopycourse
Introduction 
Methods 
Results 
Discussion 
Primaryoutcome 
% problemsrecognized 
% problemssolved 
Secondaryoutcome 
Time torecognition 
Time tosolving
Introduction 
Methods 
Results 
Discussion 
Test 
Complete surgicaltaskin animalmodel (10 minutes) 
3 standardizedequipment problemscenario’s 
Measurement 
Technical skills 
Surgeon(blinded) 
Problemsrecognized, solved, time 
TrainedAssessor (blinded) 
Power analysis: minimum of 12 participantsper group
Randomized 
n = 31 
Intervention 
n= 15 
Control 
n= 16 
Lost tofollow-up 
n= 3 
-No test (2) 
-Test inadequate (1) 
Lost tofollow-up 
n= 4 
-No test (2) 
-Test inadequate (2) 
Participants 
Test completed 
n= 12 
Test completed 
n= 12 
Included 
n = 31
Problems Recognized (%) 
Problems Solved (%) 
p= 0,14 
p= 0,029* 
100% 
75% 
50% 
25% 
0 
Game Control 
Game Control
Time 
(s) 
Time to recognition 
Time to solving 
p= 0,14 
p= 0,24 
Game Control 
Game Control
Introduction 
Methods 
Results 
Discussion 
Trainees solvesignificantlymore equipment-relatedproblems 
afteronly10 sessionsof gaming 
Improvementproblem-recognition(trend) 
Notstatisticallysignificant 
… Validway totrain surgeons
Introduction 
Methods 
Results 
Discussion 
StudyLimitations 
Underpowered? 
High losstofollow-up 
25% bothgroups 
Test dependson qualityof execution
Introduction 
Methods 
Results 
Discussion 
Product 
Availableon mobile platforms 
Gamificationlayer(beat yourboss, leaderboards, etc.) 
Usein “official” surgicaltraining 
Andelsewhere(“voluntaryplay”)
Introduction 
Methods 
Results 
Discussion 
The future… 
Effectson problemrecognition 
Largernumbers 
LongtermLearning effect 
‘Voluntaryplay’
ThankYou 
Sponsors 
Developers 
Research partners
Introduction 
Methods 
Results 
Discussion 
Seriousgame content 
Insufflation+ gas transport 
Lighting+ camera 
Electrosurgery 
Recognizingcomplicationslaparoscopicsurgery 
Content validated 
Surgeons 
Technical specialists(equipment manufacturer) 
Same type equipment usedas duringthe course
Introduction 
Methods 
Results 
Discussion 
Game 
Control 
Group size 
(n) 
12 
12 
Age 
(mean) 
29 
29 
M/F 
M 
58.3% 
58.3% 
F 
41.7% 
41.7% 
Specialty 
Gen. Surgery 
5 
3 
Othersurgicalspec. 
7 
9 
Technical skill(OSATS) 
(median, IQR) 
2,4 (2,2 –3,2) 
2,8 (2,2 –3,2) 
Year 
0 
1 
2 
1 
10 
10 
2 
1 
0 
LaparoscopicExperience(n = 19) 
None 
11 
8 
Experiencenon- laparoscopicsurgery 
(n = 19) 
None 
3 
3 
1-20 procedures 
5 
3 
21-50 procedures 
3 
2 
No. Gaming Sessies completed 
(Mean, SD) 
11,8 (±1,7) 
-
n 
Type opgelosteproblemen
Random effects model: 
2,3% improvement Game Score per Session (p = 0.000) 
Learning curve in Game group 
Problems 
Solved (%) 
0 5 10 15 
0 
20 
40 
60 
80 
100 
Problems solved after game session 
session 
Problem solved (%) 
Game session

More Related Content

PDF
DA poster_2015_FCW_1.3
Ben Lester
 
PPT
Decision Support Systems And The Professional
Micheal Axelsen
 
PPTX
2012 Young Generation Network - Human performance problems
Andy Brazier
 
PPT
Sia Presentation100808
baratta44
 
PPT
2015 Trinity Dublin - Task risk management - hf in process safety
Andy Brazier
 
PPT
2008 epsc - accident avoidance
Andy Brazier
 
PDF
Applying Safety DNA Analytics to Enhance Your E2E Workforce Process
GSE Systems, Inc.
 
PPT
2006 Hazards - Managing change presentation
Andy Brazier
 
DA poster_2015_FCW_1.3
Ben Lester
 
Decision Support Systems And The Professional
Micheal Axelsen
 
2012 Young Generation Network - Human performance problems
Andy Brazier
 
Sia Presentation100808
baratta44
 
2015 Trinity Dublin - Task risk management - hf in process safety
Andy Brazier
 
2008 epsc - accident avoidance
Andy Brazier
 
Applying Safety DNA Analytics to Enhance Your E2E Workforce Process
GSE Systems, Inc.
 
2006 Hazards - Managing change presentation
Andy Brazier
 

Viewers also liked (20)

PDF
Ntc 5555
Carlos Riaño
 
PPTX
InfoZoom Tips & Tricks – Part 4 Merge Different Data Sources in InfoZoom
corma GmbH
 
PDF
ACEITES CADENAS RODAMIENTOS GUIAS ELESA
Isabel Gil Alonso
 
PDF
Profi preisliste 2014
Norbert Koch
 
PDF
Update 2014: Flyer
Klin-RT
 
PPTX
Smartlance it recruitment
SMARTLANCE IT RECRUITMENT
 
DOCX
Ensayo fisioterapia neurológica
LauEscGarcia
 
PDF
Epicor Copy company tool
RheinBrücke IT Consulting
 
PDF
III Convenio Colectivo de Acciona A.S.
sindicatouit
 
DOC
Manual of panasonic fax machine-55030114
iphungs
 
PDF
UNEP Disasters & Ecosystems MOOC participation_certificate
Stuart Armstrong
 
PPTX
COACMALAGA. Colegio Oficial de Agentes Comerciales de Málaga y provincia
Gerente Málaga
 
PPTX
Social Media Praxis-Beispiele - SEO Campixx 2014
Felix Beilharz ✓
 
PDF
50 tushaal
Tumuruu Shiileg
 
PDF
My Resume
Dr.Zawar Ahmad
 
PDF
Fettspielen.de media kit_2010
David An
 
PDF
Transparencia gubernamental: Gobierno Abierto y la gestión del gobierno
Jorge López-Bachiller Fernández
 
DOC
Flujo de caja_compendio
Xavier Carvajal Martinez
 
PDF
French Defence Key Figures 2016
Ministère des Armées
 
ODP
RestMS Introduction
pieterh
 
Ntc 5555
Carlos Riaño
 
InfoZoom Tips & Tricks – Part 4 Merge Different Data Sources in InfoZoom
corma GmbH
 
ACEITES CADENAS RODAMIENTOS GUIAS ELESA
Isabel Gil Alonso
 
Profi preisliste 2014
Norbert Koch
 
Update 2014: Flyer
Klin-RT
 
Smartlance it recruitment
SMARTLANCE IT RECRUITMENT
 
Ensayo fisioterapia neurológica
LauEscGarcia
 
Epicor Copy company tool
RheinBrücke IT Consulting
 
III Convenio Colectivo de Acciona A.S.
sindicatouit
 
Manual of panasonic fax machine-55030114
iphungs
 
UNEP Disasters & Ecosystems MOOC participation_certificate
Stuart Armstrong
 
COACMALAGA. Colegio Oficial de Agentes Comerciales de Málaga y provincia
Gerente Málaga
 
Social Media Praxis-Beispiele - SEO Campixx 2014
Felix Beilharz ✓
 
50 tushaal
Tumuruu Shiileg
 
My Resume
Dr.Zawar Ahmad
 
Fettspielen.de media kit_2010
David An
 
Transparencia gubernamental: Gobierno Abierto y la gestión del gobierno
Jorge López-Bachiller Fernández
 
Flujo de caja_compendio
Xavier Carvajal Martinez
 
French Defence Key Figures 2016
Ministère des Armées
 
RestMS Introduction
pieterh
 
Ad

Similar to Games for Health - Maurits graafland - Serious Games in Surgical Education (20)

PPT
Raskob Iscram 2009
guestee5a52
 
PPTX
Utility of primary care-based TIA electronic decision support
Health Informatics New Zealand
 
PPTX
Proximal ambiguity, impenetrable cap
Euro CTO Club
 
PPT
000086_Occurrence_of_Retinal_Detachment_After_Cataract_Surgery_ASCRS_2009.ppt
SaurabhShekhar48
 
PPTX
Surgeons and registrar education 1
Dr Alfred Egedovo
 
PDF
Estado actual del cierre de orejuela, por Juan Miguel Ruiz Nodar
Fundacion EPIC
 
PPT
PARTIAL SUPERFICIAL PAROTIDECTOMY IN PAROTID BENIGN TUMOR. IPRAS
Ricardo Yanez
 
PPTX
Mohamed m-zamzam-king-saud-university-saudi-arabia (1)
Jam Saif
 
PPT
2006 IChemE Manchester Branch - Human factors & risk management
Andy Brazier
 
PPT
Nico Karssemeijer
NFBI
 
PPTX
A software fault localization technique based on program mutations
Tao He
 
PPTX
Viva voce 17 may 2018
Azlan Ayob
 
PPTX
Process improvment
jdyjdo
 
PPT
How to learn the catheter skill techniques
drmaisano
 
PPTX
project defence 2016
Edwin-richard Tawiah
 
PDF
Team Building and Problem Solving Project: Emergency Drill Effectiveness
avoelzke
 
PPTX
Helfrich CD - AIMRADIAL 2014 - Advantages and barriers to radial access
International Chair on Interventional Cardiology and Transradial Approach
 
PPTX
2016 Irish Ergonomics Society - HFE in oil and gas
Andy Brazier
 
PDF
Barach.Human factors HMA talk Sept 4
Wayne State University School of Medicine
 
PDF
Emergency drills: A Problem with Effectiveness
avoelzke
 
Raskob Iscram 2009
guestee5a52
 
Utility of primary care-based TIA electronic decision support
Health Informatics New Zealand
 
Proximal ambiguity, impenetrable cap
Euro CTO Club
 
000086_Occurrence_of_Retinal_Detachment_After_Cataract_Surgery_ASCRS_2009.ppt
SaurabhShekhar48
 
Surgeons and registrar education 1
Dr Alfred Egedovo
 
Estado actual del cierre de orejuela, por Juan Miguel Ruiz Nodar
Fundacion EPIC
 
PARTIAL SUPERFICIAL PAROTIDECTOMY IN PAROTID BENIGN TUMOR. IPRAS
Ricardo Yanez
 
Mohamed m-zamzam-king-saud-university-saudi-arabia (1)
Jam Saif
 
2006 IChemE Manchester Branch - Human factors & risk management
Andy Brazier
 
Nico Karssemeijer
NFBI
 
A software fault localization technique based on program mutations
Tao He
 
Viva voce 17 may 2018
Azlan Ayob
 
Process improvment
jdyjdo
 
How to learn the catheter skill techniques
drmaisano
 
project defence 2016
Edwin-richard Tawiah
 
Team Building and Problem Solving Project: Emergency Drill Effectiveness
avoelzke
 
Helfrich CD - AIMRADIAL 2014 - Advantages and barriers to radial access
International Chair on Interventional Cardiology and Transradial Approach
 
2016 Irish Ergonomics Society - HFE in oil and gas
Andy Brazier
 
Barach.Human factors HMA talk Sept 4
Wayne State University School of Medicine
 
Emergency drills: A Problem with Effectiveness
avoelzke
 
Ad

More from Games for Health Europe (20)

PDF
Play Bionic - Game design for neuromuscular prosthesis training
Games for Health Europe
 
PDF
Healthy Ageing through games
Games for Health Europe
 
PPTX
SPIRIT, a mobile application for Obsessive Cognitive Disorder
Games for Health Europe
 
PPTX
When Therapists and Researchers Collaborate to Innovate and Offer a Future to...
Games for Health Europe
 
PPTX
Manage Your Hypersensitivity
Games for Health Europe
 
PPTX
LifeCycleR: Children with Cerebral Palsy train joyfull on a bike
Games for Health Europe
 
PDF
Games in child rehabilitation, Challenges and Opportunities
Games for Health Europe
 
PPTX
Wii Fit balance training in outpatient people with subacute stroke
Games for Health Europe
 
PPTX
Suitable and sustainable health game development through the Concept Mapping ...
Games for Health Europe
 
PDF
Bordje Vol: een serieus kaartspel voor mantelzorgers
Games for Health Europe
 
PPTX
Fleur, Chat for Health
Games for Health Europe
 
PPTX
Games for dementia carer
Games for Health Europe
 
PPTX
Glenrose Grocery Game; A cognitive video game for older adults.
Games for Health Europe
 
PPTX
Parkinson Gaming
Games for Health Europe
 
PPTX
Make the training of healthcare personal more engaging and efficient
Games for Health Europe
 
PPTX
Stressjam, mastering stress through VR
Games for Health Europe
 
PPTX
Rehabilitation and Technology; Care for the Future?
Games for Health Europe
 
PPT
Appropriate gamification in health care
Games for Health Europe
 
PPTX
A new VVT Ecosystem: a governmental perspective
Games for Health Europe
 
PPTX
PIP Deploy, a case study of using innovative simulation methods for Pandemic ...
Games for Health Europe
 
Play Bionic - Game design for neuromuscular prosthesis training
Games for Health Europe
 
Healthy Ageing through games
Games for Health Europe
 
SPIRIT, a mobile application for Obsessive Cognitive Disorder
Games for Health Europe
 
When Therapists and Researchers Collaborate to Innovate and Offer a Future to...
Games for Health Europe
 
Manage Your Hypersensitivity
Games for Health Europe
 
LifeCycleR: Children with Cerebral Palsy train joyfull on a bike
Games for Health Europe
 
Games in child rehabilitation, Challenges and Opportunities
Games for Health Europe
 
Wii Fit balance training in outpatient people with subacute stroke
Games for Health Europe
 
Suitable and sustainable health game development through the Concept Mapping ...
Games for Health Europe
 
Bordje Vol: een serieus kaartspel voor mantelzorgers
Games for Health Europe
 
Fleur, Chat for Health
Games for Health Europe
 
Games for dementia carer
Games for Health Europe
 
Glenrose Grocery Game; A cognitive video game for older adults.
Games for Health Europe
 
Parkinson Gaming
Games for Health Europe
 
Make the training of healthcare personal more engaging and efficient
Games for Health Europe
 
Stressjam, mastering stress through VR
Games for Health Europe
 
Rehabilitation and Technology; Care for the Future?
Games for Health Europe
 
Appropriate gamification in health care
Games for Health Europe
 
A new VVT Ecosystem: a governmental perspective
Games for Health Europe
 
PIP Deploy, a case study of using innovative simulation methods for Pandemic ...
Games for Health Europe
 

Recently uploaded (20)

PPTX
Common Barriers affects communications.pptx
DenekeAlemayehu
 
PPTX
Mercury & blood spill management IEC.pptx
Zulius Mehdi
 
PDF
With Highly Innovative Medical Assistance, Use an Air Ambulance from Patna by...
Panchmukhi Air& Train Ambulance Services
 
PPTX
Syncopal Attacks Heart Health abd Stress Management.pptx
STELLACOOKEY3
 
PPTX
variability and its measure by dr rohit mishra kgmu
drrohitkgmc09
 
PDF
Understanding Surrogacy Success Rates.pdf
gracehadley707
 
PPTX
CTG INTERPRETATION Obstetrics and gynaecology
nihlaomer
 
PPTX
Lightweight Encryption and Federated Learning.pptx
Ratul53
 
PPTX
ADVANCE NURSING PRESENTATION on the ways
AbdulaiTawfiq
 
PPTX
research design AND APPROACHES OF RESEARCH DESIGN
REKHA DEHARIYA
 
PPTX
Prevention Of Catheter associated blood stream infections by Mr. Shivraj
Shivraj
 
PDF
ANTENATAL ASSESSMENT format for history taking, physical examination
PritiRekhaMahanta
 
PPTX
Elevating Healthcare Journeys with Patient Experience Software
John Francis
 
PPT
Infection control in Dentistry- Dr Devina Pradhan
Dr Devina Pradhan
 
PDF
Biotech_Resources_Group_cGMP Biotechnology Zoe
Biotech Resources Group, LLC
 
PDF
Turn Stories with Our Strategies- Hospitals & super-speciality clinicians
Vipin Srivastava
 
DOCX
Elevated Dining_ The Essential Role and Evolution of High Chairs.docx
Custom Printing Boxes
 
PPTX
Routine Cryptococcal screening & Treatment in CTCs (1).pptx
mtengwadm
 
PDF
GolinHealth: The Raising Rare Report 2025
Golin
 
PPTX
CARDIO 445 PROJECT POWERPOIint in bsn nightingale
AlexandraArevalo31
 
Common Barriers affects communications.pptx
DenekeAlemayehu
 
Mercury & blood spill management IEC.pptx
Zulius Mehdi
 
With Highly Innovative Medical Assistance, Use an Air Ambulance from Patna by...
Panchmukhi Air& Train Ambulance Services
 
Syncopal Attacks Heart Health abd Stress Management.pptx
STELLACOOKEY3
 
variability and its measure by dr rohit mishra kgmu
drrohitkgmc09
 
Understanding Surrogacy Success Rates.pdf
gracehadley707
 
CTG INTERPRETATION Obstetrics and gynaecology
nihlaomer
 
Lightweight Encryption and Federated Learning.pptx
Ratul53
 
ADVANCE NURSING PRESENTATION on the ways
AbdulaiTawfiq
 
research design AND APPROACHES OF RESEARCH DESIGN
REKHA DEHARIYA
 
Prevention Of Catheter associated blood stream infections by Mr. Shivraj
Shivraj
 
ANTENATAL ASSESSMENT format for history taking, physical examination
PritiRekhaMahanta
 
Elevating Healthcare Journeys with Patient Experience Software
John Francis
 
Infection control in Dentistry- Dr Devina Pradhan
Dr Devina Pradhan
 
Biotech_Resources_Group_cGMP Biotechnology Zoe
Biotech Resources Group, LLC
 
Turn Stories with Our Strategies- Hospitals & super-speciality clinicians
Vipin Srivastava
 
Elevated Dining_ The Essential Role and Evolution of High Chairs.docx
Custom Printing Boxes
 
Routine Cryptococcal screening & Treatment in CTCs (1).pptx
mtengwadm
 
GolinHealth: The Raising Rare Report 2025
Golin
 
CARDIO 445 PROJECT POWERPOIint in bsn nightingale
AlexandraArevalo31
 

Games for Health - Maurits graafland - Serious Games in Surgical Education

  • 1. Safe Surgery–Start Gaming! Maurits Graafland Willem Bemelman Marlies Schijven The effect of a seriousgame on the surgeon’sabilitytosolveequipment-relatedproblemsin the OR
  • 2. Defense: November 19th, 12.00 a.m. Agnietenkapel, University of Amsterdam
  • 4. Introduction Methods Results Discussion Equipment-relatedproblemsduring(laparoscopic) surgeryare common 0,9 problemsper procedure (median; IQR 0.3 –3.6)1 1,9 per laparoscopicprocedure2 Potentiallyseriousconsequences Delays, adverse events 20% of major surgicalerrorsassociatedwithequipment failure 1 1.Weerakkoodyet al.BMJ QualSaf2013;22(9):710-8 2.Verdaasdonk et al. SurgEndosc2007;21(2):275-9
  • 5. Introduction Methods Results Discussion Surgeonmust divideattention betweensurgery, OR team & environment Human brainhas limitedabilitytorecognizeunexpectedevents3 Training problem-solvingabilityis limited Basic laparoscopycourse Knowledge-retentionregardinglaparoscopicequipment is poor4 3. Drew T et al. PsycholScience 2013;24(9):1848-53 4. Menezeset al. J SurgEduc2011;68(1):3-5
  • 6. Introduction Methods Results Discussion SeriousGame trainssurgeonsin recognizingandsolvingequipment-relatedproblems SeriousGame WeirdbeardB.V. Fun, challengingandmotivating Learning occurseffortlessly Stealthlearning
  • 12. Introduction Methods Results Discussion Aim: Objectifyeffect of seriousgame on howsurgicaltrainees deal withequipment-relatedproblemsduringsurgery Hypothesis: Trainees whocompleteda game-enhancedcurriculum are betterin recognizingandsolvingequipment-relatedproblemsthantrainees trainedthe regularway
  • 13. Introduction Methods Results Discussion Randomizedcontrolledtrial Inclusion: Residentsin surgicaltraining No laparoscopicexperienceas primarysurgeon Basic laparoscopycourse AcademicMedicalCentre (single centre) May 2013 -April 2014
  • 14. Theorylaparoscopy Laparoscopicbox trainer Randomisation ‘closedenveloppe’ Intervention–THE GAME -2x30 min seriousgame Control group Practical sessions -Animalmodel Practical sessions -Animalmodel Test -Animalmodel Test -Animalmodel Basic laparoscopycourse
  • 15. Introduction Methods Results Discussion Primaryoutcome % problemsrecognized % problemssolved Secondaryoutcome Time torecognition Time tosolving
  • 16. Introduction Methods Results Discussion Test Complete surgicaltaskin animalmodel (10 minutes) 3 standardizedequipment problemscenario’s Measurement Technical skills Surgeon(blinded) Problemsrecognized, solved, time TrainedAssessor (blinded) Power analysis: minimum of 12 participantsper group
  • 17. Randomized n = 31 Intervention n= 15 Control n= 16 Lost tofollow-up n= 3 -No test (2) -Test inadequate (1) Lost tofollow-up n= 4 -No test (2) -Test inadequate (2) Participants Test completed n= 12 Test completed n= 12 Included n = 31
  • 18. Problems Recognized (%) Problems Solved (%) p= 0,14 p= 0,029* 100% 75% 50% 25% 0 Game Control Game Control
  • 19. Time (s) Time to recognition Time to solving p= 0,14 p= 0,24 Game Control Game Control
  • 20. Introduction Methods Results Discussion Trainees solvesignificantlymore equipment-relatedproblems afteronly10 sessionsof gaming Improvementproblem-recognition(trend) Notstatisticallysignificant … Validway totrain surgeons
  • 21. Introduction Methods Results Discussion StudyLimitations Underpowered? High losstofollow-up 25% bothgroups Test dependson qualityof execution
  • 22. Introduction Methods Results Discussion Product Availableon mobile platforms Gamificationlayer(beat yourboss, leaderboards, etc.) Usein “official” surgicaltraining Andelsewhere(“voluntaryplay”)
  • 23. Introduction Methods Results Discussion The future… Effectson problemrecognition Largernumbers LongtermLearning effect ‘Voluntaryplay’
  • 24. ThankYou Sponsors Developers Research partners
  • 25. Introduction Methods Results Discussion Seriousgame content Insufflation+ gas transport Lighting+ camera Electrosurgery Recognizingcomplicationslaparoscopicsurgery Content validated Surgeons Technical specialists(equipment manufacturer) Same type equipment usedas duringthe course
  • 26. Introduction Methods Results Discussion Game Control Group size (n) 12 12 Age (mean) 29 29 M/F M 58.3% 58.3% F 41.7% 41.7% Specialty Gen. Surgery 5 3 Othersurgicalspec. 7 9 Technical skill(OSATS) (median, IQR) 2,4 (2,2 –3,2) 2,8 (2,2 –3,2) Year 0 1 2 1 10 10 2 1 0 LaparoscopicExperience(n = 19) None 11 8 Experiencenon- laparoscopicsurgery (n = 19) None 3 3 1-20 procedures 5 3 21-50 procedures 3 2 No. Gaming Sessies completed (Mean, SD) 11,8 (±1,7) -
  • 28. Random effects model: 2,3% improvement Game Score per Session (p = 0.000) Learning curve in Game group Problems Solved (%) 0 5 10 15 0 20 40 60 80 100 Problems solved after game session session Problem solved (%) Game session