Effects of Varied Surgical Simulation Training Schedules on Motor-Skill Acquisition

Surg Innov. 2020 Feb;27(1):68-80. doi: 10.1177/1553350619881591. Epub 2019 Oct 21.

Abstract

There have been many studies to evaluate the effect of training schedules on retention; however, these usually compare only 2 drastically different schedules, massed and distributed, and they have tended to look at declarative knowledge tasks. This study examined learning on a laparoscopic surgery simulator using a set of procedural or perceptual-motor tasks with some declarative elements. The study used distributed, massed, and 2 hybrid-training schedules that are neither distributed nor massed. To evaluate the training schedules, 23 participants with no previous laparoscopic experience were recruited and randomly assigned to 1 of the 4 training schedules. They performed 3 laparoscopic training tasks in eight 30-minute learning sessions. We compared how task time decreased with each schedule in a between-participants design. We found participants in all groups demonstrated a decrease in task completion time as the number of training sessions increased; however, there were no statistically significant differences in participants' improvement on task completion time between the 4 different training schedule groups, which suggested that time on task is more important for learning these tasks than the training schedule.

Keywords: ergonomics and/or human factors study; laparoscopic surgery; practice effect; simulation; surgical education; training schedules.

MeSH terms

  • Adolescent
  • Adult
  • Ergonomics / methods
  • Female
  • Humans
  • Laparoscopy / education*
  • Laparoscopy / instrumentation
  • Male
  • Motor Skills / physiology*
  • Simulation Training / methods*
  • Task Performance and Analysis
  • Young Adult