Utilizing Gaze Training to Enhance Laparoscopic Skills Training



Status:Enrolling by invitation
Conditions:Healthy Studies
Therapuetic Areas:Other
Healthy:No
Age Range:18 - Any
Updated:1/17/2019
Start Date:January 1, 2018
End Date:December 1, 2020

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Utilizing Gaze Training to Enhance Laparoscopic Technical Skills Training

The purpose of this study is to test the influences of gaze training (GT) on the acquisition
of laparoscopic surgical skills. For this purpose, the investigator will compare variants of
GT in the second of 2 experiments. These questions will be evaluated using the validated
Fundamentals of Laparoscopic Surgery (FLS) module 1, with the overall goal of developing a
surgical training curriculum that achieves expert level skill in an expedited timeframe. This
research provides a novel approach to general surgery training that has the potential to
reduce the amount of time and repetitions required to achieve expert laparoscopic skills.

Developing expert performance requires assessment of the thought processes underlying
performance and continued refinement of skills in order to obtain automaticity and intuition.
Therefore, developing expert surgical skill is a process likely to take longer than the
length of residency, thereby diminishing the quality of care delivered to patients.

The proposed study will implement novel neuroscience technique of gaze training to determine
if it has the capacity to accelerate technical surgical skill learning in order to achieve
competency and expertise in an earlier timeframe. Studies of skill performance have
demonstrated that eye movement patterns can be optimized to improve subsequent motor
movements. Therefore, gaze training encourages novices to adopt the more efficient gaze
patterns of experts while performing a specific task such as laparoscopic surgery. This
technique has been applied in the training of surgical residents in a limited capacity making
this project an innovative approach to enhance skill development.

Experiment 2: Determine if gaze training can accelerate the learning of laparoscopic skills.

In this experiment the investigators will first establish expert gaze patterns in the
Fundamentals of Laparoscopic Surgery modules 1 and 5 by testing a total of 9 participants,
including attending surgeons, senior residents, and novices trained to proficiency. The
investigators will then compare behavioral learning curves from non-expert participants
without gaze training against those trained using both explicit (by reviewing the expert gaze
pattern) and implicit gaze (by using a visual mask during the training, leading the
participant to follow the expert gaze) derived from the expert gaze patterns. This will be
tested in 3 groups of 20 participants, who train for 40-minutes in each of 6 sessions that
occur within 3 weeks.

The investigators hypothesize that both explicit and implicit gaze training will lead to
faster skill acquisition, with implicit greater than explicit and measured by trials required
to gain proficient module completion scores, relative to the group of participants who
practice without any gaze training.

Inclusion Criteria:

- Age >18 years

- Healthy male and female

- Willing and able to provide informed consent

- Able to follow study procedures
We found this trial at
1
site
2301 Erwin Rd
Durham, North Carolina 27710
919-684-8111
Duke Univ Med Ctr As a world-class academic and health care system, Duke Medicine strives...
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Durham, NC
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