title: A tale of two trainers: virtual reality versus a video trainer for acquisition of basic laparoscopic skills.
abstract: BACKGROUND
  This study aimed to assess the transferability of basic laparoscopic skills between a virtual reality simulator (MIST-VR) and a video trainer box (D-Box).
  
  
  METHODS
  Forty-six medical students were randomized into 2 groups, training on MIST-VR or D-Box. After training with one modality, a crossover assessment on the other was performed.
  
  
  RESULTS
  When tested on MIST-VR, the MIST-VR group showed significantly shorter time (90.3 seconds vs 188.6 seconds, P <.001), better economy of movements (4.40 vs 7.50, P <.001), and lower score (224.7 vs 527.0, P <.001). However, when assessed on the D-Box, there was no difference between the groups for time (402.0 seconds vs 325.6 seconds, P = .152), total hand movements (THC) (289 vs 262, P = .792), or total path length (TPL) (34.9 m vs 34.6 m, P = .388).
  
  
  CONCLUSIONS
  Both simulators provide significant improvement in performance. Our results indicate that skills learned on the MIST-VR are transferable to the D-Box, but the opposite cannot be demonstrated.
authors.affiliation: Department of Surgery, Oestfold Hospital Trust, Oestfold Hospital Trust, N-1603 Fredrikstad, Norway. anders.debes@so-hf.no
authors.forename: Anders J
authors.initials: AJ
authors.lastname: Debes
authors.forename: Rajesh
authors.initials: R
authors.lastname: Aggarwal
authors.forename: Indran
authors.initials: I
authors.lastname: Balasundaram
authors.forename: Morten B
authors.initials: MB
authors.lastname: Jacobsen
mesh_terms: D016009:Chi-Square Distribution; D002983:Clinical Competence; D003198:Computer Simulation; D018592:Cross-Over Studies; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000592:standards*; D008297:Male; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D014584:User-Computer Interface; D014743:Videotape Recording; D055815:Young Adult