title: Assessment of virtual reality robotic simulation performance by urology resident trainees.
abstract: OBJECTIVE
  To examine resident performance on the Mimic dV-Trainer (MdVT; Mimic Technologies, Inc., Seattle, WA) for correlation with resident trainee level (postgraduate year [PGY]), console experience (CE), and simulator exposure in their training program to assess for internal bias with the simulator.
  
  
  METHODS
  Residents from programs of the Southeastern Section of the American Urologic Association participated. Each resident was scored on 4 simulator tasks (peg board, camera targeting, energy dissection [ED], and needle targeting) with 3 different outcomes (final score, economy of motion score, and time to complete exercise) measured for each task. These scores were evaluated for association with PGY, CE, and simulator exposure.
  
  
  METHODS
  Robotic skills training laboratory.
  
  
  METHODS
  A total of 27 residents from 14 programs of the Southeastern Section of the American Urologic Association participated.
  
  
  RESULTS
  Time to complete the ED exercise was significantly shorter for residents who had logged live robotic console compared with those who had not (p = 0.003). There were no other associations with live robotic console time that approached significance (all p ≥ 0.21). The only measure that was significantly associated with PGY was time to complete ED exercise (p = 0.009). No associations with previous utilization of a robotic simulator in the resident's home training program were statistically significant.
  
  
  CONCLUSIONS
  The ED exercise on the MdVT is most associated with CE and PGY compared with other exercises. Exposure of trainees to the MdVT in training programs does not appear to alter performance scores compared with trainees who do not have the simulator.
authors.affiliation: Department of Urology, Mayo Clinic, Jacksonville, Florida.
authors.forename: Raaj K
authors.initials: RK
authors.lastname: Ruparel
authors.affiliation: Department of Urology, Mayo Clinic, Jacksonville, Florida.
authors.forename: Abby S
authors.initials: AS
authors.lastname: Taylor
authors.affiliation: Department of Urology, Mayo Clinic, Jacksonville, Florida.
authors.forename: Janil
authors.initials: J
authors.lastname: Patel
authors.affiliation: Global Robotics Institute, Celebration, Florida.
authors.forename: Vipul R
authors.initials: VR
authors.lastname: Patel
authors.affiliation: Department of Health Sciences Research, Section of Biostatistics, Mayo Clinic, Jacksonville, Florida.
authors.forename: Michael G
authors.initials: MG
authors.lastname: Heckman
authors.affiliation: Department of Health Sciences Research, Section of Biostatistics, Mayo Clinic, Jacksonville, Florida.
authors.forename: Bhupendra
authors.initials: B
authors.lastname: Rawal
authors.affiliation: Department of Urology, University of Miami, Miami, Florida.
authors.forename: Raymond J
authors.initials: RJ
authors.lastname: Leveillee
authors.affiliation: Department of Urology, Mayo Clinic, Jacksonville, Florida. Electronic address: thiel.david@mayo.edu.
authors.forename: David D
authors.initials: DD
authors.lastname: Thiel
mesh_terms: D007396:Internship and Residency; D011468:Prostatectomy / Q000193:education; D012371:Robotics; D014572:Urology / Q000193:education*; D014584:User-Computer Interface
keywords: Medical Knowledge; Professionalism; resident training; robotic prostatectomy; robotic surgery; robotic training; simulation