title: Training in Basic Laparoscopic Surgical Skills: Residents Opinion of the New Nintendo Wii-U Laparoscopic Simulator.
abstract: OBJECTIVE
  Serious games are new in the field of laparoscopic surgical training. We evaluate the residents׳ opinion of a new laparoscopic simulator for the Nintendo Wii-U platform.
  
  
  METHODS
  Prospective questionnaire study. Participants received a standardized introduction and completed level 3 and 4 of the game "Underground." They filled out a questionnaire concerning demographics and their opinion on realism, usefulness, suitability, haptic feedback, and home training-use of the game.
  
  
  METHODS
  Two tertiary teaching hospitals.
  
  
  METHODS
  Obstetrics and gynaecology residents postgraduate year 1 to 6 (n = 59) from several European countries.
  
  
  RESULTS
  Subjects (n = 59) were divided into 2 groups based on laparoscopic experience: Group A (n = 38) and Group B (n = 21). The realism of different aspects of the game received mean scores around 3 on a 5-point Likert scale. The hand-eye coordination was regarded most useful for training with a mean of 3.92 (standard deviation 0.93) and the game was considered most suitable for residents in the first part of their postgraduate training with a mean of 3.73 (standard deviation 0.97). Both groups differed especially concerning their opinion of the usefulness of the game as a training tool.
  
  
  CONCLUSIONS
  Most residents liked the new serious game for the Nintendo Wii-U. The usefulness and suitability as a laparoscopic training tool were rated at an acceptable to high level. However, the game does require improvements such as inclusion of a good scoring system before it can be integrated in resident training curricula.
authors: Department of Gynaecology and Reproductive Medicine, University Medical Center Utrecht, Utrecht, the Netherlands.
authors: Evelien M
authors: EM
authors: Overtoom
authors: Department of Gynaecology, Leiden University Medical Center, Leiden, the Netherlands; Faculty of Mechanical Engineering, Delft University of Technology, Delft, the Netherlands.
authors: Frank-Willem
authors: FW
authors: Jansen
authors: Department of Reproductive Medicine, Reinier de Graaf Group, Voorburg, the Netherlands.
authors: Evert J P
authors: EJ
authors: van Santbrink
authors: Department of Obstetrics & Gynaecology, Meander Medical Center, Amersfoort, the Netherlands.
authors: Steven E
authors: SE
authors: Schraffordt Koops
authors: Department of Gynaecology and Reproductive Medicine, University Medical Center Utrecht, Utrecht, the Netherlands.
authors: Sebastiaan
authors: S
authors: Veersema
authors: Department of Gynaecology and Reproductive Medicine, University Medical Center Utrecht, Utrecht, the Netherlands; UMC Utrecht Cancer Centre, Department of Gynaecologic Oncology, University Medical Center Utrecht, Utrecht, the Netherlands. Electronic address: h.w.r.schreuder@umcutrecht.nl.
authors: Henk W R
authors: HW
authors: Schreuder
mesh_terms: D002983:Clinical Competence; D003198:Computer Simulation; D004503:Education, Medical, Graduate / Q000379:methods; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000193:education; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D010535:Laparoscopy / Q000193:education*; D008297:Male; D011446:Prospective Studies; D000066908:Simulation Training; D011795:Surveys and Questionnaires; D014584:User-Computer Interface; D018910:Video Games
keywords: Nintendo; Patient Care; Practice-Based Learning and Improvement; laparoscopy; serious game; simulation; training