Video Games Meet Surgical Training in Las Vegas
Dr. Mohsin demonstrating a Stryker simulator
Camille Schenkel | Editor - Healthyspacesrx.com
A lot of negative news is coming out of Las Vegas these days. Suffering from one of the highest foreclosure rates in the country, the financial impact on the state has been severe. With state revenues down, one of the areas that suffered cuts is healthcare services. A high profile budget cut involved the closure of the University Medical Center (UMC) outpatient cancer center due to state Medicaid cuts.
With all the bad news, it is easy to miss a healthcare bright spot at UMC. The Virtual Skills Laboratory, currently the largest facility of its kind in the Western U.S., has been a part of training future surgeons from the University of Nevada’s School of Medicine since December 2008. Sixty-five third year residents are currently training at the facility. The simulators allow residents to get hands-on training before operating on humans.
Much of surgical training has been through textbook and observation training. Occasionally, students were able to practice on cadavers and animals. Virtual training allows students to train in an environment with realistic graphics and feedback through haptics technology.
Dr. Adnan Mohsin, the Surgical Skills Lab Coordinator at UMC’s Virtual Skills Lab, explained that virtual skills training is becoming more important with the Accreditation Council for Graduate Medical Education (ACGME) limiting residents to 80-hour weeks. With typical surgical residents previously spending up to 110 hours a week training, the Lab provides an important function. “It provides a safe, controlled environment for residents to practice procedures such as chest tube insertions.”
“There is a lot of art involved,” says Dr. James N. Lau, who is a Minimally Invasive Surgery Assistant Professor as well as the Chief of Bariatric Surgery. He believes in the role of technology in training future surgeons. “We are a skills-based field, so surgeons need to be trained in a skills lab.”
Along with virtual training on surgical procedures, the lab also conducts communication training for residents, including how to communicate bad news to patients.
Virtual training of surgeons is still relatively new. The American College of Surgeons has had a voluntary accreditation program for virtual training labs since 2005. There are currently 33 facilities participating in the program in the U.S. Dr. Mohsin, who is training to be a surgeon himself, said the University of Nevada School of Medicine currently does not mandate a minimum number of virtual training for residents. That may change once the ACS introduces a recommended curriculum and training modules.
With this generation of residents being weaned on video games, it’s not surprising that advanced simulators is finally making its way into medical training programs. “There are numerous studies that indicate increased hand-eye coordination with gamers. This translates to better laparoscopic skills,” says Dr. Lau.