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A model for predicting the GEARS score from virtual reality surgical simulator metrics

Overview of attention for article published in Surgical Endoscopy, February 2018
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Title
A model for predicting the GEARS score from virtual reality surgical simulator metrics
Published in
Surgical Endoscopy, February 2018
DOI 10.1007/s00464-018-6082-7
Pubmed ID
Authors

Ariel Kate Dubin, Danielle Julian, Alyssa Tanaka, Patricia Mattingly, Roger Smith

Abstract

Surgical education relies heavily upon simulation. Assessment tools include robotic simulator assessments and Global Evaluative Assessment of Robotic Skills (GEARS) metrics, which have been validated. Training programs use GEARS for proficiency testing; however, it requires a trained human evaluator. Due to limited time, learners are reliant on surgical simulator feedback to improve their skills. GEARS and simulator scores have been shown to be correlated but in what capacity is unknown. Our goal is to develop a model for predicting GEARS score using simulator metrics. Linear and multivariate logistic regressions were used on previously reported data by this group. Subjects performed simple (Ring and Rail 1) and complex (Suture Sponge 1) tasks on simulators, the dV-Trainer (dVT) and the da Vinci Skills Simulator (dVSS). They were scored via simulator metrics and GEARS. A linear model for each simulator and exercise showed a positive linear correlation. Equations were developed for predicting GEARS Total Score from simulator Overall Score. Next, the effects of each individual simulator metric on the GEARS Total Score for each simulator and exercise were examined. On the dVSS, Excessive Instrument Force was significant for Ring and Rail 1 and Instrument Collision was significant for Suture Sponge 1. On the dVT, Time to Complete was significant for both exercises. Once the significant variables were identified, multivariate models were generated. Comparing the predicted GEARS Total Score from the linear model (using only simulator Overall Score) to that using the multivariate model (using the significant variables for each simulator and exercise), the results were similar. Our results suggest that trainees can use simulator Overall Score to predict GEARS Total Score using our linear regression equations. This can improve the training process for those preparing for high-stakes assessments.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 71 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 71 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 13%
Student > Ph. D. Student 5 7%
Student > Master 5 7%
Student > Doctoral Student 5 7%
Professor 3 4%
Other 14 20%
Unknown 30 42%
Readers by discipline Count As %
Medicine and Dentistry 16 23%
Computer Science 6 8%
Arts and Humanities 3 4%
Engineering 3 4%
Psychology 2 3%
Other 7 10%
Unknown 34 48%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 February 2018.
All research outputs
#14,091,602
of 23,020,670 outputs
Outputs from Surgical Endoscopy
#3,125
of 6,107 outputs
Outputs of similar age
#231,302
of 437,326 outputs
Outputs of similar age from Surgical Endoscopy
#85
of 133 outputs
Altmetric has tracked 23,020,670 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 6,107 research outputs from this source. They receive a mean Attention Score of 4.1. This one is in the 46th percentile – i.e., 46% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 437,326 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 133 others from the same source and published within six weeks on either side of this one. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.