Virtual Reality in Neurosurgery- A Neurostimulator - Based Postgraduate Residency Training: A Novel Step Towards Skillful Young Neurosurgeons | [Pakistan Journal of Neurological Surgery • 2022]

Author(s):

1. Usman Ahmad Kamboh: Departments of Neurosurgery Allama Iqbal Medical College/Jinnah Hospital, Lahore, Pakistan,

2. Sidra Abid: Departments of Neurosurgery Medical College/Jinnah Hospital, Lahore, Pakistan

3. Sana Ullah: Departments of Neurosurgery Medical College/Jinnah Hospital, Lahore, Pakistan

4. Mehwish Manzoor: Oncology, Allama Iqbal Medical College/Jinnah Hospital, Lahore, Pakistan,

5. Kashif Sultan: Departments of Neurosurgery Allama Iqbal Medical College/Jinnah Hospital, Lahore, Pakistan

6. Mehreen Mehboob: Departments of Neurosurgery Allama Iqbal Medical College/Jinnah Hospital, Lahore, Pakistan; Wolfson School of Medicine University of Glasgow, Scotland, United Kingdom

7. Manzoor Ahmad: Departments of Neurosurgery , Allama Iqbal Medical College/Jinnah Hospital, Lahore, Pakistan,

Abstract:

Introduction/Objective: Virtual Reality (VR) is the need of time in every field of life. Recent biotechnological advances have molded the surgeon-computer relationship. Department of Neurosurgery Jinnah Hospital Lahore has updated the postgraduate training program by adding the virtual reality simulator. We aim to explore the current and future roles and applications of VR and simulation in neurosurgical training that may reduce the learning curve, improve conceptual understanding and enhance visuospatial skills. Materials & Methods: Eight residents were enrolled in this program. They exercised the basic skills of neurosurgery e.g. suction, use of bipolar cautery, handling of CUSA, use of micro scissors, etc., and the automated software recorded each participant's graph of performance separately. After 1.5 years, they were assessed in real-time on actual patients under the direct supervision of a qualified neurosurgeon. The assessment was done on DOPS (Directly Observed Procedural Skills) Performa. Results: The results showed that there was a gradual upward learning curve in simulator-based procedures from negative marking to 70% in basic surgical skills and 60% in advanced procedures on average for all the residents whereas the DOPS showed that all residents performed above expectation i.e., 4 or above. Conclusion: Neurostimulator-based postgraduate training program is opening new horizons for the safe and skillful training of residents. With the advancement of artificial intelligence, its use in training programs will lead to structured and systematic training patterns in the world of neurosurgery.

Page(s): 536-542

DOI: 10.36552/pjns.v26i3.795

Published: Journal: Pakistan Journal of Neurological Surgery, Volume: 26, Issue: 3, Year: 2022

Keywords:

Simulationbased training , VR virtual reality , DOPS Directly Observed Procedural Skills , SurgeonComputer Relation

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