Enhancement of a low-fidelity surgical simulator. Is it possible?

J Laryngol Otol. 2021 Feb;135(2):179-181. doi: 10.1017/S0022215120002613. Epub 2021 Jan 27.

Abstract

Background: Simulation training has become a core component in the training of ENT surgeons. It provides the opportunity for the repetitive practice of a surgical technique. Simulators are broadly categorised into low- and high-fidelity simulators. A method using a home microprocessor to enhance a low-fidelity surgical simulator is introduced.

Method: The Yorick tonsil tie trainer was enhanced using an Arduino microcontroller attached to the simulated inferior pole of the tonsil. The Arduino was coded to give a visual stimulus when linear motion exceeded parameters. The prototype simulator was tested to gain information on whether the enhancement could identify differences between novice and expert users.

Conclusion: An enhanced low-fidelity tonsil trainer was produced using a low-cost, simple home microprocessing board. The enhanced simulator gives objective feedback allowing for self-directed learning. Further research is required to evaluate the benefits of these enhancements above non-enhanced simulation training.

Keywords: Enhancement Technologies; Low Fidelity; Simulation Training.

MeSH terms

  • Biomedical Enhancement / methods
  • Clinical Competence / standards
  • Computer Simulation
  • Feedback
  • Humans
  • Otolaryngologists / education*
  • Palatine Tonsil / surgery*
  • Simulation Training / economics
  • Simulation Training / methods*
  • Simulation Training / statistics & numerical data
  • Surgeons / education