The Impact of Video Games on Training Surgeons in the 21st Century | Minimally Invasive Surgery | JAMA Surgery | JAMA Network
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1.
Howard  T Video game sales blast toward record this holiday season.  USA Today. December23 2002;Google Scholar
2.
Gentile  DALynch  PJLinder  JRWalsh  DA The effects of violent video game habits on adolescent hostility, aggressive behaviors, and school performance.  J Adolesc 2004;275- 22PubMedGoogle ScholarCrossref
3.
 Entertainment Software Association Web site. http://www.theesa.com. Accessed November 14, 2006
4.
Strauss  RSKnight  J Influence of the home environment on the development of obesity in children.  Pediatrics. 1999;103e85http://www.pediatrics.org/cgi/content/full/103/6/e85. Accessed November 14, 2006Google ScholarCrossref
5.
Brasington  R Nintendinitis.  N Engl J Med 1990;3221473- 1474PubMedGoogle Scholar
6.
Lemos  R Nintendo issues game gloves. http://www.gamespot.com/news/2541755.html. Accessed February 14, 2001
7.
Kasteleijn-Nolst Trenite  DGda Silva  AMRicci  S  et al.  Video-game epilepsy: a European study.  Epilepsia 1999;40 ((suppl 4)) 70- 74PubMedGoogle ScholarCrossref
8.
Lynch  PJ Type A behavior, hostility, and cardiovascular function at rest and after playing video games in teenagers [abstract].  Psychosom Med 1994;56152Google Scholar
9.
Lynch  PJ Hostility, type A behavior, and stress hormones at rest and after playing violent video games in teenagers [abstract].  Psychosom Med 1999;61113Google ScholarCrossref
10.
Nielsen  UDahl  RWhite  RFGrandjean  P Computer assisted neuropsychological testing of children [in Danish].  Ugeskr Laeger 1998;1603557- 3561PubMedGoogle Scholar
11.
Griffith  JLVoloschin  PGibb  GDBailey  JR Differences in eye-hand motor coordination of video-game users and non-users.  Percept Mot Skills 1983;57155- 158PubMedGoogle ScholarCrossref
12.
Yuji  H Computer games and information-processing skills.  Percept Mot Skills 1996;83643- 647PubMedGoogle ScholarCrossref
13.
De Lisi  RWolford  JL Improving children's mental rotation accuracy with computer game playing.  J Genet Psychol 2002;163272- 282PubMedGoogle ScholarCrossref
14.
Dorval  MPepin  M Effect of playing a video game on a measure of spatial visualization.  Percept Mot Skills 1986;62159- 162PubMedGoogle ScholarCrossref
15.
Green  CSBavelier  D Action video game modifies visual selective attention.  Nature 2003;423534- 537PubMedGoogle ScholarCrossref
16.
Walter  HVetter  SCGrothe  JWunderlich  APHahn  SSpitzer  M The neural correlates of driving.  Neuroreport 2001;121763- 1767PubMedGoogle ScholarCrossref
17.
Fery  YAPonserre  S Enhancing the control of force in putting by video game training.  Ergonomics 2001;441025- 1037PubMedGoogle ScholarCrossref
18.
Haluck  RSKrummel  TM Computers and virtual reality for surgical education in the 21st century.  Arch Surg 2000;135786- 791PubMedGoogle ScholarCrossref
19.
Issenberg  SBMcGaghie  WCHart  IR  et al.  Simulation technology for healthcare professional skills training and assessment.  JAMA 1999;282861- 866PubMedGoogle ScholarCrossref
20.
Agency for Healthcare Research and Quality, Medical errors: the scope of the problem: an epidemic of errors. http://www.ahrq.gov/qual/errback.htm. Accessed November 14, 2006
21.
Rosser  JCRosser  LESavalgi  RS Objective evaluation of a laparoscopic surgical skill program for residents and senior surgeons.  Arch Surg 1998;133657- 661PubMedGoogle ScholarCrossref
22.
Rosser  JCRosser  LESavalgi  RS Skill acquisition and assessment for laparoscopic surgery.  Arch Surg 1997;132200- 204PubMedGoogle ScholarCrossref
23.
Sedlack  REKolars  JC Computer simulator training enhances the competency of gastroenterology fellows at colonoscopy: results of a pilot study.  Am J Gastroenterol 2004;9933- 37PubMedGoogle ScholarCrossref
24.
Uribe  JIRalph  WM  JrGlaser  AYFried  MP Learning curves, acquisition, and retention of skills trained with the endoscopic sinus surgery simulator.  Am J Rhinol 2004;1887- 92PubMedGoogle Scholar
25.
Marshall  RLSmith  JSGorman  PJKrummel  TMHaluck  RSCooney  RN Use of a human patient simulator in the development of resident trauma management skills.  J Trauma 2001;5117- 21PubMedGoogle ScholarCrossref
26.
Ubi Soft, Ubi Soft licenses Tom Clancy's Rainbow Six Rogue Spear game engine to train US soldiers. http://corp.ubisoft.com/pr_release_010829a.htm. Accessed February 12, 2002
27.
Tsai  CLHeinrichs  WL Acquisition of eye-hand coordination skills for videoendoscopic surgery.  J Am Assoc Gynecol Laparosc 1994;1 ((4, pt 2)) S37PubMedGoogle ScholarCrossref
28.
Grantcharov  TPBardram  LFunch-Jensen  PRosenberg  J Impact of hand dominance, gender, and experience with computer games on performance in virtual reality laparoscopy.  Surg Endosc 2003;171082- 1085Google ScholarCrossref
29.
Johnson  JW A heuristic method for estimating the relative weight of predictor variables in multiple regression.  Multivariate Behav Res 2000;351- 19Google ScholarCrossref
30.
Johnson  JW Determining the relative importance of predictors in multiple regression: practical applications of relative weights. Columbus  F Advances in Psychology Research. Vol 5. Huntington, NY Nova Science Publishers2001;231- 251Google Scholar
31.
Gentile  DAWalsh  DA The Impact of Video Games on Children and Youth.  Arlington, Va Educational Research Service2001;Informed Educator 433
32.
Gentile  DAAnderson  CA Violent video games: the newest media violence hazard. Gentile  DA Media Violence and Children. Westport, Conn Praeger Publishers2003;131- 152Google Scholar
33.
Anderson  CADill  KE Video games and aggressive thoughts, feelings, and behavior in the laboratory and in life.  J Pers Soc Psychol 2000;78772- 790PubMedGoogle ScholarCrossref
34.
Harris  MBWilliams  R Video games and school performance.  Education 1985;105306- 309Google Scholar
35.
Roberts  DFFoehr  UGRideout  VJBrodie  M Kids & Media @ the New Millennium.  Menlo Park, Calif Kaiser Family Foundation1999;
36.
Van Schie  EGMWiegman  O Children and video games: leisure activities, aggression, social integration, and school performance.  J Appl Soc Psychol 1997;271175- 1194Google ScholarCrossref
37.
Anderson  CABushman  BJ Effects of violent video games on aggressive behavior, aggressive cognition, aggressive affect, physiological arousal, and prosocial behavior: a meta-analytic review of the scientific literature.  Psychol Sci 2001;12353- 359Google ScholarCrossref
38.
Cooper  JMackie  D Video games and aggression in children.  J Appl Soc Psychol 1986;16726- 744Google ScholarCrossref
39.
Irwin  ARGross  AM Cognitive tempo, violent video games, and aggressive behavior in young boys.  J Fam Violence 1995;10337- 350Google ScholarCrossref
40.
Gentile  DA Examining the effects of video games from a psychological perspective: focus on violent games and a new synthesis. http://www.mediafamily.org/research/Gentile_NIMF_Review_2005.pdf. Accessed November 13, 2006
41.
Gentile  DAStone  W Violent video game effects on children and adolescents: a review of the literature.  Minerva Pediatr 2005;57337- 358Google Scholar
Original Article
February 1, 2007

The Impact of Video Games on Training Surgeons in the 21st Century

Author Affiliations

Author Affiliations: Department of Surgery, Beth Israel Medical Center (Drs Rosser and Lynch), and Department of Anesthesiology, New York University Medical Center (Dr Lynch), Department of Orthopedic Surgery, Montefiore Medical Center (Dr Cuddihy), and Department of Surgery, Brookdale University Hospital and Medical Center (Dr Klonsky), New York, NY; Department of Psychology, Iowa State University, Ames (Dr Gentile); and Department of Surgery, Virginia Commonwealth University, Richmond (Dr Merrell).

Arch Surg. 2007;142(2):181-186. doi:10.1001/archsurg.142.2.181
Abstract

Background  Video games have become extensively integrated into popular culture. Anecdotal observations of young surgeons suggest that video game play contributes to performance excellence in laparoscopic surgery. Training benefits for surgeons who play video games should be quantifiable.

Hypothesis  There is a potential link between video game play and laparoscopic surgical skill and suturing.

Design  Cross-sectional analysis of the performance of surgical residents and attending physicians participating in the Rosser Top Gun Laparoscopic Skills and Suturing Program (Top Gun). Three different video game exercises were performed, and surveys were completed to assess past experience with video games and current level of play, and each subject's level of surgical training, number of laparoscopic cases performed, and number of years in medical practice.

Setting  Academic medical center and surgical training program.

Participants  Thirty-three residents and attending physicians participating in Top Gun from May 10 to August 24, 2002.

Main Outcome Measures  The primary outcome measures were compared between participants' laparoscopic skills and suturing capability, video game scores, and video game experience.

Results  Past video game play in excess of 3 h/wk correlated with 37% fewer errors (P<.02) and 27% faster completion (P<.03). Overall Top Gun score (time and errors) was 33% better (P<.005) for video game players and 42% better (P<.01) if they played more than 3 h/wk. Current video game players made 32% fewer errors (P=.04), performed 24% faster (P<.04), and scored 26% better overall (time and errors) (P<.005) than their nonplaying colleagues. When comparing demonstrated video gaming skills, those in the top tertile made 47% fewer errors, performed 39% faster, and scored 41% better (P<.001 for all) on the overall Top Gun score. Regression analysis also indicated that video game skill and past video game experience are significant predictors of demonstrated laparoscopic skills.

Conclusions  Video game skill correlates with laparoscopic surgical skills. Training curricula that include video games may help thin the technical interface between surgeons and screen-mediated applications, such as laparoscopic surgery. Video games may be a practical teaching tool to help train surgeons.

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