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UvA-DARE (Digital Academic Repository) Serious games in surgical education Graafland, M. Link to publication Citation for published version (APA): Graafland, M. (2014). Serious games in surgical education General rights It is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulations If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. UvA-DARE is a service provided by the library of the University of Amsterdam (http://dare.uva.nl) Download date: 01 Jan 2019

Serious Games in Surgical Education Maurits Graafland

Serious Games in Surgical Education PhD thesis, University of Amsterdam, The Netherlands Author: Maurits Graafland Cover Design: Simon van Anken Layout and Printing: Optima Grafische Communicatie, Rotterdam, The Netherlands Printed on: FSC certified paper ISBN: 978-94-6169-568-0 Printing of this thesis was supported by the Academic Medical Center, Chipsoft B.V., Covidien Nederland B.V., everywhereim Ltd., Olympus Nederland B.V., Simendo B.V. Maurits Graafland, Amsterdam, The Netherlands, 2014

SERIOUS GAMES IN SURGICAL EDUCATION ACADEMISCH PROEFSCHRIFT ter verkrijging van de graad van doctor aan de Universiteit van Amsterdam op gezag van de Rector Magnificus prof. dr. D. C. van den Boom ten overstaan van een door het college voor promoties ingestelde commissie, in het openbaar te verdedigen in de Agnietenkapel op woensdag 19 november 2014, te 12.00 uur door Maurits Graafland geboren te Rotterdam

Promotor: Prof.dr. W.A. Bemelman Copromotor: Dr. M.P. Schijven Overige leden: Prof.dr. O.R.C. Busch Prof.dr. M.A. Boermeester Prof.dr. M. Maas Prof.dr. B.A.M. Schouten Prof.dr. J.M.C. Schraagen Dr. H.W.R. Schreuder Faculteit der Geneeskunde

Contents Introduction General Introduction and Thesis Outline 9 Chapter 1 Chapter 2 Systematic review of validity of serious games for medical education and surgical skills training Mapping the demand for Serious Games in Postgraduate Medical Education using the entrustable professional activities framework 21 43 Part I: Validity of a serious game Chapter 3 Chapter 4 Chapter 5 Chapter 6 Training situational awareness to reduce surgical errors in the operating room Appraisal of face and content validity of a serious game improving situation awareness in surgical training Prospective cohort study on surgeons response to equipment failure in the laparoscopic environment Game-based training improves problem-solving ability in the operation room: a randomized controlled trial 57 73 89 103 Part II: New perspectives on the minimally invasive surgical training curriculum Chapter 7 Chapter 8 Chapter 9 Synthesis A serious game can be a valid method to train clinical decisionmaking in surgery A multicenter prospective cohort study on camera navigation training for key user groups in minimally invasive surgery Designing a proficiency-based, content validated virtual reality curriculum for laparoscopic colorectal surgery: A Delphi approach 121 137 155 Chapter 10 How to systematically assess serious games applied in healthcare 171 General Discussion, Conclusion and Future Perspectives 183 5

Contents Summary and Appendices Summary 201 Samenvatting (Nederlands) 205 List of Authors 211 List of Sponsors 213 PhD Portfolio 215 Dankwoord 219 Curriculum Vitae 223 6