University of Toronto
Are video gamers better Urologists? The impact of video games on surgical skill in flexible ureteroscopy
Bruce Gao1, Suzy Melody Djuimo1, Nuley Seo2, Brian Carrillo1, Jason Y. Lee1, Monica Farcas1.
1Urology, University of Toronto, Toronto, ON, Canada; 2Undergraduate Medicine, University of Toronto, Toronto, ON, Canada
Introduction: Popular video games such as Fortnite, Call of Duty, and Mario are taking society by storm. Disturbing negative correlations with video gameplay in adolescents include lower grades and aggressive emotions and actions. However, studies have suggested positive effects of video games on laparoscopy. Although similar effects may be true for flexible ureteroscopy (fURS), it has not yet been shown.
Methods: Urology residents (PGY 1–3) were enrolled. Video gamers were defined as greater than 3 hours per week at the highest point of the participant’s gaming history. A tablet game (Cube Runner ©) was played to compare baseline video-gaming skills. All participants then performed ureteroscopic tasks using a 3D printed anatomical kidney model from a patient CT scan. Objective Structured Assessment of Technical Skills (OSATS) and performance on multi-institutionally validated fURS tasks were recorded (figure 1).
Results: 13 urology residents were enrolled in the study with 3 urology residents excluded due to previous simulator use. There were no significant demographical or fURS experience differences between gamers (n = 6) and non-gamers (n = 4) (table 1). Gamers had significantly higher previous gaming experience (gamers 15.67 vs non-gamers 0.75 hrs/wk; p=0.001) and demonstrated a trend towards better performance on CubeRunner (gamers 767.40 vs non-gamers 402.60; p=0.153) (table 1). Gamers demonstrated a significantly higher global assessment score in fURS compared to non-video gamers (gamers 24.33 vs non-gamers 20.75; p=0.045) (table 2). In addition, video gamers were significantly better as assists (gamers 3.33 vs non-gamers 2.75; p=0.014) and had higher instrument knowledge (gamers 3.67 vs non-gamers 3; p=0.025). There was no difference in fURS task scores, timing, or other OSATS domains.
Conclusions: Video gamers may perform better globally in fURS than non-gamers. Additional participants are required and currently being enrolled.
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