Lydia Laninga-Wijnen, Yvonne H M van den Berg, Tim Mainhard, Antonius H N Cillessen
The Role of Aggressive Peer Norms in Elementary School Children's Perceptions of Classroom Peer Climate and School Adjustment
Journal of youth and adolescence
uses ondemand interactive tabletbased surgical training environments interest potential resources acquisition maintenance rarely performed critical procedures expeditionary surgical care study examined effectiveness tabletbased augmented reality ar procedural training environment lower leg fasciotomy cohort novice surgical trainees 1 procedural knowledge 2 tabletbased procedural skills 3 tabletbased procedural time 4 procedural performance cadaver hypothesized engaging ar procedural training would increase procedural knowledge tabletbased skills procedural time hypothesized tabletbased ar training environment would insufficient acquire ability perform lower leg fasciotomy cadaver study approved exempt institutional review board usu surgical interns subinterns independent duty corpsman n 30 prior lower leg fasciotomy experience voluntarily participated tabletbased training activities included pretraining assessment engagement instruction interactive procedural practice posttraining assessment tabletbased knowledge assessment included 17 multiple choice questions covering concepts reasoning judgment associated procedure tabletbased procedural completion time assessed within training environment within 1 week completing tablet activities participants assessed fellowshiptrained trauma surgeons performing cadaverbased lower leg fasciotomy statistical analysis included paired ttests effect size cohens statistical significance set p 05 tabletbased ar procedural training significantly improved procedural knowledge p 001 tabletbased procedural skills p 001 reduced tabletbased procedural time p 002 effect sizes large tabletbased procedural knowledge 175 skills 32 small 042 procedural time significant effects procedural knowledge tabletbased procedural skills time cadaverbased performance participant able accurately independently complete lower leg fasciotomy procedure cadaver tabletbased ar procedural training improved procedural knowledge tabletbased skills however gains transfer ability perform procedure cadaver tablets limited ar interface support acquisition requisite surgical technique tissue handling decisionmaking novice surgical trainees experienced surgeons may different outcomes mature understanding surgical constructs would allow extrapolation abilities procedural contexts investigation tabletbased training environments surgical care necessary distributing resources support clinical readiness