Conclusion
DISSECTION
TS led to an additional benefit in the form of improved performance on the VR trainer for task 1 (Anatomy Identification) but not for task 2 (Incision and Dissection). This can be explained by the fact that TS provides only theoretical training and task 1 on the VR trainer tests anatomical knowledge, while task 2 tests practical skills. Skill transfer from the VR trainer to TS could not be shown. This can be explained by that fact that the VR trainer module taught mostly practical skills. Also, the VR trainer taught only the peritoneal preparation (mesh placement was still under development during the study) and did not teach patient preparation. The study shows some evidence for construct validity regarding content and relations to other variables evidence for the “Laparoscopic Inguinal Hernia Repair” module on the serious game TS. VR and TS should thus be used in combination in multimodal training, ideally with TS being used first to ensure optimal training.