Virtual reality versus box laparoscopic simulators in trainee selection and aptitude testing

BACKGROUND The purpose of this study was to compare the validity of high-fidelity and low-fidelity simulators in a selection center environment, using measures of construct and concurrent validity. METHODS A total of 46 novice and expert participants were tested on both the low-fidelity Fundamentals of Laparoscopic Surgery (FLS) box trainer and the high fidelity, Lapsim, virtual reality laparoscopic simulator. Outcome scores and performance metrics where recorded. RESULTS Experts performed better than novices on the FLS (median 71% vs. 51%; P