Creating a Proficiency-Based Virtual Reality Simulation Training Programme for Laparoscopic Assisted Colectomy

Inclusion criteria for subjects * Classified as year 3-5 post graduation registrars, specialist registrars or residents in surgery. * Completed their Basic Surgical Training programme. * Completed at least 12 months period on a Higher Surgical Training programme. * In an accredited surgical post at time of participation * In a colorectal surgery rotation at time of participation * Signed their own consent form Exclusion criteria for subjects * Performed, as primary surgeon, \> 10 advanced laparoscopic procedures (laparoscopic cholecystectomy, inguinal hernia, appendectomy, Nissen fundoplication, or ventral incisional hernia repair are not considered advanced laparoscopic procedures ) * Performed, as primary surgeon, laparoscopic assisted colectomy procedures * Performed, as primary surgeon, any hand-assisted laparoscopic colectomy procedures * Did not sign their own consent form Inclusion criteria for patients * Indicated for a laparoscopic assisted sigmoid colectomy or high anterior resection * At least 18 years old upon date of signing the informed consent document (ICD) * Sign their own ICD Exclusion criteria for patients * History or current diagnosis of synchronous colon cancer * Indicated for urgent surgery * Indicated for diverting stoma * American Society of Anaesthesiologists (ASA) Classification of Physical Status IV-V * Tumour classified as T4 * An obstructed colon * Planned early conversion based on findings at operative visualisation. * Pregnancy * \< 18 y…