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Analysis of Variances (ANOVA) found significant differences between the three groups for parameters blood loss (p 0.001), procedure time (p 0.001), and total instrument path length (p = 0.03). These three metrics demonstrated high internal consistency and significant test-retest reliability was found between each of them. Relevant pass/fail levels were established for each of the three metrics, 541ml, 30min, and 71m, respectively. This study provides validity evidence for a simulator-based test of VATS lobectomy competence including multiple lobes
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