Dimitrios Stefanidis1, Nicholas E Anton2, Graham McRary2, Lisa D Howley3, Manuel Pimentel2, Cameron Davis4, Ashley M Yurco4, Nick Sevdalis5, Charles Brown6. 1. Department of Surgery, Indiana University School of Medicine, 545 Barnhill Dr., EH 125, Indianapolis, IN 46202, USA; Carolinas Simulation Center, Carolinas HealthCare System, Charlotte, NC, USA. Electronic address: dimstefa@iu.edu. 2. Carolinas Simulation Center, Carolinas HealthCare System, Charlotte, NC, USA. 3. Carolinas Simulation Center, Carolinas HealthCare System, Charlotte, NC, USA; Medical Education, Carolinas HealthCare System, Charlotte, NC, USA. 4. Medical Education, Carolinas HealthCare System, Charlotte, NC, USA. 5. Centre for Implementation Science, Department of Health Service and Population Research, King's College, London, UK. 6. Head in the Game, Inc, Charlotte, NC, USA.
Abstract
BACKGROUND: Mental skills training refers to the implementation of cognitive performance-enhancing strategies to promote optimal performance. We aimed to develop a surgery-specific mental skills curriculum (MSC) and obtain initial evidence of efficacy. METHODS: The developed MSC consisted of 8 proven performance-enhancing modules. Its efficacy was assessed during laparoscopic simulator-based practice by novices using validated instruments of mental skills, workload, and stress, in addition to a skill transfer test to a porcine model. A paired t test was used to analyze the data. RESULTS: Nine surgical novices completed the curriculum. Compared with baseline assessment, participants improved significantly their laparoscopic performance and mental skills after completion of the MSC. All participants completed the task in the porcine model without an appreciable change in their perceived stress. During the skill transfer test, 8 participants were observed using mental skills taught in the MSC. CONCLUSIONS: A surgery-specific simulator-based MSC was developed, and its efficacy in improving mental skills and surgical performance was supported during a surgical skill transfer test.
BACKGROUND: Mental skills training refers to the implementation of cognitive performance-enhancing strategies to promote optimal performance. We aimed to develop a surgery-specific mental skills curriculum (MSC) and obtain initial evidence of efficacy. METHODS: The developed MSC consisted of 8 proven performance-enhancing modules. Its efficacy was assessed during laparoscopic simulator-based practice by novices using validated instruments of mental skills, workload, and stress, in addition to a skill transfer test to a porcine model. A paired t test was used to analyze the data. RESULTS: Nine surgical novices completed the curriculum. Compared with baseline assessment, participants improved significantly their laparoscopic performance and mental skills after completion of the MSC. All participants completed the task in the porcine model without an appreciable change in their perceived stress. During the skill transfer test, 8 participants were observed using mental skills taught in the MSC. CONCLUSIONS: A surgery-specific simulator-based MSC was developed, and its efficacy in improving mental skills and surgical performance was supported during a surgical skill transfer test.
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