Different cognitive styles can affect performance in laparoscopic surgery skill training
- PDF / 999,610 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 74 Downloads / 181 Views
and Other Interventional Techniques
Different cognitive styles can affect performance in laparoscopic surgery skill training Armin Paul Mathias1,3 · Peter Vogel2 · Markus Knauff1 Received: 6 August 2019 / Accepted: 12 November 2019 © Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract Background The lack of depth cues and haptic feedback makes minimally invasive surgery a cognitive challenge. It is therefore important to know which individuals are expected to perform well in minimally invasive surgery. In cognitive psychology, methods are available with which one can measure different cognitive thinking styles. It is well known that these cognitive styles correlate with many different tasks. We investigated whether this method can also predict performance on a box trainer (Lübeck T oolbox®), a device for training laparoscopic surgery. If so, the method might help to select and train those people who will most likely develop high skills in minimally invasive surgery. Methods Thirty medical students and thirty non-medical students performed five laparoscopic surgical tasks on a box trainer. We measured the time required and the errors participants made on each task. Their cognitive style was measured with a method from cognitive psychology that distinguishes between people who think visually, spatially, or verbally. Furthermore, all students completed a subset of a standard intelligence test (Wechsler Adult Intelligence Scale) and three subtests of the German Medical University Admission Test (TMS). Results Participants with spatial thinking styles performed best on the box trainer. Visual and verbal cognitive styles impeded box trainer performance. Performance on the box trainer could also be predicted by the TMS and IQ scores. Conclusions The study shows for the first time that a standard method from cognitive psychology can be used to distinguish between different cognitive styles in surgical education and that these different cognitive styles affect performance on a box trainer. Since the correlation between box trainer performance and surgical proficiency is well documented, the method might be an efficient way to reduce errors and to elevate patient safety in laparoscopic surgery. Keywords Box trainer · Spatial cognition · Cognitive styles · Medical assessment · Laparoscopic surgery Minimally invasive surgery has been established as a standard technique for many surgical operations. Reduced blood loss as well as a shortened recovery time and other advantages made it the preferred choice in many cases [1, 2]. However, for the surgeon laparoscopic surgery is demanding and a cognitive challenge. This can also result in more errors * Armin Paul Mathias [email protected]‑giessen.de Markus Knauff [email protected]‑giessen.de 1
Department of Psychology, Experimental Psychology and Cognitive Science, Justus Liebig University, Otto‑Behaghel‑Strasse 10F, 35394 Giessen, Germany
2
Department of General, Visceral and Minimally Invasive Surgery, Hospital Bad Hersfeld,
Data Loading...
