Randomized clinical trial to evaluate mental practice in enhancing advanced laparoscopic surgical performance.
Identifieur interne : 000D63 ( Main/Exploration ); précédent : 000D62; suivant : 000D64Randomized clinical trial to evaluate mental practice in enhancing advanced laparoscopic surgical performance.
Auteurs : M. Louridas [Canada] ; E M Bonrath ; D A Sinclair ; N J Dedy ; T P GrantcharovSource :
- The British journal of surgery [ 1365-2168 ] ; 2015.
Descripteurs français
- KwdFr :
- Anastomose de Roux-en-Y (enseignement et éducation), Compétence clinique (normes), Enseignement spécialisé en médecine (méthodes), Femelle (MeSH), Humains (MeSH), Jéjunostomie (enseignement et éducation), Laparoscopie (enseignement et éducation), Laparoscopie (normes), Latéralité fonctionnelle (MeSH), Mâle (MeSH), Spécialités chirurgicales (enseignement et éducation).
- MESH :
- enseignement et éducation : Anastomose de Roux-en-Y, Jéjunostomie, Laparoscopie, Spécialités chirurgicales.
- méthodes : Enseignement spécialisé en médecine.
- normes : Compétence clinique, Laparoscopie.
- Femelle, Humains, Latéralité fonctionnelle, Mâle.
English descriptors
- KwdEn :
- Anastomosis, Roux-en-Y (education), Clinical Competence (standards), Education, Medical, Graduate (methods), Female (MeSH), Functional Laterality (MeSH), Humans (MeSH), Jejunostomy (education), Laparoscopy (education), Laparoscopy (standards), Male (MeSH), Practice, Psychological (MeSH), Specialties, Surgical (education).
- MESH :
- education : Anastomosis, Roux-en-Y, Jejunostomy, Laparoscopy, Specialties, Surgical.
- methods : Education, Medical, Graduate.
- standards : Clinical Competence, Laparoscopy.
- Female, Functional Laterality, Humans, Male, Practice, Psychological.
Abstract
BACKGROUND
Mental practice, the cognitive rehearsal of a task without physical movement, is known to enhance performance in sports and music. Investigation of this technique in surgery has been limited to basic operations. The purpose of this study was to develop mental practice scripts, and to assess their effect on advanced laparoscopic skills and surgeon stress levels in a crisis scenario.
METHODS
Twenty senior surgical trainees were randomized to either conventional training or mental practice groups, the latter being trained by an expert performance psychologist. Participants' skills were assessed while performing a porcine laparoscopic jejunojejunostomy as part of a crisis scenario in a simulated operating room, using the Objective Structured Assessment of Technical Skill (OSATS) and bariatric OSATS (BOSATS) instruments. Objective and subjective stress parameters were measured, as well as non-technical skills using the Non-Technical Skills for Surgeons rating tool.
RESULTS
An improvement in OSATS (P = 0.003) and BOSATS (P = 0.003) scores was seen in the mental practice group compared with the conventional training group. Seven of ten trainees improved their technical performance during the crisis scenario, whereas four of the ten conventionally trained participants deteriorated. Mental imagery ability improved significantly following mental practice training (P = 0.011), but not in the conventional group (P = 0.083). No differences in objective or subjective stress levels or non-technical skills were evident.
CONCLUSION
Mental practice improves technical performance for advanced laparoscopic tasks in the simulated operating room, and allows trainees to maintain or improve their performance despite added stress.
DOI: 10.1002/bjs.9657
PubMed: 25332065
Affiliations:
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Louridas</name><affiliation wicri:level="4"><nlm:affiliation>Division of General Surgery, University of Toronto, Toronto, Ontario.</nlm:affiliation><country>Canada</country><placeName><region type="province">Ontario</region><settlement type="city">Toronto</settlement></placeName><wicri:cityArea>Division of General Surgery, University of Toronto, Toronto</wicri:cityArea><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Bonrath, E M" sort="Bonrath, E M" uniqKey="Bonrath E" first="E M" last="Bonrath">E M Bonrath</name></author><author><name sortKey="Sinclair, D A" sort="Sinclair, D A" uniqKey="Sinclair D" first="D A" last="Sinclair">D A Sinclair</name></author><author><name sortKey="Dedy, N J" sort="Dedy, N J" uniqKey="Dedy N" first="N J" last="Dedy">N J Dedy</name></author><author><name sortKey="Grantcharov, T P" sort="Grantcharov, T P" uniqKey="Grantcharov T" first="T P" last="Grantcharov">T P Grantcharov</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25332065</idno><idno type="pmid">25332065</idno><idno type="doi">10.1002/bjs.9657</idno><idno type="wicri:Area/Main/Corpus">000F01</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000F01</idno><idno type="wicri:Area/Main/Curation">000F01</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000F01</idno><idno type="wicri:Area/Main/Exploration">000F01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Randomized clinical trial to evaluate mental practice in enhancing advanced laparoscopic surgical performance.</title><author><name sortKey="Louridas, M" sort="Louridas, M" uniqKey="Louridas M" first="M" last="Louridas">M. Louridas</name><affiliation wicri:level="4"><nlm:affiliation>Division of General Surgery, University of Toronto, Toronto, Ontario.</nlm:affiliation><country>Canada</country><placeName><region type="province">Ontario</region><settlement type="city">Toronto</settlement></placeName><wicri:cityArea>Division of General Surgery, University of Toronto, Toronto</wicri:cityArea><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Bonrath, E M" sort="Bonrath, E M" uniqKey="Bonrath E" first="E M" last="Bonrath">E M Bonrath</name></author><author><name sortKey="Sinclair, D A" sort="Sinclair, D A" uniqKey="Sinclair D" first="D A" last="Sinclair">D A Sinclair</name></author><author><name sortKey="Dedy, N J" sort="Dedy, N J" uniqKey="Dedy N" first="N J" last="Dedy">N J Dedy</name></author><author><name sortKey="Grantcharov, T P" sort="Grantcharov, T P" uniqKey="Grantcharov T" first="T P" last="Grantcharov">T P Grantcharov</name></author></analytic><series><title level="j">The British journal of surgery</title><idno type="eISSN">1365-2168</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anastomosis, Roux-en-Y (education)</term><term>Clinical Competence (standards)</term><term>Education, Medical, Graduate (methods)</term><term>Female (MeSH)</term><term>Functional Laterality (MeSH)</term><term>Humans (MeSH)</term><term>Jejunostomy (education)</term><term>Laparoscopy (education)</term><term>Laparoscopy (standards)</term><term>Male (MeSH)</term><term>Practice, Psychological (MeSH)</term><term>Specialties, Surgical (education)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anastomose de Roux-en-Y (enseignement et éducation)</term><term>Compétence clinique (normes)</term><term>Enseignement spécialisé en médecine (méthodes)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jéjunostomie (enseignement et éducation)</term><term>Laparoscopie (enseignement et éducation)</term><term>Laparoscopie (normes)</term><term>Latéralité fonctionnelle (MeSH)</term><term>Mâle (MeSH)</term><term>Spécialités chirurgicales (enseignement et éducation)</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Anastomosis, Roux-en-Y</term><term>Jejunostomy</term><term>Laparoscopy</term><term>Specialties, Surgical</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Anastomose de Roux-en-Y</term><term>Jéjunostomie</term><term>Laparoscopie</term><term>Spécialités chirurgicales</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Education, Medical, Graduate</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Enseignement spécialisé en médecine</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Compétence clinique</term><term>Laparoscopie</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Clinical Competence</term><term>Laparoscopy</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Functional Laterality</term><term>Humans</term><term>Male</term><term>Practice, Psychological</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Femelle</term><term>Humains</term><term>Latéralité fonctionnelle</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Mental practice, the cognitive rehearsal of a task without physical movement, is known to enhance performance in sports and music. Investigation of this technique in surgery has been limited to basic operations. The purpose of this study was to develop mental practice scripts, and to assess their effect on advanced laparoscopic skills and surgeon stress levels in a crisis scenario.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Twenty senior surgical trainees were randomized to either conventional training or mental practice groups, the latter being trained by an expert performance psychologist. Participants' skills were assessed while performing a porcine laparoscopic jejunojejunostomy as part of a crisis scenario in a simulated operating room, using the Objective Structured Assessment of Technical Skill (OSATS) and bariatric OSATS (BOSATS) instruments. Objective and subjective stress parameters were measured, as well as non-technical skills using the Non-Technical Skills for Surgeons rating tool.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>An improvement in OSATS (P = 0.003) and BOSATS (P = 0.003) scores was seen in the mental practice group compared with the conventional training group. Seven of ten trainees improved their technical performance during the crisis scenario, whereas four of the ten conventionally trained participants deteriorated. Mental imagery ability improved significantly following mental practice training (P = 0.011), but not in the conventional group (P = 0.083). No differences in objective or subjective stress levels or non-technical skills were evident.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Mental practice improves technical performance for advanced laparoscopic tasks in the simulated operating room, and allows trainees to maintain or improve their performance despite added stress.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25332065</PMID><DateCompleted><Year>2015</Year><Month>01</Month><Day>20</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2168</ISSN><JournalIssue CitedMedium="Internet"><Volume>102</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Jan</Month></PubDate></JournalIssue><Title>The British journal of surgery</Title><ISOAbbreviation>Br J Surg</ISOAbbreviation></Journal><ArticleTitle>Randomized clinical trial to evaluate mental practice in enhancing advanced laparoscopic surgical performance.</ArticleTitle><Pagination><MedlinePgn>37-44</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/bjs.9657</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Mental practice, the cognitive rehearsal of a task without physical movement, is known to enhance performance in sports and music. Investigation of this technique in surgery has been limited to basic operations. The purpose of this study was to develop mental practice scripts, and to assess their effect on advanced laparoscopic skills and surgeon stress levels in a crisis scenario.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Twenty senior surgical trainees were randomized to either conventional training or mental practice groups, the latter being trained by an expert performance psychologist. Participants' skills were assessed while performing a porcine laparoscopic jejunojejunostomy as part of a crisis scenario in a simulated operating room, using the Objective Structured Assessment of Technical Skill (OSATS) and bariatric OSATS (BOSATS) instruments. Objective and subjective stress parameters were measured, as well as non-technical skills using the Non-Technical Skills for Surgeons rating tool.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">An improvement in OSATS (P = 0.003) and BOSATS (P = 0.003) scores was seen in the mental practice group compared with the conventional training group. Seven of ten trainees improved their technical performance during the crisis scenario, whereas four of the ten conventionally trained participants deteriorated. Mental imagery ability improved significantly following mental practice training (P = 0.011), but not in the conventional group (P = 0.083). No differences in objective or subjective stress levels or non-technical skills were evident.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Mental practice improves technical performance for advanced laparoscopic tasks in the simulated operating room, and allows trainees to maintain or improve their performance despite added stress.</AbstractText><CopyrightInformation>© 2014 BJS Society Ltd. Published by John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Louridas</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of General Surgery, University of Toronto, Toronto, Ontario.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bonrath</LastName><ForeName>E M</ForeName><Initials>EM</Initials></Author><Author ValidYN="Y"><LastName>Sinclair</LastName><ForeName>D A</ForeName><Initials>DA</Initials></Author><Author ValidYN="Y"><LastName>Dedy</LastName><ForeName>N J</ForeName><Initials>NJ</Initials></Author><Author ValidYN="Y"><LastName>Grantcharov</LastName><ForeName>T P</ForeName><Initials>TP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>10</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Surg</MedlineTA><NlmUniqueID>0372553</NlmUniqueID><ISSNLinking>0007-1323</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000713" MajorTopicYN="N">Anastomosis, Roux-en-Y</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004503" MajorTopicYN="N">Education, Medical, Graduate</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007839" MajorTopicYN="N">Functional Laterality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007582" MajorTopicYN="N">Jejunostomy</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010535" MajorTopicYN="N">Laparoscopy</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011214" MajorTopicYN="Y">Practice, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013043" MajorTopicYN="N">Specialties, Surgical</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>05</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>07</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>08</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>10</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>10</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>1</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25332065</ArticleId><ArticleId IdType="doi">10.1002/bjs.9657</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><noCountry><name sortKey="Bonrath, E M" sort="Bonrath, E M" uniqKey="Bonrath E" first="E M" last="Bonrath">E M Bonrath</name><name sortKey="Dedy, N J" sort="Dedy, N J" uniqKey="Dedy N" first="N J" last="Dedy">N J Dedy</name><name sortKey="Grantcharov, T P" sort="Grantcharov, T P" uniqKey="Grantcharov T" first="T P" last="Grantcharov">T P Grantcharov</name><name sortKey="Sinclair, D A" sort="Sinclair, D A" uniqKey="Sinclair D" first="D A" last="Sinclair">D A Sinclair</name></noCountry><country name="Canada"><region name="Ontario"><name sortKey="Louridas, M" sort="Louridas, M" uniqKey="Louridas M" first="M" last="Louridas">M. 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