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Bench model surgical skill training improves novice ability to multitask: a randomized controlled study.

Lawrence Grierson1, Megan Melnyk, Nathan Jowlett

  • 1The Learning Institute, The Hospital for Sick Children, and Department of Surgery, University of Toronto, Toronto, ON, Canada.

Studies in Health Technology and Informatics
|February 22, 2011
PubMed
Summary
This summary is machine-generated.

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Simulation training in surgical skills labs improves technical performance, especially when attention is divided. This enhances both procedural skill and knowledge retention in novice trainees.

Area of Science:

  • Medical Education
  • Surgical Simulation
  • Cognitive Load Theory

Background:

  • Skills training in simulation laboratories is increasingly utilized in medical education.
  • The educational benefits, particularly regarding performance under dual-task conditions, require further clarification.

Purpose of the Study:

  • To investigate whether technical skills training in simulation laboratories enhances performance on simultaneous execution of technical skills and knowledge retention.
  • To assess the impact of simulation training on novice trainees' ability to perform a surgical task while learning new information.

Main Methods:

  • Twenty-four novice trainees underwent baseline elliptical excision testing.
  • Participants were randomized into a simulation training group (n=12) or a control group (n=12).

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  • Follow-up testing involved a dual-task: performing the excision while listening to a didactic lesson, with specific sutures performed under single-task and dual-task conditions. A knowledge retention group (n=7) listened to the lesson only.

    • Main Results:

    • All participants showed improved elliptical excision completion times post-testing.
    • The simulation training group exhibited superior hand motion performance during the dual-task condition (p<0.01).
    • Novices without simulation training performed significantly worse when suturing concurrently with the didactic lesson (p<0.01).

    Conclusions:

    • Pretraining novices in surgical skills laboratories significantly improves technical performance under increased attention demands.
    • Simulation-based surgical skills training is effective in preparing trainees for complex clinical scenarios requiring concurrent task execution and information processing.