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Stress training for the surgical resident.
Zoë Maher1, Richard Milner, Jane Cripe
1Department of Surgery, Parkinson Pavilion, Philadelphia, PA 19140, USA. Zoe.maher@tuhs.temple.edu
American Journal of Surgery
|January 22, 2013
Summary
Surgical residents participating in stress management training showed a trend toward improved performance in simulations. While anxiety levels did not change, the training was highly valued by participants.
Area of Science:
- Medical Education
- Surgical Training
- Psychology
Background:
- Surgical education prioritizes technical skills over stress management.
- Inadequate stress management in surgery can negatively impact patient care, lead to residency attrition, and cause burnout.
Purpose of the Study:
- To evaluate the effectiveness of a stress management educational program for surgical residents.
- To assess the impact of stress training on resident performance during simulated stressful scenarios.
Main Methods:
- A blinded, matched comparison group study design.
- Experimental group (n=11) received stress training; control group (n=15) did not.
- Performance evaluated via simulation using objective and subjective stress measures and a standardized checklist.
Main Results:
- A trend towards 5% higher performance scores in the experimental group compared to the control group (P = .54).
- No significant differences were observed in anxiety levels (State Trait Anxiety Inventory, P = .34) or heart rate under stress (P = .17) between groups.
- A significant majority (91%) of residents found the stress training valuable.
Conclusions:
- Stress management training showed a trend for improved surgical performance but did not significantly reduce anxiety.
- The educational program was perceived as valuable by surgical residents.
- Further research may be needed to optimize stress management interventions in surgical education.