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Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Developing a coaching mechanism for practicing surgeons.

Dimitrios Stefanidis1, Brittany Anderson-Montoya2, Robert V Higgins3

  • 1Department of Surgery, Carolinas HealthCare System, Charlotte, NC; Carolinas Simulation Center, Carolinas HealthCare System, Charlotte, NC.

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|June 16, 2016
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Summary
This summary is machine-generated.

Practicing surgeons need ongoing coaching to maintain skills. This study developed a valuable coaching program using objective assessments to improve technical and nontechnical surgical performance.

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Human Factors in Medicine

Background:

  • Surgical training includes performance feedback, but this ceases post-training, potentially leading to skill stagnation.
  • Lack of continuous assessment can result in persistent poor surgical habits.
  • A need exists for a coaching mechanism providing objective performance feedback to practicing surgeons.

Purpose of the Study:

  • To develop and evaluate a coaching program for practicing surgeons.
  • To provide feedback based on objective performance assessments.
  • To identify and address areas for improvement in technical and nontechnical surgical skills.

Main Methods:

  • Intraoperative videos of laparoscopic/robotic surgeries (cholecystectomies, colectomies, hysterectomies) were assessed for technical and nontechnical aspects.
  • A blinded surgeon and a human factors expert evaluated the videos.
  • A 4-hour coaching session was designed, including didactic lectures, video review, and simulation-based practice.

Main Results:

  • Thirty-two surgeons were assessed; 9 participated in coaching.
  • Identified areas for improvement included trocar placement, critical view achievement, visualization, dexterity, dissection, distraction management, ergonomics, situational awareness, and delay mitigation.
  • While some objectives were met, no participants achieved expert levels on Fundamentals of Laparoscopy tasks.
  • Surgeons found the coaching sessions highly valuable.

Conclusions:

  • The study identified specific technical and nontechnical skill deficits in practicing surgeons.
  • The findings support the implementation of ongoing coaching programs for surgeons.
  • Continuous professional development through coaching is crucial for maintaining surgical proficiency.