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Emergency Undocking in Robotic Surgery: A Simulation Curriculum

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Developing Cognitive Task Analysis-based Educational Videos for Basic Surgical Skills in Plastic Surgery.

Celine Yeung¹, Catherine McMillan², Tomas J Saun³

¹Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Journal of Surgical Education

|March 27, 2017

Summary

Cognitive task analysis (CTA) developed educational videos for plastic surgery trainees, detailing procedural steps and decision-making. This CTA-based approach offers a comprehensive, objective learning resource for surgical skills before operating room entry.

Keywords:

Practice-Based Learning and Improvement basic surgical skills cognitive task analysis decision-making skills e-learning educational videos plastic surgery

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Area of Science:

Medical Education
Surgical Training
Cognitive Science

Background:

Plastic surgery training requires proficiency in fundamental skills.
Current educational methods may not fully capture expert procedural knowledge.
Cognitive Task Analysis (CTA) offers a framework for deconstructing complex skills.

Purpose of the Study:

To develop multimedia educational videos for plastic surgery trainees using CTA.
To identify and analyze key steps and cognitive demands in essential plastic surgery procedures.

Main Methods:

A needs assessment survey identified 5 core plastic surgery skills.
Expert surgeons were video-recorded and interviewed while performing these skills.
Transcripts were coded to categorize steps (action, decision, assessment) and create Cognitive Demands Tables (CDTs).

Main Results:

Twenty-eight residents responded to the survey (36% response rate).
Key skills identified included suturing techniques, hand splinting, digital nerve block, and excisional biopsy.
CTA identified 12-29 steps per skill, with significant variation in shared steps (30-48%) and omissions (27-40%) among experts.

Conclusions:

CTA is effective for developing comprehensive instructional videos for surgical skills.
These videos can provide trainees with objective knowledge and decision-making insights.
CTA-based tools enhance surgical education by preparing trainees before clinical practice.