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Cognitive training for technical and non-technical skills in robotic surgery: a randomised controlled trial
Nicholas Raison1, Kamran Ahmed1, Takashige Abe1,2
1Division of Transplantation Immunology and Mucosal Biology, Faculty of Life Sciences and Medicine, Kings College London, UK.
BJU International
|May 8, 2018
Summary
Motor imagery training significantly enhances technical skills in minimally invasive surgery for novice surgeons. However, it did not show benefits for non-technical skills (NTS) training.
Area of Science:
- Surgical Education
- Medical Simulation
- Cognitive Neuroscience
Background:
- Minimally invasive surgery (MIS) requires complex technical and non-technical skills.
- Traditional surgical training may not fully address the cognitive aspects of skill acquisition.
- Motor imagery (MI) offers a potential non-physical training modality.
Purpose of the Study:
- To evaluate the efficacy of motor imagery (MI) as a training tool for both technical and non-technical skills in minimally invasive surgery (MIS).
- To assess the impact of MI on novice surgeons' performance in a simulated MIS environment.
Main Methods:
- A randomized controlled trial comparing MI training versus standard training in novice surgeons.
- Participants performed a robotic urethrovesical anastomosis task and managed non-technical skill scenarios.
- Technical skills were assessed using the Global Evaluative Assessment of Robotic Skills (GEARS), and non-technical skills using Non-Technical Skills for Surgeons (NOTSS).
Main Results:
- Motor imagery training group showed significantly higher GEARS scores compared to the standard training group (P=0.03).
- No significant difference was observed in Non-Technical Skills for Surgeons (NOTSS) scores between the groups (P=0.77).
- Motor imagery training was effective, evidenced by higher Movement Imagery Questionnaire (MIQ) scores (P=0.04).
Conclusions:
- Motor imagery is an effective method for enhancing technical proficiency in minimally invasive surgery, even for novice surgeons.
- Motor imagery training did not demonstrate a significant benefit for improving non-technical skills in this study.
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