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Improving Common Ground Development in Surgical Training through Talk and Action.

Yuanyuan Feng1, Helena M Mentis1

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In surgical training, actions and verbal communication are crucial for developing shared understanding. Actions build procedural common ground, while words build content common ground, highlighting their interdependence.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Communication in Surgery

Background:

  • Effective surgical training relies on shared understanding (common ground) between senior surgeons and residents.
  • The role of non-verbal actions in developing common ground during surgery is not fully understood.
  • Existing research often overlooks the interplay between verbal and non-verbal communication in surgical contexts.

Purpose of the Study:

  • To investigate the distinct and interdependent roles of actions and verbal utterances in developing common ground during laparoscopic surgery.
  • To explicate how actions and utterances contribute to different facets of common ground.
  • To identify opportunities for enhancing surgical communication through better visualization of actions.

Main Methods:

  • Utilized a dialogue act coding scheme to analyze actions and utterances during simulated laparoscopic surgery.
  • Categorized communicative functions of both verbal and non-verbal actions.
  • Examined the contribution of each communication type to common ground development.

Main Results:

  • Verbal utterances primarily support the development of content common ground by conveying detailed information.
  • Actions significantly contribute to the development of process common ground, guiding procedural understanding.
  • Utterances and actions provide complementary information, essential for establishing and maintaining common ground.

Conclusions:

  • Surgical communication is a multimodal process where verbal and action-based information are interdependent.
  • Recognizing the distinct roles of actions and utterances can optimize training and communication strategies.
  • Visualizing actions as perceivable knowledge on laparoscopic displays can enhance surgical teamwork and training effectiveness.