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Implementing Cognitive Training Into a Surgical Skill Course: A Pilot Study on Laparoscopic Suturing and Knot Tying
Benjamin De Witte1, Franck Di Rienzo1, Xavier Martin2,3
11 University of Lyon, University Claude Bernard Lyon 1, Inter-University Laboratory of Human Movement Biology, Villeurbanne Cedex, France.
Surgical Innovation
|September 18, 2018
Summary
Cognitive training using motor imagery (MI) and action observation (AO) did not improve laparoscopic surgical skills in residents. However, basic surgical skills training alone enhanced spatial orientation and reduced mental workload.
Area of Science:
- Surgical Education
- Cognitive Neuroscience
- Minimally Invasive Surgery
Background:
- Minimally invasive surgery presents unique challenges, requiring enhanced spatial orientation and mental representation skills.
- Cognitive training methods like motor imagery (MI) and action observation (AO) have shown potential in improving surgical skills.
Purpose of the Study:
- To evaluate the impact of combined cognitive training (MI + AO) with basic surgical skills on laparoscopic performance.
- To assess changes in spatial ability and mental workload following the training interventions.
Main Methods:
- 28 surgical residents were randomized into three groups: basic surgical skills + MI + AO, basic surgical skills only, and a control group.
- Training involved a 2-day laparoscopic course, with one group receiving additional cognitive training (MI + AO) and another performing neutral activities.
- Laparoscopic suturing, knot tying, spatial ability, and mental workload were assessed pre- and post-training.
Main Results:
- No significant improvement in laparoscopic performance was observed with the addition of cognitive training.
- The basic surgical skills group showed significant improvements in spatial orientation and reported lower mental workload.
- Both groups that included cognitive training demonstrated decreased performance in a mental rotation test.
Conclusions:
- Combining intensive actual and cognitive training in a short period may lead to excessive strain, hindering skill acquisition.
- While MI and AO show promise, optimal learning conditions, potentially involving distributed practice, are crucial for mitigating strain and maximizing benefits in surgical training.
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