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Using Cognitive Task Analysis to train Orthopaedic Surgeons - Is it time to think differently? A systematic review
Karam Ahmad1, Rahul Bhattacharyya1, Chinmay Gupte1
1MSk Lab, Imperial College London, 2nd Floor, Sir Michael Uren Hub, 86 Wood Lane, London W12 0BZ, UK.
Annals of Medicine and Surgery (2012)
|September 30, 2020
Summary
Cognitive Task Analysis (CTA) offers significant benefits for training novice orthopaedic surgeons. This method enhances surgical skills and provides a cost-effective, accessible learning tool for repeated practice.
Area of Science:
- Medical Education
- Surgical Training
- Cognitive Psychology
Background:
- Reduced operating time for orthopaedic trainees in the UK due to working hour restrictions.
- Novel training techniques are being explored to address these challenges.
- Cognitive Task Analysis (CTA) is a novel approach focusing on the mental steps in complex procedures, previously used in other fields but new to orthopaedics.
Purpose of the Study:
- To systematically review the benefits of Cognitive Task Analysis (CTA) for training novice surgeons in orthopaedic and trauma procedures.
Main Methods:
- Systematic review of studies on CTA in orthopaedic and trauma surgery.
- Searches conducted on MEDLINE and EMBASE using terms like 'Cognitive task', 'mental rehearsal', and 'Orthop*'.
- Evaluation of study impact using the CTA research ranking scale.
Main Results:
- Seven studies involving 264 participants (178 male, 86 female) were included.
- All studies demonstrated objective or subjective benefits of CTA compared to traditional training methods.
- Participants reported high satisfaction and found CTA tools to be excellent adjuncts to traditional apprenticeship.
Conclusions:
- Cognitive Task Analysis (CTA) learning tools show significant objective and subjective benefits in orthopaedic and trauma training.
- CTA is a cost-effective and accessible training method.
- CTA facilitates repeated practice, a crucial element in simulation-based surgical training.
