Cognitive training for robotic surgery: a chance to optimize surgical training? A pilot study

Area of Science:

• Medical Education
• Surgical Training
• Cognitive Science

Background:

• Robotic-assisted surgery (RAS) requires specialized training.
• Cognitive training (CT) enhances skills like attention and problem-solving.
• CT may improve surgical capacity and support RAS training.

Purpose of the Study:

• To evaluate the efficacy of computer-based cognitive training (CT) versus simulator training for robotic-assisted surgery (RAS).
• To assess the impact of CT on surgical skills and psychological aspects.

Main Methods:

• Pilot study with 33 student volunteers randomized into three groups: da Vinci simulator training, computer-based CT, and control.
• Performance measured before (T1) and after (T2) training.
• Expert ratings, self-evaluations, and psychological interviews (NEO PI-R, SPIs) were conducted.

Main Results:

• No significant baseline or post-training differences between groups in overall performance.
• Group 1 (simulator) showed 15.87% training gain; Group 2 (CT) showed 24.6% gain.
• Group 2 demonstrated significant improvement in 'self-reflection' post-training.

Conclusions:

• Computer-based cognitive training shows potential for enhancing skills relevant to robotic-assisted surgery.
• CT may positively impact psychological aspects like self-reflection in surgical trainees.
• Further research with larger sample sizes and cost-effectiveness analysis is warranted.